Tensions between institutional and professional frames in team talk in gerontological social work

Authors

  • Elisabet Cedersund Linköping University
  • Anna Olaison Linköping University
  • Susanne Kvarnström Linköping University

DOI:

https://doi.org/10.1558/cam.25959

Keywords:

decision making, elder care, institutional frame, professional frame, team meeting

Abstract

Team meetings are central to social workers’ decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple’s needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers’ assessments when navigating different conversational frames within their decision-making practices.

Author Biographies

  • Elisabet Cedersund, Linköping University

    Elisabet Cedersund received her PhD in Communication Studies from Linköping University and is currently Professor in Ageing and Later life at Linköping University, Sweden. She has conducted research on client/social worker encounters, and on interactions between older people and professionals in health and social care. Many of her studies deal with human interaction in various types of casework where oral communication is used as the basis for decision making.

  • Anna Olaison, Linköping University

    Anna Olaison received her PhD in Age and Ageing from Linköping University and is currently a Senior Associate Professor of Social Work at Linköping University, Sweden. Her program of research aims to investigate how neoliberalism, changing social policies and standardization of social services influence needs assessment practices for older people. She has published on questions related to decision making and delivery of care and services for older people as well as social workers’ ability to use discretion in assessment meetings and documentation practices.

  • Susanne Kvarnström, Linköping University

    Susanne Kvarnström received her PhD in Social Work from Jönköping University and is currently Senior Educational Officer at Region Stockholm, Sweden and affiliated to the Department of Health, Medicine and Caring Sciences, Linköping University, Sweden. Her research interests include interprofessional teamwork in health and social care, person-centered care and interprofessional learning.

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Published

2024-07-12

How to Cite

Cedersund, E., Olaison, A., & Kvarnström, S. (2024). Tensions between institutional and professional frames in team talk in gerontological social work. Communication and Medicine. https://doi.org/10.1558/cam.25959