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Maintaining professional integrity: experiences of case workers performing the assessments that determine children’s access to personal assistance
Division of Social Work, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work. Division of Social Work, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden; Research & Development, Education and Innovation, Function Area Social Work in Health, Karolinska University Hospital, Stockholm, Sweden.
Division of Social Work, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden; Research & Development, Education and Innovation, Function Area Social Work in Health, Karolinska University Hospital, Stockholm, Sweden.
Childhood Cancer Research Unit, Department of Women’s and Children’s Health (KBH), Karolinska Institutet, Stockholm, Sweden; Pediatric Oncology and Hematology, Children’s and Women’s Health, Karolinska University Hospital, Stockholm, Sweden.
2018 (English)In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 33, no 6, p. 909-931Article in journal (Refereed) Published
Abstract [en]

This qualitative study explores Swedish case workers experiences of decision making regarding disabled children's right to obtain assistance in their everyday life whereby they can live independently in the community. Data collection included seven focus-group interviews and 11 complementary individual interviews with case workers from different agencies responsible for decisions regardig access to personal assistance. Grounded theory methodology was used. Compromised professional integrity under shifting conditions emerged as a main concern and maintaing professional integrity was used as an approach to resolve it. The case workers are maintaining professional integrity by applying different strategies; struggling with division of responsibility, bureaucratizig, and justifying and protecting. The results indicate that present application of assessment criteria in combination with the utilization of precedent rulings has made it difficult for the case workers to make decisions that provide children access to assistance. Current practice raises questions about the case workers perspectives of professionalism.

Place, publisher, year, edition, pages
Routledge , 2018. Vol. 33, no 6, p. 909-931
Keywords [en]
case workers, decision making, disabled children, grounded theory, Personal assistance, professionalism, article, child, handicapped child, human, responsibility, social worker
National Category
Social Work
Identifiers
URN: urn:nbn:se:hig:diva-26756DOI: 10.1080/09687599.2018.1466691ISI: 000434328200006Scopus ID: 2-s2.0-85046467915OAI: oai:DiVA.org:hig-26756DiVA, id: diva2:1213290
Note

Funding agencies:

- Norrbacka-Eugenia Stiftelsen  

- Stiftelsen Allmana Barnhuset grant no: 4-166 

Available from: 2018-06-04 Created: 2018-06-04 Last updated: 2018-11-27Bibliographically approved

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