IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i4p605-608.html
   My bibliography  Save this article

Encounters with unemployment in occupational health care: Nurses' constructions of clients without work

Author

Listed:
  • Romppainen, Katri
  • Jähi, Rita
  • Saloniemi, Antti
  • Virtanen, Pekka

Abstract

This study explores occupational health nurses' encounters with unemployed clients in Finland. It involved setting up and evaluating a new service, Career Health Care, that resembled occupational health care, except that clients were recruited from among job seekers who were participating in one of three active labour market policy measures: vocational training, subsidised employment in the public sector, or participatory training for entering the labour market. Our main interest focused on nurses' perceptions of the unemployed and their professional practices in the context of Career Health Care. The analysis revealed four overlapping discourses with regard to clients: the client as a casualty of unemployment, the client as unemployed but active, the client as a deviant in the labour market, and the client as a skilled user of the system. Each discourse had implications for professional practice. The risk of negative stereotyping and consequent exclusion from services is discussed here. In conclusion, we stress the complexity of providing health services that can match the increasing diversity of contemporary labour market trajectories.

Suggested Citation

  • Romppainen, Katri & Jähi, Rita & Saloniemi, Antti & Virtanen, Pekka, 2010. "Encounters with unemployment in occupational health care: Nurses' constructions of clients without work," Social Science & Medicine, Elsevier, vol. 70(4), pages 605-608, February.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:605-608
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(09)00761-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jones, Ian Rees & Berney, Lee & Kelly, Moira & Doyal, Len & Griffiths, Chris & Feder, Gene & Hillier, Sheila & Rowlands, Gillian & Curtis, Sarah, 2004. "Is patient involvement possible when decisions involve scarce resources? A qualitative study of decision-making in primary care," Social Science & Medicine, Elsevier, vol. 59(1), pages 93-102, July.
    2. Starfield, Barbara, 2007. "Pathways of influence on equity in health: A rejoinder to Braveman and Wilkinson," Social Science & Medicine, Elsevier, vol. 64(7), pages 1371-1372, April.
    3. Starfield, Barbara, 2007. "Pathways of influence on equity in health," Social Science & Medicine, Elsevier, vol. 64(7), pages 1355-1362, April.
    4. Ahs, Annika Maria Helen & Westerling, Ragnar, 2006. "Health care utilization among persons who are unemployed or outside the labour force," Health Policy, Elsevier, vol. 78(2-3), pages 178-193, October.
    5. Browne, Annette J., 2007. "Clinical encounters between nurses and First Nations women in a Western Canadian hospital," Social Science & Medicine, Elsevier, vol. 64(10), pages 2165-2176, May.
    6. Link, Bruce & Castille, Dorothy M. & Stuber, Jennifer, 2008. "Stigma and coercion in the context of outpatient treatment for people with mental illnesses," Social Science & Medicine, Elsevier, vol. 67(3), pages 409-419, August.
    7. Scambler, Graham & Paoli, Frederique, 2008. "Health work, female sex workers and HIV/AIDS: Global and local dimensions of stigma and deviance as barriers to effective interventions," Social Science & Medicine, Elsevier, vol. 66(8), pages 1848-1862, April.
    8. Menéndez, María & Benach, Joan & Muntaner, Carles & Amable, Marcelo & O'Campo, Patricia, 2007. "Is precarious employment more damaging to women's health than men's?," Social Science & Medicine, Elsevier, vol. 64(4), pages 776-781, February.
    9. Dovidio, John F. & Penner, Louis A. & Albrecht, Terrance L. & Norton, Wynne E. & Gaertner, Samuel L. & Shelton, J. Nicole, 2008. "Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care," Social Science & Medicine, Elsevier, vol. 67(3), pages 478-486, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    2. Shelley White-Means & Darrell J. Gaskin & Ahmad Reshad Osmani, 2019. "Intervention and Public Policy Pathways to Achieve Health Care Equity," IJERPH, MDPI, vol. 16(14), pages 1-11, July.
    3. Prashant Kumar Singh, 2013. "Trends in Child Immunization across Geographical Regions in India: Focus on Urban-Rural and Gender Differentials," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-11, September.
    4. Janko Janković & Sladjana Šiljak & Miloš Erić & Jelena Marinković & Slavenka Janković, 2018. "Inequalities in the utilization of health care services in a transition European country: results from the national population health survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 261-272, March.
    5. Betancourt, Theresa S. & Agnew-Blais, Jessica & Gilman, Stephen E. & Williams, David R. & Ellis, B. Heidi, 2010. "Past horrors, present struggles: The role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone," Social Science & Medicine, Elsevier, vol. 70(1), pages 17-26, January.
    6. Ahmed, Shakil & Khan, M. Mahmud, 2011. "Is demand-side financing equity enhancing? Lessons from a maternal health voucher scheme in Bangladesh," Social Science & Medicine, Elsevier, vol. 72(10), pages 1704-1710, May.
    7. Brazier, Ellen & Andrzejewski, Catherine & Perkins, Margaret E. & Themmen, Ellen M. & Knight, Rodney J. & Bassane, Brahima, 2009. "Improving poor women's access to maternity care: Findings from a primary care intervention in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(5), pages 682-690, September.
    8. Hunter, Janine & van Blerk, Lorraine & Shand, Wayne, 2021. "The influence of peer relationships on young people's sexual health in Sub-Saharan African street contexts," Social Science & Medicine, Elsevier, vol. 288(C).
    9. Betty Bekemeier & David Grembowski & Youngran Yang & Jerald R. Herting, 2014. "Are Local Public Health Department Services Related to Racial Disparities in Mortality?," SAGE Open, , vol. 4(1), pages 21582440145, March.
    10. Arnold, Michael & Hsu, Ling & Pipkin, Sharon & McFarland, Willi & Rutherford, George W., 2009. "Race, place and AIDS: The role of socioeconomic context on racial disparities in treatment and survival in San Francisco," Social Science & Medicine, Elsevier, vol. 69(1), pages 121-128, July.
    11. Erik Schokkaert & Jonas Steel & Carine Van de Voorde, 2017. "Out-of-Pocket Payments and Subjective Unmet Need of Healthcare," Applied Health Economics and Health Policy, Springer, vol. 15(5), pages 545-555, October.
    12. Francesca Modena & Fabio Sabatini, 2012. "I would if I could: precarious employment and childbearing intentions in Italy," Review of Economics of the Household, Springer, vol. 10(1), pages 77-97, March.
    13. Anne Esther Marcus-Varwijk & Dónya S Madjdian & Emely de Vet & Monique W M Mensen & Tommy L S Visscher & Adelita V Ranchor & Joris P J Slaets & Carolien H M Smits, 2019. "Experiences and views of older people on their participation in a nurse-led health promotion intervention: “Community Health Consultation Offices for Seniors”," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-17, May.
    14. Katie Hail-Jares & Ruth C F Chang & Sugy Choi & Huang Zheng & Na He & Z Jennifer Huang, 2015. "Intimate-Partner and Client-Initiated Violence among Female Street-Based Sex Workers in China: Does a Support Network Help?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-16, September.
    15. Cook, Jonathan E. & Purdie-Vaughns, Valerie & Meyer, Ilan H. & Busch, Justin T.A., 2014. "Intervening within and across levels: A multilevel approach to stigma and public health," Social Science & Medicine, Elsevier, vol. 103(C), pages 101-109.
    16. Robillard, Chantal, 2010. "The gendered experience of stigmatization in severe and persistent mental illness in Lima, Peru," Social Science & Medicine, Elsevier, vol. 71(12), pages 2178-2186, December.
    17. Ruth C Chang & Katie Hail-Jares & Huang Zheng & Na He & Jennifer Z H Bouey, 2018. "Mitigating circumstances: A model-based analysis of associations between risk environment and infrequent condom use among Chinese street-based sex workers," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-15, May.
    18. Yeh, Wan-Yu & Cheng, Yawen & Chen, Chiou-Jung, 2009. "Social patterns of pay systems and their associations with psychosocial job characteristics and burnout among paid employees in Taiwan," Social Science & Medicine, Elsevier, vol. 68(8), pages 1407-1415, April.
    19. Stoebenau, Kirsten, 2009. "Symbolic capital and health: The case of women's sex work in Antananarivo, Madagascar," Social Science & Medicine, Elsevier, vol. 68(11), pages 2045-2052, June.
    20. Llanwarne, Nadia & Newbould, Jennifer & Burt, Jenni & Campbell, John L. & Roland, Martin, 2017. "Wasting the doctor's time? A video-elicitation interview study with patients in primary care," Social Science & Medicine, Elsevier, vol. 176(C), pages 113-122.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:605-608. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.