Professionalisierung Oder Konomisierung Im Gesundheitswesen

Kirchen, Gerichte und Schulen als Wirtschaftsunternehmen zu organisieren wirkt absurd. Denn Geistliche, Richter und Lehrer gehören zu den klassischen Professionen, und Professionen zeichnen sich durch den so genannten Gemeinschaftsbezug aus. Zu den Professionen gehören auch die Gesundheitsberufe. Sie widmen sich Leib und Leben, die zugleich Zwecke und Mittel jeder menschlichen Tätigkeit sind. Krankenhäuser sind aber heute kommerzialisiert. Sie arbeiten wie Wirtschaftsunternehmen, orientiert auf Gewinn oder sogar Kapitalrendite. Das widerspricht der Handlungslogik von Professionen. Setzen die Gesundheitsprofessionen der Kommerzialisierung zu wenig Widerstand entgegen? Auch als E-Book: www.humanities-online.de

The nursing process generally is understood as key element of professional nursing care in Germany. This study follows this argument back to the introduction of the nursing process in the 1970s and 1980s. At that time, the German healthcare system underwent dramatic changes and economic reorganization, which can be understood as the emergence of the neoliberal rationale in Germany. The argument of cost explosion was used to restructure hospitals into enterprises that were to operate based on the logic of the market. Its cybernetic logic made the nursing process an ideal instrument to restructure nursing care. Perspectives of governmentality and critical accounting reveal the nursing process as an accounting tool which has made nursing calculable. And while German nurses valued its potential for professionalization, the findings suggest that a newly constituted accountable nursing vocation can instead be considered as de-professionalizing.

The publication takes account of the fundamental developments transforming social work in Europe at the beginning of the 21st century. A European standard of social work has already emerged, but models for future European social work are absent. Therefore the compendium gives an overview of the current transformation process for the first time, discusses the visible and invisible changes and maps out where social work is positioned in the emerging post-welfare states.