Conference Agenda

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Session Overview
RN16_02c: Health Professions
Wednesday, 21/Aug/2019:
2:00pm - 3:30pm

Session Chair: Angela Genova, Urbino Carlo Bo
Location: UP.4.206
University of Manchester Building: University Place, Fourth Floor Oxford Road

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The Quest for Social and Professional Recognition -from a French Midwifery Perspective

Nicole Thualagant

University of Roskilde, Denmark

Birth is political -previous research has demonstrated how birth is a contested space between professions (Johnson 2008). The role attributed to the profession of midwifery changes in relation to how maternity care is being organized as well as in accordance to the changing demands and expectations from birth-giving women (Benoit 2005, Lehn-Christiansen & Thualagant 2019). Scholars have also identified cultural differences between not only births but also the status of midwifery regarding birth (Wagner 2001). While midwifes in Denmark have celebrated their 300th anniversary of midwifery, midwifes in France are still in demand for a wider recognition. Embedded in a “highly medicalized” (Wagner 2001) birth culture, the French State launched a national action plan in 2004 in the quest for more “humanized” births. This action plan among other strategies, sets focus on the profession of “midwifery” as a profession leading to more “humane” births. Despite the effort behind the action plan, research illustrates that midwifes in France are still fighting for not only a social but also professional recognition (Charrier 2011). With a twofold aim, this paper examines the rationale behind the latest intervention in 2015, where the state approved the project of “maisons de naissances”, i.e. houses for midwife-led births. Secondly, with a theoretical focus on the demand for recognition, this paper explores, based on midwifes earlier experienced barriers to cooperation, how the new maternity structure of “maternity houses” is experienced regarding their demand for an enhanced social and professional recognition.

ʺI Feel I Can Easily Go To Another Country Because Of Brexit, I Don’t Feel Quite Settled As I Would Like To Beʺ - The Unsettling Of Migrant NHS Nurses And The Experiences Of Being ‘Othered’ In The Current Political Climate Of Brexit’

Georgia Spiliopoulos1, Stephen Timmons2

1University of Nottingham Ningbo China, China, People's Republic of; 2University of Nottingham UK

With this paper we present preliminary findings following a pilot study on retention and recruitment of migrant nurses post-Brexit. Drawing on the work of scholars such as Hall (1996; 2003), Solomos (2003), Wodak (2013) and taking critical/ intersectional approaches (for example, Davies, 2016; Yuval-Davis, 2006; 2011), we examine issues such as non-belonging and ‘othering’, or what Wodak (2013) calls ‘normalization of exclusion’, as experienced in the everyday lives of the EU and non-EU nurses of our study. The NHS has been relying on migrant healthcare staff since its conception, however, the EU 2016 referendum caused dramatic disruption to recruitment processes, especially from EU countries. Using semi-structured interviews and thematic and narrative analyses, we present the participants’ uncomfortable feelings of non-belonging, in a more heightened, as experienced, xenophobic environment, in their workplaces and elsewhere. This is a highly mobile and skilled workforce which is increasingly being disenfranchised and seeking alternatives to long-term commitment to working for the NHS. Moreover, recently NHS England has sought to address issues of discrimination against its workforce based on gender, race, sexuality, and others. Good practices at a local level can have a detrimental effect in supporting migrant nurses, however, more needs to be done at local and national levels to ensure retention for EU and non-EU nurses alike. Our work adds to the literature on the mobility, settlement and contributions of migrant nurses (Adhikari and Melia, 2015; Isaksen, 2012), with a particular focus on the ongoing and disruptive to social cohesion nature of ‘Brexit’ negotiations.

Keywords: Brexit; migrant nurses; othering; intersectionality.

Economic Crisis and International Mobility of European and non- European health workers in the South-East of France: Citizenship, Gender and International Process of Health Inequalities Reproduction

Francesca Sirna


The Present Contribution aims to analyse the Geographical and Social Mobility of European and extra-European Health Workers in the South-East of France (PACA) in the Context of the Global Social and Economic Crisis and the several convergent challenges that the French Healthcare System must face with. I propose a Comparative Analysis of Professional and Geographical Mobility of intra- and extra-European Migrants (men and women) in the Health Sector: 29 Biographical Interviews with Physicians have been done in several Urban Hospital Centres (HP, CHU).

Is this a mobility of highly skilled professionals or a brain drain or a brain waste? What are the long-term consequences for the countries of origin and of settlement? How do the last decade reforms in the Health System (at the European, but also National and local level) affect French hospital organisation and the recruitment of Foreign Physicians? Those are some of the questions my contribution would tackle

Exploring Physician Perceptions on the Transformation of Medical Practice within the Context of the Healthcare Reform in Turkey

Püren Aktaş

Boğaziçi University, Turkey

Turkey’s healthcare system has undergone a significant reform process in 2003 – the Health Transformation Programme (HTP), which achieved improvements in patient access to healthcare services through the introduction of universal coverage. For that purpose, the HTP brought new regulations on working conditions of physicians in order to address the problem of dual employment and shortages in service provision. Although the HTP achieved to improve patient access to healthcare services, new health workforce policies on physicians are criticized for their detrimental consequences on working conditions of physicians and their professional autonomy. Increasing stress, excessive workload, and limited work autonomy emerged as the new main concerns of physicians in Turkey with the HTP. The purpose of this study is to explore how medical profession in Turkey has changed within the reform process, and physician perceptions on the transformation of the medical practice in Turkey. In doing so, this study examines if the medical profession in Turkey is experiencing a process of de-professionalization.

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