Although there have been many studies of low skilled call centre operators, research on professional workers in call centres is less common and cross-national research on such operations even rarer. This article compares the labour process experiences of tele-nurses – registered nurses in call centre settings – across three countries: the UK, Australia and Sweden. Using cross-national, comparative ethnographies, through a system, society and dominance (SSD) approach, the article explores the common problems tele-nurses face as well as distinctive societal differences in the ways in which this branch of e-health care is being established. The outcomes reveal both societal diversity and mounting pressures towards a globalizing conformity between the three countries with regard to the working practices of tele-nursing. The findings have important implications for whether or not a professional project can be developed around tele-health care.
AbbottA (1988) The System of Professions: An Essay on the Division of Expert Labor. Chicago: University of Chicago Press.
2.
ABS (Australian Bureau of Statistics) (2012) Yearbook Australia: Employment in Australian Industry, cat. 1301.0, Canberra: ABS.
3.
AckroydSBoltonS (1999) It is not Taylorism: Mechanisms of work intensification in the provision of gynaecological services in a NHS hospital. Work, Employment and Society13(2): 369–387.
4.
AdamsALugsdenEChaseJ. (2000) Skill-mix changes and work intensification in nursing. Work, Employment and Society14(3): 541–555.
5.
Andersson BäckM (2008) Conceptions, conflicts and contradictions in the introduction of a Swedish health call centre. Doctoral thesis. Gothenburg University, Department of Work Science.
6.
Andersson BäckM (2009) Nurses’ pay formation in Swedish health call centres: The influence of union organization, economic and professional factors. Gender, Work and Organization16(5): 579–599.
7.
Andersson BäckM (2011) Who cares about the carer? New public management in Sweden – the case of health call centres. In: ThörnqvistAEngströmÅ-K (eds) Precarious Employment in Perspective. Brussels: PIE/Peter Lang.
8.
BarleyS (1986) Technology as an occasion for structuring: Evidence from observations of CT scanners and the social order of radiology departments. Administrative Science Quarterly31(1): 78–108.
9.
BergM (1997) Problems and promises of the protocol. Social Sciences and Medicine44(8): 1081–1088.
10.
BoltonS (2004) A simple matter of control? NHS hospital nurses and new management. Journal of Management Studies41(2): 317–333.
11.
BoltonS (2005) ‘Making up’ managers: The case of NHS nurses. Work, Employment and Society19(1): 5–23.
12.
BrannonR (1996) Restructuring hospital nursing: Reversing the trend toward a professional workforce. International Journal of Health Services26(4): 643–654.
13.
BravermanH (1974) Labor and Monopoly Capital. New York: Monthly Review Press.
14.
CallaghanGThompsonP (2001) Edwards revisited: Technical control and call centres. Economic and Industrial Democracy22(1): 13–37.
15.
Collin-JacquesC (2004) Professionals at work: A study of autonomy and skill utilization in nurse call centres in England and Canada. In: DeerySKinnieN (eds) Call Centres and Human Resource Management: A Cross-National Perspective. Basingstoke: Palgrave, pp. 153–173.
16.
Collin-JacquesCSmithC (2005) Nursing on the line: Experiences from England and Quebec. Human Relations58(1): 5–32.
17.
CookeH (2006a) Seagull management and the control of nursing work. Work, Employment and Society20(2): 223–243.
18.
CookeH (2006b) Examining the disciplinary process in nursing: A case study approach. Work, Employment and Society20(4): 687–707.
19.
DoH (Department of Health) (1997) The New NHS: Modern, Dependable. London: Department of Health.
20.
DoH (Department of Health) (2003) Developing NHS Direct: A Strategic Document for the Next Three Years. London: Department of Health.
21.
EdwardsR (1979) Contested Terrain: The Transformation of the Workplace in the Twentieth Century. London: Heinemann.
22.
ElzingaA (1990) The knowledge aspect of professionalization: The case of science-based nursing education in Sweden. In: TorstendahlRBurrageM (eds) The Formation of Professions. London: Sage, pp. 151–173.
23.
ErnesäterAHolmströmIEngströmM (2009) Telenurses’ experiences of working with computerized decision support: Supporting, inhibiting and quality improving. Journal of Advanced Nursing65(5): 1074–1083.
24.
FältholmYJanssonA (2008) Telephone advisory services – nursing between organisational and occupational professionalism. New Technology, Work and Employment23(1–2): 17–29.
25.
FerlieEFitzgeraldL (2002) The sustainability of the new public management in the UK. In: McLaughlinKOsbornSPFerlieE (eds) New Public Management: Current Trends and Future Prospects. London: Routledge, pp. 341–353.
26.
FCC (Federation of County Councils) (1998) Trygghet, tillgänglighet och effektivitet. Sjukvårdsupplysningen per telefon. Slutrapport från utredningen om landstingsgemensam sjukvårdsupplysning [Security, availability and efficiency. Tele-health on the phone. Final report from the investigation of a county common tele-health]. Stockholm: Landstingsförbundet.
27.
FCC (Federation of County Councils) (2003) Vårdråd direkt. Sjukvårdsrädgivningar i samverkan. Slutrapport från utredningen om nationellt samordnad sjukvärdsrådgivning [Healthcare Direct. Tele-health in collaboration. Final report from the investigation of a nationally coordinated tele-health service]. Stockholm: Landstingsförbundet.
28.
FreidsonE (1994) The changing nature of professional control. Annual Review of Sociology10: 1–20.
29.
FreidsonE (1995) Professionalism Reborn: Theory, Prophecy and Policy. Chicago: University of Chicago Press.
30.
GermovJ (2005) Managerialism in the Australian public health sector: Towards the hyper-rationalisation of professional bureaucracies. Sociology of Health and Illness27(6): 738–758.
31.
GreatbatchKHanlonGGoodeJ. (2005) Telephone triage, expert systems and clinical expertise. Sociology of Health and Illness27(6): 802–830.
32.
GrimshawD (1999) Changes in skills-mix and pay determination among the nursing workforce in the UK. Work, Employment and Society13(2): 295–328.
33.
HanlonGStranglemanTGoodeJLuffD. (2005) Knowledge, technology and nursing: The case of NHS Direct. Human Relations58(2): 147–172.
34.
HCC (Health Call Centre) (2004) Business strategy. Government of Queensland.
35.
HolmströmI (2007) Decision aid software programs in telenursing: Not used as intended? Experiences of Swedish telenurses. Nursing and Health Sciences9(1): 23–28.
36.
HolmströmI (2011) Telenursing in Sweden. In: KumarSSnooksH (eds) Telenursing. London: Springer, pp. 131–142.
37.
HolmströmIDall’AlbaG (2002) Carer and gatekeeper – conflicting demands in nurses’ experiences of telephone advisory services. Scandinavian Journal of Caring Science16(2): 142–148.
38.
KaminskyERosenqvistUHolmstromI (2008) Telenurses’ understanding of work: Detective or educator?Journal of Advanced Nursing65(2): 382–390.
39.
KnowlesEO’CathainAMorrellJ. (2002) NHS Direct and nurses – opportunity or monotony?International Journal of Nursing Studies39(8): 857–866.
40.
KoricaMMolloyE (2010) Making sense of professional identities: Stories of medical professionals and new technologies. Human Relations63(12): 1879–1901.
LarsonMS (1977) The Rise of Professionalism: A Sociological Analysis. Berkeley, CA: University of California Press.
43.
LloydCSeifertR (1995) Restructuring in the NHS: The impact of the 1990 reforms on the management of labour. Work, Employment and Society9(2): 359–378.
44.
MarxK (1971) Capital Vol 1: A Critical Analysis of Capitalist Production. Moscow: Progress Publishers.
45.
MayoAChangBOmeryA (2002) Use of protocols and guidelines by telephone nurses. Clinical Nursing Research11(2): 204–219.
46.
MuellerFValsecchiRSmithC. (2008) ‘We are nurses, we are supposed to care for people’: Professional values among nurses in NHS Direct call centres. New Technology, Work and Employment23(1–2): 2–17.
47.
NAO (National Audit Office) (2002) NHS Direct in England. London: The Stationery Office.
48.
NolanS (2002) NHS Direct: The early years. Nursing Times98(19): 39.
49.
O’CathainAWebberENichollJ. (2003) NHS Direct: Consistency of triage outcomes. Emergency Medicine Journal20(3): 289–292.
50.
OECD (2011) Health at a Glance 2011: OECD Indicators. Paris: OECD Publishing.
51.
ONS (Office for National Statistics) (2012) Labour Market Statistics, Data Tables, October. UK, Manufacturing Snapshot.
52.
PeckA (2005) Changing the face of standard nursing practice through telehealth and telenursing. Nursing Administrative Quarterly29(4): 339–343.
53.
PettinariCJessopL (2001) ‘Your ears become your eyes’: Managing the absence of visibility in NHS Direct. Journal of Advanced Nursing36(5): 668–675.
54.
PollittCBouckaertG (2011) Public Management Reform: A Comparative Analysis – New Public Management, Governance, and the Neo-Weberian State. Oxford: Oxford University Press.
55.
PopeCHalfordSTurnbullJ. (2013) Using computer decision support systems in NHS emergency and urgent care: Ethnographic study using normalisation process theory. BMC Health Services Research13: 111.
56.
Purc-StephensonRThrasherC (2010) Nurses’ experience with telephone triage: A meta-ethnography. Journal of Advanced Nursing66(3): 482–494.
57.
RussellB (2008) Call centres: A decade of research. International Journal of Management Reviews10(3): 195–219.
58.
RussellB (2012) Professional call centres, professional workers and the paradox of the algorithm: The case of telenursing. Work, Employment and Society26(2): 195–210.
59.
SennettR (1998) The Corrosion of Character. New York: W.W. Norton.
60.
SennettR (2008) The Craftsman. New Haven, CT: Yale University Press.
61.
SmithCMeiksinsP (1995) System, society and dominance effects in cross-national organisational analysis. Work, Employment and Society9(2): 241–269.
62.
SmithCValsecchiRMuellerFGabeJ (2008) Knowledge and the discourse of labour process transformation: Nurses and the case of NHS Direct for England. Work, Employment and Society22(4): 581–599.
63.
SnooksHWilliamsAGriffithsJ. (2007) Real nursing? The development of telenursing. Journal of Advanced Nursing61(6): 631–640.
64.
TailbyS (2005) Agency and bank nursing in the UK National Health Service. Work, Employment and Society19(2): 369–389.
65.
TaylorPBainP (1999) ‘An assembly line in the head’: Work and employee relations in the call centre. Industrial Relations Journal30(2): 101–117.
66.
TRIHS (2012) Välkommen till TRIHS [Welcome to the Association for Tele-nursing within Health Care]. Available at: www.swenurse.se/trihs (accessed 19 December 2012).
67.
TurnbullJPrichardJHalfordS. (2012) Reconfiguring the emergency and urgent care workforce: Mixed methods study of skills and the everyday work of non-clinical call-handlers in the NHS. Journal of Health Services Research and Policy17(4): 233–240.
68.
WahlbergAC (2004) Telephone advice nursing: Callers’ experience, nurses’ experience of problems and basis for assessments. Doctoral thesis. Karolinska Institutet, Stockholm.
69.
WahlbergACCedersundEWredlingR (2003) Telephone nurses’ experience of problems with telephone advice in Sweden. Journal of Clinical Nursing12(1): 37–45.
70.
WhiteNBrayM (2003) The changing role of nursing unit managers: A case of work intensification?Labour and Industry14(2): 1–19.
71.
WiseSSmithCValsecchiR. (2007) Controlling working time in the ward and on the line. Employee Relations29(4): 352–366.
