title: The boundaries of care work: a comparative study of professionals and volunteers in Denmark and Australia.
abstract: This paper explores the manner in which two hospices--one located in Denmark and one in Australia--negotiate and determine the boundaries of volunteer workers vis-à-vis paid staff. A comparative case study approach was used to juxtapose organisations with similar activity fields located in different welfare state systems, i.e. a social democratic welfare state and a liberal welfare state. This study involved non-participant observation of volunteers at work and unstructured interviews with volunteers, staff and management in the hospices (n = 41). Data were collected between August 2012 and February 2013. Data were managed using NVivo and analysed thematically. A key finding is that volunteers in the Danish hospice were excluded from all direct care work due to the effective monopoly of the professional care providers, whereas the Australian volunteers participated in the provision of care to the extent that risk could be eliminated or mitigated to an acceptable level. The findings suggest two different models of the roles of volunteers in tension with professional care providers. Both models recognise that volunteers add to the level of care delivered by the organisations and allow for a discussion that moves away from the normative discussions of 'not taking somebody's job', while also recognising that volunteers must be more than just the 'nice extra' if they are to be of any real value to the organisation and to care receivers.
authors.affiliation: Department of Sociology, Macquarie University, North Ryde, New South Wales, Australia.|Department of Society and Globalisation, Roskilde University, Roskilde, Denmark.
authors.forename: Charlotte
authors.identifier: http://orcid.org/0000-0003-3669-0683
authors.initials: C
authors.lastname: Overgaard
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D003695:Delivery of Health Care; D003718:Denmark; D005260:Female; D017051:Hospice Care; D006738:Hospices / Q000458:organization & administration*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D024382:Professional Role; D012307:Risk Factors; D014838:Volunteers; D000078329:Workforce
keywords: end-of-life care; professional closure; professionalism; risk; volunteers