1. Introduction : elderly care in transition -- 2. Paradoxes in elderly care : the Nordic model -- 3. The quest for the meaning of work : competing concepts of meaning -- 4. Knowledge at play : positioning care workers as professionals through scientific rationality and caring dispositions -- 5. Meaning of work in elderly care in Denmark : fragile reconstructions -- 6. The meaning of work from subjective and intersubjective perspectives : a daily conflict of creating and losing meaning in elderly care -- 7. New public management : constructing a new management identity in care for the elderly -- 8. Creating meaning in dementia care work : a story of (re) professionalisation? -- 9. The future of elderly care : beyond new public management?