Abstract:Scholars have described how care cannot be completely commodified or withdrawn because it is a disposition anchored in the commitment to the needs of others. This article advances the literature on care ethics and inequality by examining how care workers resist and negotiate the rationalisation of care work. Building on ethnographic fieldwork on auxiliary nurses in Norwegian nursing homes, the study shows that despite care workers facing increasingly rationalised forms of control, they continue to act out of t… Show more
“…In contrast to previous studies (Doniol‐Shaw & Lada, 2011; Orupabo, 2022), the workers in this study do not seem to engage in any particular form of resistance. Even though resistance – in the form of, for example, speaking up – is considered the best way of achieving organisational change, it can be a confrontational and risky strategy not available to all categories of workers.…”
Section: Discussioncontrasting
confidence: 99%
“…Unsurprisingly, recent transformations in the eldercare sector have affected the time available for care, increasing time pressure in work performance. Several studies have reported on time in social and eldercare work, for example in Ireland (McDonald et al, 2019), England (Hayes & Moore, 2017; Leverton et al, 2021; Rubery et al, 2015), France (Doniol‐Shaw & Lada, 2011), Canada (Sims‐Gould & Martin‐Matthews, 2010), Finland (Hirvonen & Husso, 2012; Leinonen, 2020), Denmark (Tufte, 2013; Tufte & Dahl, 2016), Norway (Bergschöld, 2018; Orupabo, 2022) and Sweden (Andersson, 2007; Strandell & Stranz, 2022). In addition to focusing on temporal dilemmas, scarcity of time, and staff experiences of time pressure, some of these studies have also been concerned with the psychosocial consequences of time constraints.…”
Section: Introductionmentioning
confidence: 99%
“…Although recent changes in the eldercare sector have reduced homecare workers' autonomy in relation to time allocation (Rubery et al, 2015; Strandell, 2020; Tufte, 2013), under certain conditions, care staff manages to create room for manoeuvre within the constraints of standardisation and rationalisation. International studies have shown that care workers adopt various strategies to cope with problematic temporal conditions, including, for example, working unpaid hours, reorganising work tasks, calling for assistance, bending rules, speaking up and defying management (Bergschöld, 2018; Doniol‐Shaw & Lada, 2011; Orupabo, 2022; Tufte & Dahl, 2016).…”
In most Western countries, the eldercare sector has undergone transformations to obtain cost containment and more efficient service provision, changing the temporal framing of homecare. Time pressure is a salient issue in homecare, but little is known about how homecare workers experience the temporal conditions of their work. Based on 13 group interviews with homecare workers in Sweden, this study examined how the staff experience temporal conditions and handle time pressure in their everyday work in a context of marketisation and increased use of 'information and communication technology'. The analysis showed that the workers attributed their experiences of time pressure to the compression of time, the control of time and the unpredictability of time. Strategies adopted to handle time pressure included working unpaid hours, maximising efficiency and reallocating time. It is concluded that the homecare workers primarily adopted individual short-term strategies to deal with structural and organisational temporal issues.
“…In contrast to previous studies (Doniol‐Shaw & Lada, 2011; Orupabo, 2022), the workers in this study do not seem to engage in any particular form of resistance. Even though resistance – in the form of, for example, speaking up – is considered the best way of achieving organisational change, it can be a confrontational and risky strategy not available to all categories of workers.…”
Section: Discussioncontrasting
confidence: 99%
“…Unsurprisingly, recent transformations in the eldercare sector have affected the time available for care, increasing time pressure in work performance. Several studies have reported on time in social and eldercare work, for example in Ireland (McDonald et al, 2019), England (Hayes & Moore, 2017; Leverton et al, 2021; Rubery et al, 2015), France (Doniol‐Shaw & Lada, 2011), Canada (Sims‐Gould & Martin‐Matthews, 2010), Finland (Hirvonen & Husso, 2012; Leinonen, 2020), Denmark (Tufte, 2013; Tufte & Dahl, 2016), Norway (Bergschöld, 2018; Orupabo, 2022) and Sweden (Andersson, 2007; Strandell & Stranz, 2022). In addition to focusing on temporal dilemmas, scarcity of time, and staff experiences of time pressure, some of these studies have also been concerned with the psychosocial consequences of time constraints.…”
Section: Introductionmentioning
confidence: 99%
“…Although recent changes in the eldercare sector have reduced homecare workers' autonomy in relation to time allocation (Rubery et al, 2015; Strandell, 2020; Tufte, 2013), under certain conditions, care staff manages to create room for manoeuvre within the constraints of standardisation and rationalisation. International studies have shown that care workers adopt various strategies to cope with problematic temporal conditions, including, for example, working unpaid hours, reorganising work tasks, calling for assistance, bending rules, speaking up and defying management (Bergschöld, 2018; Doniol‐Shaw & Lada, 2011; Orupabo, 2022; Tufte & Dahl, 2016).…”
In most Western countries, the eldercare sector has undergone transformations to obtain cost containment and more efficient service provision, changing the temporal framing of homecare. Time pressure is a salient issue in homecare, but little is known about how homecare workers experience the temporal conditions of their work. Based on 13 group interviews with homecare workers in Sweden, this study examined how the staff experience temporal conditions and handle time pressure in their everyday work in a context of marketisation and increased use of 'information and communication technology'. The analysis showed that the workers attributed their experiences of time pressure to the compression of time, the control of time and the unpredictability of time. Strategies adopted to handle time pressure included working unpaid hours, maximising efficiency and reallocating time. It is concluded that the homecare workers primarily adopted individual short-term strategies to deal with structural and organisational temporal issues.
“…Numerous studies, representing different research disciplines such as social policy (e.g., Anttonen & Karsio, 2017;Burau et al, 2017;Szebehely & Meagher, 2018) and the sociology of work (Kamp & Hvid, 2012;Orupabo, 2022) have assessed and explained changes in the eldercare sector as consequences of NPM reforms.…”
Section: Introductionmentioning
confidence: 99%
“…Numerous studies, representing different research disciplines such as social policy (e.g., Anttonen & Karsio, 2017; Burau et al, 2017; Szebehely & Meagher, 2018) and the sociology of work (Kamp & Hvid, 2012; Orupabo, 2022) have assessed and explained changes in the eldercare sector as consequences of NPM reforms. Researchers have typically focused on topics such as contract and control practices related to competitive tendering (Almquist, 2004; Szebehely & Meagher, 2013), free choice models (Rostgaard, 2011), performance and quality management (Hoppania et al, 2021; Vabø, 2012).…”
Nordic countries are known for their service‐based welfare states, which include basic health and social care for all older adults who have been formally assessed and found to need additional services. Facing fiscal constraints in the mid‐1990s, these countries endeavoured to create more cost‐effective care services that incorporated the doctrines of new public management (NPM). Overlapping NPM, steps have been taken to better integrate services and utilise the care capacity of a broader institutional and environmental set of actors. In this study, we draw attention to this call for collaborative and participatory modes of governance beyond NPM. We explore whether and how Nordic eldercare policies fit in to the framework and logic of new public governance (NPG). The data consist of 62 key government documents from five Nordic countries, representing the central features of eldercare policies over the past 10 years. Our content analysis is based on three conceptual lenses associated with NPG: service integration, service co‐production and cross‐sectoral co‐creation. The analysis shows that several policy issues are framed by the logic of NPG in all countries. Further research is needed to assess how these NPG measures are implemented and interacting with institutional arrangements of other public governance paradigms.
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