Pro-Market, Non-Market: The Dual Nature of Organizational Change in Social                Services Delivery

Baines, Donna

doi:10.1177/0261018304039679

Cited by 99 publications

(86 citation statements)

References 35 publications

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“…While the complexity of residents' needs have increased, funding and staffing have not kept pace (Armstrong & Daly, 2004;Bowers, Esmond, & Jacobson, 2000;Ontario Council of Hospital Unions, 2014). Increases in for-profit service delivery and New Public Management approaches (Baines, 2004) to work organization in the public sector have put increasing pressure on employees (Daly, 2015). As noted in other jurisdictions, RNs and LPNs are particularly vulnerable to moral distress due to their extensive training and education regarding patient care combined with limited decision-making power in the workplace (Pijl Zieber et al, 2008).…”

Section: Ltc In Ontario and The Use Of Private Companionsmentioning

confidence: 99%

Experiences of moral distress by privately hired companions in Ontario’s long-term care facilities

Brassolotto

Daly

Armstrong

et al. 2017

QAOA

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Purpose-To explore long-term residential care provided by people other than the facilities' employees. Privately hired paid "companions" are effectively invisible in health services research and policy. This research was designed to address this significant gap. There is growing recognition that nursing staff in long-term care (LTC) residential facilities experience moral distress -a phenomenon in which one knows the ethically right action to take, but is systemically constrained from taking it. To date, there has been no discussion of the distressing experiences of companions in LTC facilities. This paper explores companions' moral distress.Design-Data was collected using weeklong rapid ethnographies in seven LTC facilities in Southern Ontario, Canada. A feminist political economy analytic framework was used in the research design and in the analysis of findings.Findings-Despite the differences in their work tasks and employment conditions, structural barriers can cause moral distress for companions. This mirrors the impacts experienced by nurses that are highlighted in the literature. Though companions are hired in order to fill care gaps in the LTC system, they too struggle with the current system's limitations. The hiring of private companions is not a sustainable or equitable solution to under-staffing and under-funding in Canada's LTC facilities.Value-Recognizing moral distress and the impact that it has on those providing LTC is critical in terms of supporting and protecting vulnerable and precarious care workers and ensuring high quality care for Canadians in LTC.

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Section: Ltc In Ontario and The Use Of Private Companionsmentioning

confidence: 99%

Experiences of moral distress by privately hired companions in Ontario’s long-term care facilities

Brassolotto

Daly

Armstrong

et al. 2017

QAOA

View full text Add to dashboard Cite

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“…At a broader theoretical level, critics of NPM contend that public administrators must weigh efficiency pressures against many other factors, including the costs of managing outsourced services, political accountability to citizens, and the agency's mission to provide a public good (Denhardt and Denhardt, 2003;Sclar, 2000). The claims that private markets provide greater economic efficiency than government monopolies prove problematic due to lack of competition (Baines, 2004b;Sclar, 2000), administration and related transaction costs (Hefetz and Warner, 2004), and principal-agent problems (Salamon and Elliott, 2002). These scholars further argue that even when markets improve efficiency, privatization and contracting appear less capable of satisfying equity and voice concerns (Warner and Hefetz, 2002).…”

Section: End-users As Industrial Relations Actorsmentioning

confidence: 99%

End-users, Public Services, and Industrial Relations: The Restructuring of Social Services in Ontario

Hickey

2012

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Résumé de l'article RésuméDans la foulée de la crise financière et économique, le gouvernement de l'Ontario s'est engagé à réduire les dépenses publiques. Sur la base d'une étude détaillée, cet article illustre comment, dans ce contexte, les usagers s'imposent comme des acteurs-clés des transformations qui touchent le secteur des services d'aide et de support aux personnes souffrant d'un handicap. L'étude permet ainsi de mieux saisir le rôle important, mais complexe, joué par les usagers dans les transformations qui ont lieu dans les formes de prestations des services et de régulation du travail. Les usagers ont un impact significatif à au moins trois niveaux du système des relations industrielles (Bellemare, 2000). Au niveau stratégique, ils sont des acteurs de la gouvernance des réseaux d'élaboration des politiques publiques sans pour autant délaisser les activités traditionnelles de lobbying. Les organisations représentant les usagers ont, par exemple, joué un rôle central dans la fermeture des établissements publics de traitement des personnes avec des déficiences intellectuelles en faveur de l'insertion dans la communauté. Au niveau organisationnel ensuite, les usagers occupent de plus en plus le rôle d'employeur. Cela peut prendre la forme d'un régime de cogestion des services avec, en plus, l'inscription des droits des usagers dans les conventions collectives de travail ou encore celui d'employeur à part entière et ainsi se substituer aux agences gouvernementales. Enfin, les usagers participent à la transformation du procès de travail lorsque, par exemple, ils redéfinissent la finalité du rôle d'intervenant social pour y inclure des objectifs complexes de développement de la personne et d'inclusion sociale. Bref, le cas du secteur des services aux personnes handicapées illustre que les réponses à la crise financière sont façonnées par l'action des usagers qui doivent être considérés comme des acteurs du système des relations industrielles.

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“…Wayne Lewchuk has mobilized considerable resources to study and understand the impact of globalization and lean production on the physical and mental health of autoworkers (Lewchuk et al 2004), and has also contributed mightily to the development of union education programs. Donna Baines organized concrete but farreaching research into the impacts of neoliberal budget restructuring on the work lives of social services workers, significantly assisting the efforts of those workers (and their union) to win better policies and better contracts (Baines 2004).…”

Section: Overcoming Two Solitudesmentioning

confidence: 99%

Radical Economics and Social Change Movements: Strengthening the Links between Academics and Activists

Stanford

2008

Review of Radical Political Economics

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The article considers the barriers to closer cooperation between progressive economists and progressive social change movements. The author provides some examples of successful cooperation, but suggests that these are the exception rather than the norm. The article makes five concrete suggestions for each side that would help to strengthen the relationships between them, and engage progressive economists more fully in social change campaigns. JEL classification: B50

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Pro-Market, Non-Market: The Dual Nature of Organizational Change in Social Services Delivery

Cited by 99 publications

References 35 publications

Experiences of moral distress by privately hired companions in Ontario’s long-term care facilities

Experiences of moral distress by privately hired companions in Ontario’s long-term care facilities

End-users, Public Services, and Industrial Relations: The Restructuring of Social Services in Ontario

Radical Economics and Social Change Movements: Strengthening the Links between Academics and Activists

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