‘It’s all about time’: time as contested terrain in the management and experience of domiciliary care work in England
‘It’s all about time’: time as contested terrain in the management and experience of domiciliary care work in England
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“一切都与时间有关”：时间是英格兰家庭护理工作管理和经验中的争议领域
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Gail Hebson
中科院分区：
文献类型：
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作者：
J. Rubery;D. Grimshaw;Gail Hebson
在对委托、雇主和护理人员进行多层次研究的基础上
Drawing on a multilevel study of commissioning, employers, and care staff, this
article explores the role of time in the management of domiciliary care work for
older adults in England and the consequences for the employment conditions of
care staff. An index of fragmented time practices among 52 independent-sector
domiciliary care providers reveals widespread tendencies to use zero-hours contracts
and limit paid hours to face-to-face contact time, leaving travel time and
other work-related activities unpaid. Care staff interviews reveal how fragmented
time creates insecurities and demands high work engagement. Time management
practices are shown to derive directly from strict time-based local authority
commissioning. Subcontractors, both independent small fi rms and those
belonging to national chains, can at best adopt human resource (HR) policies that
are partial routes to failure, as evident in widespread recruitment and retention
problems. Informal HR practices to accommodate working-time preferences help
to retain individual staff, but adjustments are often marginal, adversely affect
other staff and fail to expand the recruitment pool for social care. Labor shortages
are likely to persist as long as workers are required to adapt to a regime of
fragmented time and to work more hours than are paid, even at pay rates close
to the national minimum wage.