Is it time for job quality? Conceptualising temporal arrangements in new models of homecare.

Is it time for job quality? Conceptualising temporal arrangements in new models of homecare.
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是时候提高工作质量了吗?

DOI:
10.1111/1467-9566.13650
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发表时间:
2023
影响因子:
2.9
通讯作者:
Burns D
Burns D
中科院分区:
医学2区
文献类型:
--
作者:
Burns D

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时间是在自己家中为老年人提供正式护理的一个关键组织原则。它用于提供家庭护理服务,计算费用和护理人员的薪酬权利。英国的研究强调,主要的服务模式是如何将护理划分为预先定义的任务,以严格安排的基于时间的单位交付,提供低质量的工作,其特点是低工资,不安全,工作受到严格控制。然而,我们对家庭护理“新模式”的案例研究发现,时间测量的操作方式存在差异。从Thompson (1967,Past & Present, 38,56 - 97)对时钟时间(护理工作由外部时间测量控制)和自然时间(护理工作通过内部时间概念执行)的概念为视角,我们研究了服务提供模式和工作质量如何通过家庭护理工作在时间上联系起来。通过我们的分析,我们举例说明了使用严格的基于时间的措施如何根据自然时间限制护理工作。我们还考虑了在组织服务交付中,作为丰富工作质量的一种手段的野心性的潜力——适应时钟和自然时间。最后,我们通过时间透镜讨论了在家庭护理工作中构思工作质量的相关含义。
Time is a key organising principle in the formal provision of care to older people in their own homes. It is used when delivering homecare services, calculating fees and care staff’s pay entitlement. Research in the UK highlights how the predominant service model of compartmentalising care into pre‐defined tasks, delivered in strictly scheduled time‐based units, offers poor quality jobs, characterised by low pay, insecure and tightly controlled work. Our case study research of ‘new models’ of homecare however, found variation in the way time measures were operationalised. Drawing from Thompson’s (1967,Past & Present, 38, 56–97) conceptualisation of clock‐time (where care work is controlled by external measures of time) and nature’s time (where care work is performed through internal notions of time) as a lens, we examine how service delivery models and job quality are temporally connected through homecare work. Through our analysis, we exemplify how the use of strict time‐based measures can limit care work according to nature’s time. We also consider the potential of ambitemporality—the accommodation of clock and nature’s time—in organising service delivery as a means of enriching job quality. Finally, we discuss the pertinent implications of conceiving job quality in homecare work through a temporal lens.
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