Abstract
This chapter considers the risks inherent in managing those performing emotional labour in environments that reflect the philosophies of managed care. Drawing on a South Australian case study in aged care, it illustrates the link between the demands of emotional labour and the contradictions imposed on managers attempting to simultaneously minimize costs while providing quality care and quality work environments. Health and aged care workers experience the weight of emotional labour in both their jobs and in the framework of their organizational settings, often in ways that challenge their health and well-being and that ultimately has an impact on organizational performance. A deeper understanding of the range of factors aggravating the emotional labour content of care work is a salient concern given the need to attract and retain workers to the health and aged care sectors. It alerts us to the broad dimensions of human resource management characteristic of this industry.
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References
Aged and Community Services Australia (2001) Two Year Review of Aged Care Reform: An Industry Response (Melbourne: Aged and Community Services Australia).
Aged and Community Services Australia (2004) Fact Sheet 2: Residential Aged Care http://www.agedcare.org.au/factsheets/factsheet2residentialagedcare.htm (Accessed 21st September, 2004).
Aged Care Act (1997) Office of Legislative Drafting and Publishing, Attorney-General’s Department, Canberra.
Aronson, J. and Neysmith, S. M. (1996) ‘You’re Not Just In There To Do the Work’ Gender & Society 19(1), pp. 59–77.
Ashforth, B. E. and Humphrey, R. H. (1993) ‘Emotional Labour in the Service Roles: the Influence of Identity’ Academy of Management Review, 18(1), pp.88–115
Australian Bureau of Statistics (1998) Caring in the Community Australia, Cat. No. 4436.0 (Canberra: Australian Bureau of Statistics).
Australian Institute of Health and Welfare (1999) Nursing Labour Force 1998, Cat. No. HWL 14 (National Health Labour Force Series) (Canberra: Australian Institute of Health and Welfare).
Bach, S. (2002) ‘HRM in the British Health Service’, Keynote Address to Workforce Issues in the Health Sector Conference, 31/5/2002 (Newcastle: University of Newcastle).
Barnett, P. and Jacobs, K. (2000) ‘Policy-making in a Restructured State: The Case of the 1991 Health Reform Policy in New Zealand’ Australian Journal of Public Administration, 59(1), pp. 73–87.
Braithwaite, J. (2001) ‘Regulating Nursing Homes. The Challenge of Regulating Care for Older People in Australia’ British Medical Journal, 323, pp. 443–6.
Clifford, C. (1995) ‘Caring: Fitting the Concept to Nursing’ Journal of Clinical Nursing, 4(1), pp. 37–41.
Cody, S. J. and Grealy, J. (2000) Investigation of the Prevalence of Resistance to Care as a Cause of Staff Injury in Residential Aged Care Facilities in South Australia (Adelaide: Workcover Corporation).
Commonwealth Department of Health and Ageing (2002a) Aged Care in Australia (Canberra: Australian Government Printer).
Commonwealth Department of Health and Ageing (2002b) Recruitment and Retention of Nurses in Residential Aged Care Final Report (Canberra: Australian Government Printer).
Crew, M. Armstrong, R. M. and Van Der Weyden, M. B. (2003) ‘Can Compassion Survive the 21st Century?’ Medical Journal of Australia, 179(11/12), pp. 569–70.
Duckett, S. (2000) ‘The Australian Health Workforce: Facts and Futures’ Australian Health Review, 23(4), pp. 60–77.
Davies, C. (1995) ‘Competence Versus Care? Gender and Caring Work Revisited’ Acta Sociologica, 38(1), pp. 17–31.
Edwards, H., Gaskill, D., Sanders, F., Forter, E., Morrison, P., Fleming, R., McClure, S. and Chapman, H. (2003) ‘Resident-staff Interactions: A Challenge for Quality Residential Aged Care’ Australasian Journal on Ageing, 22(1), pp. 31–7.
Flanagan, H. (1997) ‘What Chance a Caring Management Culture?’ Health Manpower Management, 23(5), p. 188.
Gass T. (2004) ‘Nobody’s Home: Candid Reflections of a Nursing Home Aide’ Culture and Politics of Health Care Work (Ithaca: Cornell University Press).
Goffman, E. (1959) The Presentation of Self in Everyday life (New York: Doubleday Anchor).
Ham, C. (1997) Health Care Reform: Learning from International Experience (Buckingham: Open University Press).
Healy, J. and Richardson, S. (2003) Who Cares for the Elders? What we Can and Can’t Know from Existing Data (Adelaide: National Institute of Labour Studies).
Hemingway, M. A. and Smith, C. S. (1999) ‘Organizational Climate and Occupational Stressors as Predictors of Withdrawal Behaviours and Injuries’ Nurses’ Journal of Occupational and Organizational Psychology, September, 73(3), pp. 285–99.
Hochschild, A. R. (1997) The Time Bind When Work Becomes Home and Home Becomes Work (New York: Metropolitan Books Henry Holt and Company Inc).
Hochschild, A. R. (1983) The Managed Heart (Berkeley: University of California Press).
Kendig, H. and Duckett, S. (2001) ‘Australian Directions in Aged Care: The Generation of Policies for Generations of Older People’ Australian Health Policy Institute Commissioned Paper Series 2001/05, http://www.usyd.edu.au/chs/ahpi/publications (Accessed 21st September, 2004).
Kunda, G. and Van Maanen, J. (1999) ‘Changing Scripts at Work: Managers and Professionals’ The Annals of The American Academy of Political and Social Science, 561, pp. 64–80.
Lescoe-Long, M. (2000) ‘Why They Leave’ Nursing Homes Long Term Care Management, 49(1), pp. 70–5.
Liquor, Hospitality & Miscellaneous Workers Union (2004) Personal Communication with Assistant Secretary, South Australian Branch, September.
LaPuma, J., Schiedermayer D. and Seigler, M. (1995) ‘Ethical Issues in Managed Care’ Trends in Health Care, Law & Ethics, 10(1/2). Reprinted in L. P. Hartman (1998) (ed.) Perspectives in Business Ethics (Chicago: Irwin).
Marcus, D. (2000) ‘Prospects for Managed Health Care in Australia,’ Parliamentary Research Paper 25, Parliament of Australia. http://www.aph.gov.au/library/pubs/rp/1999-2000/2000rp25.htm (Accessed 21st September, 2004).
Maslach, C. (2000) ‘A Multidimensional Theory of Burnout’, in C. L. Cooper (ed.) Theories of Organizational Stress (Oxford: Oxford University Press).
Maslach, C. and Schaufeli, W. B. (1993) ‘Historical and Conceptual Development of Burnout’, in W. B. Schaufeli, C. Maslach and T. Marek (eds) Professional Burnout: Recent Developments in Theory and Research (Washington: Taylor and Francis).
Morris, J. A. and Feldman, D. C. (1996) ‘The Dimensions, Antecedents and Consequences of Emotional Labor’ Academy of Management Journal, 21, pp. 989–1010.
Occupational Health, Safety and Welfare Act, 1986. Parliament of South Australia.
Olsen, D. (1991) ‘Empathy as an Ethical and Philosophical Basis for Caring’ Advances in Nursing Science, 14, pp. 62–75.
Pocock, B. (2003) The Work Life Collison (Adelaide: Federation).
Provis, C. and Stack, S. (2004) ‘Caring Work, Personal Obligation and Collective Responsibility’ Nursing Ethics, 11(1), pp. 5–14.
Schaufeli, W. B., Van Dierendonck, D. and Van Gorp, K. (1996) ‘Burnout and Reciprocity: Towards a Dual-level Social Exchange Model’ Work and Stress, 10, pp. 225–37.
Scott, R. A., Aiken, L. H., Mechanic D., and Moravcsik, J. (1995) ‘Organizational Aspects of Caring’ The Milbank Quarterly, 73(1), pp. 77–95.
Seago, J. A. (2000) ‘Registered Nurses, Unlicensed Assistive Personnel and Organizational Culture in Hospitals’ Journal of Nursing Administration, 30(5), pp. 278–86.
Stack, S. (2003) ‘Beyond Performance Indicators: A Case Study in Aged Care’ Australian Bulletin of Labour, 28(2), pp. 143–61.
Steinberg, R. J. and Figart, D. M. (1999) ‘Emotional Labor since the Managed Heart’ Annals of the American Academy of Political and Social Science, 561(Jan), pp. 8–26.
The Aged Care Standards and Accreditation Agency Ltd (2005) Accreditation Standards http://www.accreditation.aust.com/accreditation/standards.html (Accessed 20th April 2005).
Zapf, D., Seifert, C., Schmutte, B., Mertini, H. and Holz, M. (2001) ‘Emotional Work and Job Stressors and their Effects on Burnout’ Psychology and Health, 16, pp. 527–45.
Zapf, D., Vogt, C., Seifert, C., Mertini, H. and Isic, A. (1999) ‘Emotion Work as a Source of Stress. The concept and development of an instrument’ European Journal of Work and Organizational Psychology, 8, pp. 371–400.
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Stack, S. (2005). Emotional Labour and Aged Care Work. In: Stanton, P., Willis, E., Young, S. (eds) Workplace Reform in the Healthcare Industry. Palgrave Macmillan, London. https://doi.org/10.1057/9780230596009_9
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DOI: https://doi.org/10.1057/9780230596009_9
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