Navigating the field of temporally framed care in the Danish home care sector

Sociol Health Illn. 2016 Jan;38(1):109-22. doi: 10.1111/1467-9566.12343. Epub 2015 Oct 16.

Abstract

The organisational and temporal framing of elderly care in Europe has changed in the wake of new public management reforms and standardised care services, the strict measurement of time and work schedules have become central aspects of care work. The article investigates the crafting of care in this framing: how care workers approach the services specified in their rotas and navigate between needs, demands and opportunities in the daily performance of duties. Applying feminist theory on time and anthropological theory on social navigation, it examines the practice of home care work in two Danish municipalities. Data are derived predominantly from participant observation. The article identifies two overarching temporal dilemmas in different home care situations: one where process time prevails over clock time and another where the care workers balance the two. Focusing on how care workers respond to these dilemmas in practice, the article identifies various navigation tactics, including leaving time outside, individualised routinisation, working on different paths simultaneously and postponing tasks. By assessing care workers' performance in the temporal framing of work and focusing on care workers' mediation between different time logics, this study provides an in-depth perspective on the broader feminist literature on the dilemmas of care.

Keywords: ageing; care work; elderly care; observation/participant observation; quality of care.

MeSH terms

  • Aged
  • Aging
  • Denmark
  • Female
  • Grounded Theory
  • Health Personnel*
  • Home Care Services / organization & administration*
  • Humans
  • Male
  • Personnel Staffing and Scheduling
  • Quality of Health Care
  • Time Factors