Bodies of work: skilling at the bottom of the global nursing care chain

ABSTRACT

In the midst of a growing global market for migrant care work, there is a need to investigate not only how such labour is consumed but how ‘ideal’ care workers are also produced. This paper investigates how schools within migrant-sending countries produce nurse labour through body work or the testing and honing of hospital procedures on patients’ bodies. Focusing on the case of the Philippines, this paper shows how the education of nurses for export creates a paradoxical impact on care work within local healthcare institutions. Aspiring nurse migrants provide much-needed manpower to understaffed public hospitals yet, treat poor patients as docile bodies to enhance their skills for future foreign employers. This practice creates an inherent inequality in the actual skilling of aspiring nurse migrants, where the poorest bodies allow nurse migrants to provide better care to more privileged bodies in wealthier nations.     

The Restorative Power of Emotions in Child Protection Services

The paper examines the significance of our emotional life for validation, enrichment and guidance in everyday behavior. Child protection services (CPS) workers need to understand how emotions affect family dynamics and, in particular, parental behavior as a basis for their work with families. Moreover, in order for CPS workers to be aware of, and professionally responsive to, the importance of a family's emotions requires that they are comfortable with their own feelings. This means that they need to work in CPS agencies which recognize and support this practice orientation. The paper also addresses how the agency can influence CPS workers to become more knowledgeable and attuned to, not only the families' emotional lives, but also to their own.     

Professionals without a profession? Redesigning case management in Dutch local welfare agencies

This article explores the new roles of frontline workers in Dutch local welfare agencies against the background of recent active welfare state reforms, with a specific focus on frontline workers involved in activating social assistance recipients. The results presented in the article come from case studies in four local welfare agencies. The article investigates how active welfare state reforms have influenced the room for discretion of frontline workers, how discretion is managed in local welfare agencies, and how frontline workers cope with discretion. The article argues that the discretion of activation by frontline workers has increased significantly. The research results show a clear though not unambiguous shift from a bureaucratic towards a more professional treatment of frontline workers, combined with attempts to introduce a more performance oriented style of management. However, given the low level of institutionalisation of the profession of activation work, activation frontline workers still seem to be professionals without a profession. This not only makes activation work a rather individual project, it also entails risks for clients for whom activation services may become unpredictable and lacking in transparency.     

The role of social workers and social service delivery during crisis intervention for tsunami survivors: a case study of Thailand

This paper seeks to understand the economic, social and psychological impacts on survivors in Thailand of the Asian Tsunami on 26 December 2004. The Tsunami disaster brought about great changes in the lives of survivors, the role of social workers and social service delivery. Problems were actively worked out between many parties resulting in greater collaborations between local, national and international organizations. Social workers worked in a collaborative manner with various professions in delivering crisis intervention. In the case of the Tsunami disaster, there is an emergence of the development of the professional role of social workers and other social service workers to respond to the urgent needs of the family and children survivors.     

The frontline delivery of activation: workers’ preferences and their antecedents

This article intends to contribute to the increasing body of academic literature on the frontline delivery of activation policies. In line with the broader literature on frontline work, this literature focuses attention on frontline delivery practices and preferences and how these can be explained. Activation work is an interesting case in this context, because activation workers’ jobs designs vary considerably and workers have a diversity of educational backgrounds (including but not limited to social work) in the many countries that have implemented activation policies. This article looks at workers’ preferences rather than actual delivery practices. It analyses how job design and educational background are related to workers’ preferences concerning servicing clients, managing activation workers and spending time on various activation-related activities. Although the findings of the research that are presented in the article show that educational background and job design play only a modest role as antecedents of workers’ preferences, future research into this issue remains interesting. For it may help to increase our insights into the optimal match between what activation aims to achieve and how the provision of activation is organized on the one hand, and workers’ skills/qualifications and job design on the other hand.     

The Role of Social Workers and Social Service Delivery During Crisis Intervention for Tsunami Survivors

Abstract

This paper seeks to understand the economic, social and psychological impacts on survivors in Thailand of the Asian Tsunami on 26 December 2004. The Tsunami disaster brought about great changes in the lives of survivors, the role of social workers and social service delivery. Problems were actively worked out between many parties resulting in greater collaborations between local, national and international organizations. Social workers worked in a collaborative manner with various professions in delivering crisis intervention. In the case of the Tsunami disaster, there is an emergence of the development of the professional role of social workers and other social service workers to respond to the urgent needs of the family and children survivors.     

Repositioning Risk in Social Work Education: Reflections Arising from the Threat of SARS to Social Work Students in Hong Kong during their Field Practicum

The social work profession has always been involved in dealing with uncertainty and risk in the life politics of clients. However, it is not easy for young social work students to translate this philosophical disposition into their real life practice with clients. In spring 2003, when the SARS epidemic broke out in Hong Kong, a group of social work students from the Chinese University of Hong Kong were doing their fieldwork practicum. Suddenly confronted by a collective sense of risk in their role as social workers, the students went through a period of unrest, as performing their helping duties brought with it a simultaneous exposure to personal risk. This paper is based on four focus group interviews with these social work students, to understand how they processed their experience of risk during their exposure to the SARS crisis, and how they connected the experience to their social work practice with clients. It is found that the predicament arising from the exposure to personal risk brought about by the SARS crisis during the students' field placement engendered the reflective process that enabled a renewed and personalized meaning of professionalism. The results provide a basis for reflection among social work educators on the role of risk in the training of prospective social workers, and on how social work education can better prepare students for practice in a high‐risk environment.     

The evolution of retirement: results of the 1999 Retirement Confidence Survey

The ninth annual Retirement Confidence Survey (RCS) shows continued evidence of progress in the drive for retirement income security for American workers. However, there are still hurdles to overcome. The RCS tracks Americans' retirement planning and saving behavior and their confidence regarding various aspects of their retirement. It also categorizes workers and retirees into distinct groups based on their individual views on retirement, retirement planning, and saving. The retirement envisioned by today's workers looks different in many respects from that now experienced by current retirees. Today's workers expect to work longer than current retirees actually worked before retiring--and many say they plan to work for pay after they retire. Twenty-four percent of workers reported that they are very confident they will have enough money to live comfortably in retirement, and 45 percent reported that they are somewhat confident. However, there are indications that many may be falsely confident. The good news is that 70 percent of Americans are saving for retirement, and a growing percentage (49 percent) are going further and determining how much they need to save to fund their retirement. The bad news is that 30 percent of Americans have not begun to save for their retirement, and 51 percent have never tried to determine how much they need to save. Employers play a major role in ensuring adequate retirement preparation. Forty percent of all workers said they expect that money provided by their employer will be a major source of retirement income. Forty-six percent expect the money they put into a retirement plan at work to be a major source of income. The availability of a retirement plan at work is credited by 48 percent of savers as motivation to save. While worker education is a point of emphasis among both employers and policymakers, more remains to be done. For example, 59 percent of workers expect to be eligible for full Social Security benefits sooner than they actually will be, and an additional 19 percent admit they do not know when they will be eligible. There is evidence that education can have an impact on individual behavior. Forty percent of workers receiving educational material at work in the last year said that information caused them to begin saving (19 percent) or resume saving (21 percent) for retirement, while 40 percent said they changed the amount they were contributing to a retirement savings plan and 41 percent changed the allocation of their money in a retirement savings plan.     

The role of foreign workers in the seasonal fluctuations of the French economy

The few studies that have been carried out only take into account the annual inflows of seasonal immigrants. This present article covers 2 other aspects of the problem: 1) the seasonal nature of immigration in general and 2) above all the role of permanent immigrant workers in certain sectors influenced by seasonal changes. The number of permanent first-time immigrants is determined, among other causes, by the need for a certain seasonal regulation of overall economic activity. The role of the foreign work force is o fparticular importance in 3 sectors influenced by seasonal changes, and it fulfills a function of seasonal regulation of activity in at least 2 of these sectors: the building trade and agriculture. However, the recognition of the need for seasonal regulation has been used as a pretext for making employment more unstable, in particular for permanent immigrant workers, many of whom cannot find work for the whole year. Seasonal work also plays a key role in agriculture and the hotel trade. Moreover, the part played by illegal immigrants is decisive, not only in these 2 sectors, but throughout the illegal labor market. In the years to come it is likely that seasonal immigration will continue to fall perhaps by half, as a result of mechanization in general, its application in grape-harvesting, and the adoption of new farming techniques. However, it will probably remain sufficiently high to make up for the lack of a national reserve of seasonal labor, especially in vegetable and fruit farming, lumbering, and catering. Seasonal immigration will doubtlessly continue also because it puts a downward pessure on the average wage and makes employment more precarious. It also constitutes a reserve of illegal labor, which can be used in sectors which have a crucial impact on the balance of goods and services in France. These advantages for the French government and employers are above all disadvantages for the seasonal immigrant workers themselves, whose living and health conditions are increasingly catastrophic.     

Social workers' conceptions of how the local living environment is related to social exclusion

The article is concerned with how community-based social workers conceptualize the relationship between the local living environment and social exclusion and inclusion processes. It provides a brief overview of general urban theory concerning the significance of the local living environment in a globalized world and looks at how social workers understand the mechanisms of spatial marginalization and urban segregation. In addition, the article examines social workers' views on sustainable living environments that support inclusion. It is argued that, through their daily work, social workers have a special yet restricted view on social exclusion and inclusion processes. Their knowledge could contribute to efforts to gain a deeper understanding of the phenomenon of spatial marginalization because they work in a position from which they can see the consequences and interdependencies of multiple issues between structural changes and individual survival in the context of the local living environment.     

Social capital as collective narratives and post‐disaster community recovery

This paper examines how social capital aids in post‐disaster community recovery and redevelopment. While previous studies on social capital and post‐disaster recovery have tended to focus on social networks as a source of necessary assistance, the primary focus of this study is on how social capital in the form of collective narratives affects post‐disaster recovery. We argue that collective narratives can shape the recovery strategies that individuals adopt. To illustrate this we examine the post‐Katrina recovery efforts in St. Bernard Parish, an area devastated by flooding and significant environmental damage. In particular, we focus on the shared narrative that dominated qualitative interview data collected in St. Bernard, namely, its shared identity as a close‐knit, family‐oriented community comprised of hard workers. This narrative led community members to adopt a strategy that emphasized self‐reliance.     

Teaching and Providing Recovery-oriented Care Through Problem-posing Dialogue

As the recovery paradigm proliferates throughout systems of mental health care, social workers are being required to provide recovery-oriented services. Yet there has been little discussion about what changes need to be made in social work education to produce recovery-oriented social workers. This article uses Paulo Freire's theory of pedagogy to help social work educators understand how they can develop problem-posing relationships with their students in order to teach students about the relationships that social workers ought to have with people in recovery.     

Assessing parental capacity to change: The missing jigsaw piece in the assessment of a child's welfare?

This paper presents a framework for assessing parental capacity to change, for use by social workers when a child is experiencing significant harm or maltreatment. It reports on part of the work of a knowledge exchange project involving the University of Bristol and three local authorities in South West England. The availability of assessment models addressing capacity to change, in both social work practice and the academic literature, was found to be limited. At the same time, the importance of such an assessment is significant, in terms of the lives of children affected. Two particular approaches were examined, the assessment of actual attempts to change parenting behaviour, and how behaviour change theory can help understand barriers or facilitators to change such as individual motivation, or habits and automatic responses. The development of an assessment approach is outlined, based on these two key features. It is argued that this type of assessment helps fill an important gap in social work theory and practice.     

Legal capacity and the mental health social worker role: an international comparison

ABSTRACT

New capacity laws have been introduced to many jurisdictions over the last decade. These laws have substantially changed the way in which mental health social workers and other professionals approach decisions about, and for, clients. Most notably, there is now an expectation that mental health social workers engage more in supported decision-making to prevent the need for substitute decision-making. This article describes the legal and policy drivers that have led to these changes in practice, with a particular emphasis on the significance of the United Nations Convention on the Rights of Persons with Disabilities (the UNCRPD) and the importance of recovery approaches in mental health services. It then uses selected literature to explore the efficacy of the laws and decision-making in this area. The second part of the article identifies the role that mental health social workers can play in supporting legal capacity, drawing from the authors’ experience and knowledge of mental health social work and law in four jurisdictions: Victoria, Australia; Ontario, Canada; England and Wales; and Northern Ireland. It is concluded that mental health and other social workers need to refine skills, knowledge and values to accommodate this paradigm shift in law, policy and practice.     

Reliance on Faith-Based Organizations for Tangible Assistance in Times of Disaster: Exploring the Influence of Bonding Social Capital

Although there is a growing amount of research on the role that faith-based organizations play in disaster recovery, there is currently no research that has investigated the influence that social capital has on individual disaster victims’ proclivity to rely on these organizations for recovery assistance. This current exploratory research sought to observe the relationship between individuals’ bonding social capital, in addition to other individual characteristics, and their perceived reliance on faith-based organizations for tangible disaster aid in future events using a national survey administrated by the Associated Press–NORC for Public Affairs Research in 2013. As a by-product of the analysis performed, it is observed that bonding social capital is related to an individual’s perceived reliance on faith-based organizations, whereas other demographic variables such as race are not.     

Money talks: The role of finance in social work education and practice

Finance is crucial to every aspect of social care, yet has traditionally been neglected in social work training and practice. Despite the overwhelming importance of budgetary issues for the provision of social services, few workers understand how the system works or how their work is financed. The result is that they continue in ignorance, operating without an awareness of the financial context in which they work, lacking the financial skills to move successfully into management positions and failing to challenge a chaotic and anachronistic system which undermines local democracy as a deliberate tool of central control. Against this background, this paper highlights the importance of a financial overview for social work educators and practitioners, exploring the factors which contribute to the widespread inability to engage with financial issues and calling for a greater emphasis on this topic in social work training. In the process, it builds on a recently published introduction to local government finance which is designed specifically to counter the anti-financial tendencies inherent in social work, providing a detailed but easily comprehensible handbook for managers, practitioners and members of the general public alike. To place these issues in context, the paper begins with a personal account of working in a department experiencing financial difficulties.     

Disasters and Social Inequalities

In this article, I review recent research on the relationship between social inequalities and disasters, focusing on the areas of social vulnerability to disaster and social inequalities in disaster recovery. I highlight how race, class, and gender structure the disaster experience such that marginalized populations are most vulnerable to the negative consequences of a disaster and face significant challenges in recovery. Then, I discuss the next steps for advancing disaster studies. First, scholars should work to develop improved methodologies for disaster research. Second, theoretical work on defining, theorizing, and classifying disasters is needed. Finally, the field should incorporate other intersectional dimensions of social inequality into the study of disasters.     

Infant and child observation as preparation for social work practice

This paper argues that infant and child observation is not only valuable as part of social work training for work with children and families but that it has a wider value in equipping workers with assessment skills relevant in all areas of social work, including care management. It describes the introduction of infant and child observation as a required component of the BA/Diploma in Social Work at The University of Reading and the effect on students' learning and their practice skills. It shows how child observation festers the development of reflective practice, enabling workers to look beyond the presenting problem and to understand the situation as a whole. The resulting intervention is then more likely to be appropriate in meeting a client's needs.     

Training for disaster recovery: a review of training programs for social workers after the tsunami

This paper describes a range of training programs for social workers and other recovery workers following the Indian Ocean Tsunami of December 2004. These programs were developed and implemented by the author in Singapore, and with collaboration from Indonesian colleagues, in Indonesia. The content is outlined and the rationale behind the development of the programs is presented. The theoretical bases for the diversity of interventions are argued. A course module for both undergraduate and postgraduate social work education is also described, as inclusion of crisis and disaster recovery management in professional courses is necessary to prepare practitioners for their inevitable involvement in responding to emergencies.     

Organisational Factors,Job Satisfaction and Intention to Leave Among Newly Qualified Social Workers in England

Satisfaction with different organisational elements and aspects of work contributes markedly to overall levels of job satisfaction and intention to leave. For newly qualified social workers (NQSWs), especially immediately after graduation, self-perceived competence and their confidence in their educational preparation are also important. This article reports on a longitudinal study following 280 social work students into social work employment in England using data collected as students and six months after graduation. We focus on their experiences as NQSWs, thus only including those working in social work jobs, reporting the relative importance of their satisfaction with different work elements, such as supervision and job engagement. These are used to construct a model of NQSWs' overall satisfaction and intentions of leaving their social work jobs. The model incorporates NQSWs' perceptions of how well their degree courses prepared them for their current social work jobs in addition to personal, organisational and specific role characteristics. Using statistical techniques of factor analysis and regression modelling we highlight the complexities of how job satisfaction is constructed and we argue that the data reveal the importance of team support and self-efficacy in relation to whether social workers are thinking about leaving their current social work jobs.