Chadoin Martin, Messing Karen, Daly Tamara, Armstrong Pat
Candidat au doctorat interdisciplinaire en santé et société, UQAM, Montréal.
Professeure émérite, Département des sciences biologiques, UQAM, Montréal.
PISTES. 2016;18(2). doi: 10.4000/pistes.4830.
Historically, eldercare was usually furnished by unpaid women at home. Now that women are in paid work, much of this care is given by personal support workers (PSWs), usually female. With the massive introduction of management indicators in public organisations, a form of organisational silence appears: work is rendered invisible. To examine the mechanism involved, we have observed the work of 37 PSWs in six Ontario residences, and performed interviews. Contrary to the way tasks are assigned, PSW work is often done collectively and documentation requirements are demanding; documenting can even conflict with direct health care. PSWs have insufficient time, so they are sometimes forced to omit data showing the challenges of their work. They thus contribute to a vicious circle where, unable to document the work they do, they lack resources and must skimp even more on documentation.
从历史上看，老年人护理通常由家中 unpaid 的女性提供。现在女性从事有薪工作，这项护理工作大多由个人护理员（PSW）承担，这些护理员通常为女性。随着公共组织大规模引入管理指标，一种组织沉默的现象出现了：工作变得无形。为了研究其中的机制，我们观察了安大略省六所养老院中 37 名个人护理员的工作，并进行了访谈。与任务分配方式相反，个人护理员的工作往往是集体完成的，而且文件记录要求很高；记录甚至可能与直接医疗护理相冲突。个人护理员时间不足，所以他们有时被迫省略显示其工作挑战的数据。因此，他们促成了一个恶性循环，即由于无法记录自己所做的工作，他们缺乏资源，而且必须在文件记录上更加节省。
