Department of Organization Sciences, VU Amsterdam, Amsterdam, the Netherlands; Department of Anthropology, University of Amsterdam, Amsterdam, the Netherlands.
Department of Organization Sciences, VU Amsterdam, Amsterdam, the Netherlands.
Soc Sci Med. 2023 Jun;327:115799. doi: 10.1016/j.socscimed.2023.115799. Epub 2023 Apr 15.
The nursing home sector was disproportionally affected by the COVID-19 pandemic and consequently, extreme mitigation strategies were taken in order to halt the spread of the virus. This research scrutinizes the manifestations of organizational trauma and healing amongst nursing home employees during the slow-burning pandemic. We aim to advance the contemporary debate around organizational healing that exclusively investigates fast-burning crises by translating these theories to a slow-burning crisis. Using participatory action research, we conducted two months of visual ethnographic fieldwork in a small-scale nursing home located in Amsterdam, the Netherlands from October to December 2021. Here, we present our findings constituting text and short videos according to the following four themes: (1) Emotional challenges in the workplace; (2) Cultural incompatibility of infection control strategies; (3) Navigating the ethics of decision-making; and (4) Organizational scars and healing perspectives. We propose the new concept of trauma distillation to describe and analyse how simmering organizational wounds are re-opened and purified to trigger a prolonged healing process in the context of slow-burning crises. Ultimately, this may lead to the acknowledgement and acceptance of such organizational wounds as multi-layered and intractable, aiming for a theoretical and empirical understanding of how to heal these. Our use of visual methods offers employees the opportunity to share their stories, make their suffering heard, and may contribute to nursing homes' processes of healing.
养老院部门受到 COVID-19 大流行的不成比例影响,因此,为了阻止病毒传播,采取了极端的缓解策略。本研究审视了在这场缓慢燃烧的大流行期间,养老院员工中组织创伤和愈合的表现。我们旨在通过将这些理论转化为缓慢燃烧的危机,推进当前围绕仅调查快速燃烧危机的组织愈合的辩论。我们使用参与式行动研究,于 2021 年 10 月至 12 月在荷兰阿姆斯特丹的一家小型养老院进行了为期两个月的视觉民族志实地考察。在这里,我们根据以下四个主题呈现我们的研究结果:(1)工作场所的情绪挑战;(2)感染控制策略的文化不兼容;(3)决策伦理的导航;以及(4)组织创伤和愈合视角。我们提出了创伤蒸馏的新概念,以描述和分析在缓慢燃烧的危机背景下,如何重新打开和净化潜伏的组织创伤,引发长期的愈合过程。最终,这可能导致承认和接受这些组织创伤是多层次和棘手的,并旨在对如何治愈这些创伤有一个理论和经验上的理解。我们使用视觉方法为员工提供了分享他们的故事、让他们的痛苦被听到的机会,并可能有助于养老院的愈合过程。