@article{70fdb685f7f147adbb0e061f5b29ab17,
title = "High demand, high commitment work: what residential aged care staff actually do minute by minute : a participatory action study",
abstract = "This article explores staff work patterns in an Australian residential aged care facility and the implications for high-quality care. Rarely available minute by minute, time and motion, and ethnographic data demonstrate that nurses and care staff engage in high degrees of multitasking and mental switching between residents. Mental switching occurs up to 18 times per hour (every 3 min); multitasking occurs on average for 37 min/h. Labor process theory is used to examine these outcomes and to explore the concepts of high demand and high commitment as core components of work intensification. These conditions of work result in high levels of cognitive burden and stress on staff in managing the multitasking and mental switching, exacerbated by lack of knowledge about residents associated with labor force casualization. These new interpretations of data in relation to mental and manual labor can contribute to understanding, and, therefore, problem solving, in the aged care sector.",
keywords = "high commitment, high demand, labor process theory, mental switching, nursing, residential aged care, staff ratios, time and motion",
author = "Diane Gibson and Eileen Willis and Eamon Merrick and Bernice Redley and Kasia Bail",
note = "Funding Information: The authors thank the Aged Care Residence managers and research participants who made time for the research. We would also like to acknowledge the research contributions of Jo Gibson, Mariia Kozlovskaia, and Karen Strickland in the successful completion of the broader research project of which this paper is part. This work was partly supported by an Australian Government Department of Health grant through Humanetix Pty Ltd. The funding body played no role in the design, execution, analysis, and interpretation of data, or writing of the study. As part of the funding agreement, Humanetix Pty Ltd. was able to review manuscript content before submission but was unable to withhold consent for publication or demand any changes, thus managing potential competing interests. Open access publishing facilitated by University of Canberra, as part of the Wiley ‐ University of Canberra agreement via the Council of Australian University Librarians. Funding Information: The authors thank the Aged Care Residence managers and research participants who made time for the research. We would also like to acknowledge the research contributions of Jo Gibson, Mariia Kozlovskaia, and Karen Strickland in the successful completion of the broader research project of which this paper is part. This work was partly supported by an Australian Government Department of Health grant through Humanetix Pty Ltd. The funding body played no role in the design, execution, analysis, and interpretation of data, or writing of the study. As part of the funding agreement, Humanetix Pty Ltd. was able to review manuscript content before submission but was unable to withhold consent for publication or demand any changes, thus managing potential competing interests. Open access publishing facilitated by University of Canberra, as part of the Wiley - University of Canberra agreement via the Council of Australian University Librarians. Publisher Copyright: {\textcopyright} 2022 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd.",
year = "2023",
month = jul,
doi = "10.1111/nin.12545",
language = "English",
volume = "30",
pages = "1--11",
journal = "Nursing Inquiry",
issn = "1320-7881",
publisher = "Wiley-Blackwell",
number = "3",
}