Introduction
Theoretical Background
Engagement Theory
Paradoxical Tensions and Discourses of Engagement
Encompassing an Ethic of Care
Research Questions
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What are the paradoxes of engagement for workers and managers in HealthOrg?
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How are paradoxes of engagement linked to the interplay of paradoxes and discourses at organizational and sector levels?
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How do personnel discursively frame and respond to engagement paradoxes, and what are the ethical implications for the active management of workforce engagement?
Study and Methods
Qualitative Data Collection
Non manager | Manager | Senior manager | Total | |
---|---|---|---|---|
Number of responses | 196 | 67 | 18 | 281 |
Q1 What is the best thing about working for HealthoOrg? | 135 68.8% | 45 67.1% | 15 83.8% | 195 69.6% |
Q2 Describe the biggest tension that you currently face in the workplace? | 102 52% | 38 56.7% | 8 44.4% | 148 52.6% |
Q3 Describe how you have worked with your line manager to find the best way of getting something done? | 104 53% | 40 59.7% | 14 77.7% | 158 56.22% |
Level | Voluntary service discourse | New Public Management discourse |
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Voluntary sector | Voluntary service ethos (VSE)—service users framed as ‘vulnerable people’ ; focus on ‘person-centred’ care Workforce strategies signify a ‘soft’ approach to employee engagement, concerned with ‘growth’ and ‘well-being’ of personnel, including the need for a ‘living wage’ | A ‘results orientation’ concerned with maximisation of ‘efficiency’; ‘value for money’—service users framed as ‘customers’ embedded in a ‘contracts culture’ Workforce strategies signify a ‘hard’ approach to engagement concerned with performance, ‘compliance’ and ‘cost reduction’ |
Organizational | VSE typified by talk of ‘care’ and ‘wellbeing’ of clients and staff—exemplified in strategy statements such as ‘striving for excellence’, ‘quality of service’ ‘Soft’ approach to HR embedded in HealthCo Mission Statement (…) ‘will work to raise aspirations and expectations of people who use services, people who deliver services and society as a whole’ | Principles of NPM typified by talk of ‘competing for tenders’; ‘fundraising’; ‘more business minded’; doing ‘more with less’ Exemplified in strategy statements/management practices concerned with ‘gaining efficiencies’ and ‘making savings’ ‘Hard’ approach to HR strategy: ‘affordable’ pay increases; ‘reduced staffing levels’ |
Individual | VSE typified by talk about the importance of meaningful work and opportunities for individuals to voice ‘problems’ and ‘make suggestions’ for change Supportive leadership practices exemplified in statements about ‘open’ communications’ and ‘support’—eg monthly supervision meetings and daily conversations | Instrumental assumptions give primacy to ‘budgetary efficiencies’, ‘reducing’ service’, and regulatory work Individuals framed in texts about ‘pressure to be completing more paperwork and more regulations’; ‘feeling ‘under pressure to take on more work’… ‘without extra pay’ |
Results
Core Organizational Paradox
Working with people and seeing how we can make a difference in someone’s life. There is nothing more rewarding than supporting someone to have a better quality of life.(Worker)Very simply put, it is the very core of our business: reaching out to communities to assist vulnerable adults to live a fulfilling life despite mental health issues and addictions (Line manager).
You may be wondering what we mean by Value and Recognition – it’s about the relationship between HealthOrg employees and HealthOrg as the employer. Value and Recognition covers a number of things: it covers how we value staff and recognize their contribution appropriately; terms and conditions; and ensuring we have a flexible workforce (…) All of this is to enable us to have a positive impact on the people we support; the partners we work with and to promote and protect HealthOrg to grow and be successful’ (Briefing Note to Managers).
Paradoxes of Engagement
The quality of service to clients is absolutely key for us all and a fundamental reason why people work in this type of organization … this constant talk about doing more with less … how are we supposed to become more business-minded without losing our values as an organization? (HR Director)
‘Flailing’ Responses and Paradoxes of Performing
At times I feel I am working whilst some others chose to read over paperwork and I am aware that this is vital at times to catch up on paper work. However, I feel it’s important to do the work required with service users and that they should always come before paperwork no matter how long it takes to get this up to date (Worker).
Low level of staffing means that I am alone working majority of the time and having an increased paperwork load - which can affect the quality of support offered to service users, as I do not have enough time to keep paperwork up to date and effectively support service users. It can also lead to me frequently staying later when my shift ends to ensure work is completed, and in turn this and the above can affect my own stress levels and mental health (Worker).
Poor support from further up the organization. An expectation that you can just work with anything thrown at you. More hours, less salary, less staff, stand still budgets. It feels like this service now has no slack at all and frequently reaches tipping point. There is no cover, no budget for cover, if people are off sick. Trying to develop the service is made impossible by the way finance is managed and use of things like the internet. Issues are either shelved and forgotten about or left until the last minute (Manager).
I feel that HealthOrg are continuously expecting more from Staff over and above their day to day role. Therefore this means you end up with more work than time in a day to complete it. Also this increase in additional work is not recognised in the payscale (Worker)
(…) in order for the service to remain within the budget team leaders are expected to deliver up to 16 hours from their management time and this has an impact on their ability to actually manage the service. This impacts on their ability to effectively complete management tasks within deadlines and to develop personally. They need to have more of a presence in services. (Senior Manager)
‘Flailing’ Responses and Paradoxes of Belonging
I feel that as an employee my values are being compromised as I do not feel we are given time to spend with clients as their hours are not being met as we have staff shortages (Worker)Not being able to support the service users with their mental health issues and life direction. Time is taken up by cooking, cleaning, medicating, providing personal care and health & safety. Albeit this is important and has to be done. But is this all that matters in your life? There is more to any person than this!!! unfortunately after the allocated support hours have been utilised delivering this support then completing the ridiculous paperwork that goes with it, the service user is almost every time sitting in a room/flat doing NOTHING ELSE. This makes me really sad and frustrated and if you could put yourself in that position I’m sure you would find your self-esteem and mental health would not be in a great place. (Worker)
My perception is that HealthOrg is focussing all its attention on their profile, media work, fundraising & campaigns and this sometimes feels that they are ignoring, forgetting about the services and the people we support on a daily basis (Worker).There is a growing feeling that staff at service level are being treated with some contempt and are being dictated to by individuals who have come from industry backgrounds that are at the polar opposite of what social care is…..There is a sense of feeling that staff who work hard at service level are perceived as being at odds with where the organization is looking to go in future (Manager).
‘Muddling Through’ Responses and Paradoxes of Performing
As our service is going through a lot of changes it was important that the service users felt reassured and supported, myself and the manager had one to one meetings and reviews with every user to construct and adapt a timetable to make sure everyone’s needs were met (Worker)
Currently in our services we are experiencing problems around being able to maintain effective staffing levels against service delivery expectations…. This is an ongoing problem that is made difficult by external pressures. This has required the local management team to genuinely share thoughts and suggestions in a constructive way that enables rota problems to be met…. therefore good communication between the management team ensures we are looking to minimise problems around service delivery where we can. (Senior Manager)
Although I have worked with my line managers in the past to find effective solutions to problems, I now find that HealthOrg is increasing the workload of their service managers to the extent that they now don’t have the time to devote to closely managing a team. For example, it is now common for service managers to have to manage several teams at a time - leading to a deterioration in the quality of management, and ultimately in service provision (Manager).
The increase in paperwork to evidence what we are doing is taking away from face to face contact with staff and service users, managers and staff. The systems and processes are cumbersome and whilst I appreciate the need to comply with our governance I feel the organization has become very corporate, there is less opportunity to be innovative or creative in services at a local level. I am unclear now as to the level of my authority to make decisions as most have to be run by ops manager or at a higher level. In this respect I can often feel like a conduit between the services and exec. (Manager)
Generating Responses
I have worked with my line manager to initiate a transformational change programme, we worked well together to initiate a business case and resources by taking lots of time to discuss options, tactics, potential risks or barriers, how others may feel about the change and I welcomed the opportunity to raise issues, concerns, challenges and opportunities (Manager).
We recognised that the underpinning values of HealthOrg were in danger of being lost in the drive for more efficiency, and a need to connect with staff in ways that enabled frank and open conversations for change, recognising the huge commitment of our people to the communities they serve. (HR Director)