En Route to Recovery: Diversity and vulnerability in care work during and after the COVID-19 pandemic

Lead Research Organisation: King's College London
Department Name: Social Science, Health and Medicine

Abstract

The COVID-19 pandemic has placed unprecedented strains on formal and informal care work, worldwide. Paradoxically, the pandemic created new jobs and possibilities in care work, but the jobs remain physically and mentally strenuous, low paid, and often with fixed term, precarious contracts and high turnover rates. These jobs present significant health risks for workers, given the potential to contract and spread the virus.

Our project will focus on employees performing vital COVID-19 related jobs: providing individual care to vulnerable clients in both organisational and home settings. We will examine how diverse people (in Finland, Canada, Scotland/UK and South Africa) who work/have worked in formal and informal care address challenges by collaboratively examining their ideas to ease risks and develop opportunities to deliver and receive care.

Specifically, we will analyse how care workers in precarious positions (women, LGBTI2S people, and migrant status or minority ethnic people) are experiencing COVID-19 crises in their work, and how they see a post-pandemic future. Our research is based on the United Nations (UN) research recovery roadmap and this Call's focus on reducing inequalities and vulnerabilities, and building a resilient, inclusive, and sustainable society. We will apply both quantitative and innovative qualitative methods to investigate how care sector workers have experienced the pandemic and how they see their post-pandemic times at work.

Research participants will explore their working lives during and after the pandemic. We will conduct a cross-cultural narrative analysis with an intersectionality approach using longitudinal participatory methods (photovoice and soundsourcing). This information will be supplemented with a systematic literature review and secondary data. In collaboration with stakeholders, we will develop policy recommendations and share good practices with institutions and services responsible for care workers. Our collaborative approach with all stakeholders will provide sustainable suggestions and policy recommendations that should have worldwide application.

Publications

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Greenhough B (2022) Why 'cultures of care'? in Social & Cultural Geography

 
Description Faculty Research and Impact Fund 2022
Amount £9,998 (GBP)
Organisation King's College London 
Sector Academic/University
Country United Kingdom
Start 12/2022 
End 08/2023
 
Title Hybrid methodology: sound-sourcing and photovoice 
Description This project is using an innovative combination of sound-sourcing, also called 'audio-diaries', and photovoice. Both of these innovative methodologies enable researchers to explore participants' lived experiences 'in-situ' and gain more immediate reactions to events or feelings. Sound-sourcing involves the participant recording audio-diaries related to a pre- determined specific topic (for example: 'key challenges faced at work') whereas photovoice involves a participant taking photographs that represent the topic or issue. Participants will offered a number of different ways they can physically record the audio files or take the photographs, adjusted to their own technological preferences and understanding. We expect most would use their own mobile phone camera or recording application on the phone - or even a social media platform such as WhatsApp. After completing their entries, these individuals will then be invited to personal exit interviews, where they can expand on any concerns or comments raised, as well as the data collection process itself. These exit interviews will be heavily led by the participant's individual audio-diaries and photographs, where these items are used as prompts for more unstructured discussion of their significance, allowing for deeper expansion or clarification of the 'key issues' as dictated by the participant. In our novel approach, we will then complete a combined narrative analysis of the audio and photo files simultaneously, and use a combination of audio clips and images together to highlight key issues in dissemination of findings and project outputs. We will also include questions around the process of using and participating in this combined methodology in our interviews, which will be analysed separately as well. This data will then be used to produce outputs related to this new methodology specifically, and the reactions and experiences of both participants and researchers. 
Type Of Material Data analysis technique 
Year Produced 2023 
Provided To Others? No  
Impact This innovative combined methodology would offer a new way to explore narrative identity, personal anecdotes and capture emotions in more real-time - where images and audio can be used together to fully capture and portray participants' experiences to academic and lay audiences. We would expect to use the data captured in all project outputs (including research papers, at conferences and policy-focused outreach), but also analyse the process and produce recommendations for future use of this methodology in future research and across other disciplines. 
 
Description Advanced Care Research Centre 
Organisation University of Edinburgh
Department School of Health in Social Science Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution Methods and design support
Collaborator Contribution Advice on ethics, design and career support for research team
Impact Support with methodological ideas and work as well as support with design aspects
Start Year 2019
 
Description Legal and General 
Organisation Legal and General Group
Country United Kingdom 
Sector Private 
PI Contribution The project will develop ideas from participants (over 50s working in care homes) and encourage care workers to develop and / or take to market for development. Legal and General will work with us to develop retirement village and care policies more generally.
Collaborator Contribution Contacts and reviews of ideas and potential policies
Impact We are working closely on policy and care worker interviews in retirement villages
Start Year 2020
 
Description Neoliberal epidemics and health politics for a new Gilded Age,' annual Cost of Living Symposium address, British Sociological Association Medical Sociology Conference, Birmingham, 8 September 2016 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Address based upon and updating the book by co-investigators Schrecker and Bambra (2015)
Year(s) Of Engagement Activity 2016
 
Description Sound-sourcing Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Workshop with Lakehead University led by Dr Kathy Sanderson around sound-sourcing methodology, also called audio-diaries. We workshopped questions for introductory and exit interviews, heard examples of previous audio diary entries from participants, and discussed how to utilise the method in future research projects.
Year(s) Of Engagement Activity 2022