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Agency at Work pp 271-289 | Cite as

Learning Occupational Practice in the Absence of Expert Guidance: The Agentic Action of Australian Home Care Workers

Chapter
Part of the Professional and Practice-based Learning book series (PPBL, volume 20)

Abstract

Many kinds of workers need to both work and learn in socially isolated circumstances (i.e. in the absence of others who can provide guidance and support). Such circumstances require particular kinds of agency and agentic action by these worker-learners, and they might be described as requiring particularly agentic personal epistemologies. These epistemologies are essential for workers such as home care workers (HCWs), who, after a perfunctory classroom training, are expected to work alone in clients’ homes providing a range of support, such as mobility and hygiene assistance. This chapter draws on a recent investigation into the work and learning of a small cohort of such HCWs and maps how they exercise agency in their work practice, work-related learning and development. These workers deployed, in different ways, their past personal experiences (e.g. work, life, education), the classroom training provided, opportunities to engage with other HCWs and support from other informed sources in learning the requirements for their role. Moreover, these workers exercised agentic action by “personalising” their scaffolding or learning supports. That is, they constructed, engaged with and subsequently relinquished scaffolding as personally necessitated, rather than relying on “experts” to decide how and when these forms of learning support should be enacted and withdrawn. What is important here is how these workers’ subjectivities are found to include actions and monitoring of performance, not just ideas and dispositions. Through an account of how this particular cohort exercised agentic action, some conclusions are drawn and recommendations made for the best ways of progressing the learning and development of such socially isolated workers.

Keywords

Agency Agentic action Worker agency Workplace learning Home care workers` Supervision Independent learning Socially isolated learners Personal wpistemologies Subjectivities Manual handling Classroom training 

References

  1. ARC Centre of Excellence in Population Ageing Research (CEPAR). (2014a). Aged care in Australia: Part I – Policy, demand and funding. CEPAR Research Brief 2014/01.Google Scholar
  2. ARC Centre of Excellence in Population Ageing Research (CEPAR). (2014b). Aged care in Australia: Part II – Industry and practice. CEPAR Research Brief 2014/02.Google Scholar
  3. Australian Bureau of Statistics. (2014). Employee earnings and hours, Australia, May 2014 (cat. no. 6306.0) published on 22nd January 2015. Retrieved from www.abs.gov.au/ausstatsGoogle Scholar
  4. Australian Bureau of Statistics. (2015). Australian demographic statistics, Dec 2014. (cat. No. 3101.0). Canberra: ABS.Google Scholar
  5. Australian Government, Australian Safety and Compensation Council. (2007). National standard for manual tasks. Canberra: Author.Google Scholar
  6. Australian Institute of Health and Welfare. (2009). Health and community services labour force. National health labour force series number 42 (cat. No. HWL 43). Canberra: AIHW.Google Scholar
  7. Australian Institute of Health and Welfare. (2013). Australia‘s welfare 2013 (cat. No. AUS 174). Canberra: AIHW.Google Scholar
  8. Australian Nursing Federation. (2009). Balancing risk and safety for our community: Unlicensed health workers in the health and aged care systems. Canberra: ANF Federal Office.Google Scholar
  9. Aylward, S., Stolee, P., Keat, N., & Johncox, V. (2003). Effectiveness of continuing education in long-term care: A literature review. The Gerontologist, 43(2), 259–271.CrossRefGoogle Scholar
  10. Baldock, C., & Mulligan, D. (2000). Restructuring and women workers in Australian home care. Resources for Feminist Research, 27(3/4), 13–27.Google Scholar
  11. Belland, B., Drake, J., & Liu, Z. (2011). The role of affordances and motives in explaining how and why students use computer-based scaffolds. Paper presented at 11th IEEE International conference on advances learning technologies, July 6th – 8th 2011. Athens: University of Georgia.Google Scholar
  12. Bernoth, M. (2009). “…and the word was made flesh” – The impact of discourses of embodiment in promoting safe manual handling practice in aged care. Doctoral Dissertation, Monash University, Victoria, Australia.Google Scholar
  13. Billett, S. (1997). Dispositions, vocational knowledge and development: Sources and consequences. Australian and New Zealand Journal of Vocational Education Research, 5(1), 1–26.Google Scholar
  14. Billett, S. (2006). Work, subjectivity and learning. In S. Billett, T. Fenwick, & M. Somerville (Eds.), Work, subjectivity and learning. Understanding learning through working life (pp. 1–20). Dordrecht: Springer.Google Scholar
  15. Billett, S. (2010). Learning in and for working life: A relational interdependence between personal and social agency. In M. Van Woerkom & R. Poell (Eds.), Workplace learning: Concepts, measurement and application (pp. 11–26). New York: Routledge.Google Scholar
  16. Billett, S. (2011). Promoting lifelong employability for workforce aged over 45: Singaporean workers’ perspectives. International Journal of Continuing Education and Lifelong Learning, 3(2), 57–73.Google Scholar
  17. Billett, S., & Pavlova, M. (2005). Learning through working life: Self and individuals’ agentic action. International Journal of Lifelong Education, 24(3), 195–211.CrossRefGoogle Scholar
  18. Billett, S., Ehrich, L., & Hernon-Tinning, B. (2003). Small business pedagogic practices. Journal of Vocational Education and Training, 55(2), 149–167.CrossRefGoogle Scholar
  19. Billett, S., Barker, M., & Hernon-Tinning, B. (2004). Participatory practices at work. Pedagogy, Culture and Society, 12(2), 233–258.CrossRefGoogle Scholar
  20. Boerma, W., Kroneman, M., Hutchinson, A., & Saltman, R. B. (2013). In N. Genet (Ed.), Home care across Europe. London: European Observatory on Health Systems and Policies.Google Scholar
  21. Brown, A. L., & Palincsar, A. S. (1989). Guided, cooperative learning and individual knowledge acquisition. In L. B. Resnick (Ed.), Knowing, learning, and instruction: Essays in honor of Robert glaser (pp. 393–451). Hillsdale: L. Erlbaum Associates.Google Scholar
  22. Bruner, J. (1975). The ontogenesis of speech acts. Journal of Child Language, 2, 1–19.CrossRefGoogle Scholar
  23. Clark, A., & Lewis, J. (2012, October). The challenges in developing a seamless model of aged and disability community care in Australia within a mixed economy of service providers. In M. Arnold, M. R. Gibbs, G. Adamson, & P. Hall (Eds.), Proceedings of the 2012 IEEE Conference on Technology and Society in Asia (pp. 1–5). IEEE.Google Scholar
  24. Clarke, N. (2013). Transfer of training: The missing link in training and the quality of adult social care. Health & Social Care in the Community, 21(1), 15–25.CrossRefGoogle Scholar
  25. Collin, K. (2004). The role of experience in work and learning among design engineers. International Journal of Training and Development, 8(2), 111–127.CrossRefGoogle Scholar
  26. Collin, K. (2009). Work-related identity in individual and social learning at work. Journal of Workplace Learning, 21(1), 23–35.CrossRefGoogle Scholar
  27. Collin, K., Paloniemi, S., Virtanen, A., & Eteläpelto, A. (2008). Constraints and challenges on learning and construction of identities at work. Vocations and Learning, 1(3), 191–210.CrossRefGoogle Scholar
  28. Collins, A., Brown, J. S., & Newman, S. E. (1989). Cognitive apprenticeship: Teaching the crafts of reading, writing, and mathematics. Knowing, Learning, and Instruction: Essays in Honor of Robert Glaser, 18, 32–42.Google Scholar
  29. Craven, C., Byrne, K., Sims-Gould, J., & Martin-Matthews, A. (2012). Types and patterns of safety concerns in home care: Staff perspectives. International Journal for Quality in Health Care, 24(5), 525–531.CrossRefGoogle Scholar
  30. Estabrooks, C. A., Floyd, J. A., Scott-Findlay, S., O’Leary, K. A., & Gushta, M. (2003). Individual determinants of research utilization: A systematic review. Journal of Advanced Nursing, 43, 506–520.CrossRefGoogle Scholar
  31. Eteläpelto, A., Vähäsantanen, K., Hökkä, P., & Paloniemi, S. (2013). What is agency? Conceptualizing professional agency at work. Educational Research Review, 10, 45–65.CrossRefGoogle Scholar
  32. Evans, K., Hodkinson, P., Rainbird, H., & Unwin, L. (2006). Improving workplace learning. Abingdon: Routledge.Google Scholar
  33. Faucett, J., Kang, T., & Newcomer, R. (2013). Personal service assistance: Musculoskeletal disorders and injuries in consumer-directed home care. American Journal of Industrial Medicine, 56, 454–468.CrossRefGoogle Scholar
  34. Gergen, K. J. (1994). Realities and relationships: Soundings in social construction. Cambridge, MA: Harvard University Press.Google Scholar
  35. Gerrish, K., & Clayton, J. (2004). Promoting evidence-based practice: An organisational approach. Journal of Nursing Management, 12, 114–123.CrossRefGoogle Scholar
  36. Gherardi, S. (2009). Community of practice or practices of a community? In S. Armstrong & C. Fukami (Eds.), The Sage handbook of management learning, education, and development (pp. 514–530). London: Sage.CrossRefGoogle Scholar
  37. Hauck, S., Winsett, R. P., & Kuric, J. (2013). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal of Advanced Nursing, 69(3), 664–674.CrossRefGoogle Scholar
  38. Hodkinson, H., & Hodkinson, P. (2004). Rethinking the concept of community of practice in relation to schoolteachers’ workplace learning. International Journal of Training and Development, 8(1), 21–31.CrossRefGoogle Scholar
  39. Hodkinson, P., Biesta, G., & James, D. (2008). Understanding learning culturally: Overcoming the dualism between social and individual views of learning. Vocations and Learning, 1, 27–47.CrossRefGoogle Scholar
  40. Hoffman, M. L. (1986). Affect, motivation and cognition. In R. M. Sorrentino & E. T. Higgins (Eds.), Handbook of motivation and cognition: Foundations of social behaviour (pp. 236–274). New York: Guilford Press.Google Scholar
  41. Hughes, J., Jewson, N., & Unwin, L. (Eds.). (2013). Communities of practice: Critical perspectives. London: Routledge.Google Scholar
  42. Markkanen, P., Quinn, M., Galligan, C., Sama, S., Brouillette, N., & O’Keyer, D. (2014). Characterising the nature of home care work and occupational hazards: A developmental study. American Journal of Industrial Medicine, 57, 445–457.CrossRefGoogle Scholar
  43. Meagher, G. (2006). What can we expect from paid carers? Politics and Society, 34(1), 33–53.CrossRefGoogle Scholar
  44. Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15.CrossRefGoogle Scholar
  45. Nay, R., & Garratt, S. (2002). Nursing older people. Issues and innovations. Sydney: MacLennan & Petty.Google Scholar
  46. Noe, R. A. (1986). Trainees’ attributes and attitudes: Neglected influences on training effectiveness. Academy of Management Review, 11(4), 736–749.Google Scholar
  47. Orr, J. (1990). Sharing knowledge, celebrating identity: War stories and community memory in a service culture. In D. S. Middleton & D. Edwards (Eds.), Collective remembering: Memory in society (pp. 169–189). Newbury Park: Sage.Google Scholar
  48. Palesy, D. (2015). Learning occupational practice in the absence of expert guidance: A case study of in-home disability support workers. Doctoral Dissertation, Griffith University, Queensland, Australia.Google Scholar
  49. Pea, R. D. (1987). Socialising the knowledge transfer problem. International Journal of Educational Research, 11, 639–663.CrossRefGoogle Scholar
  50. Perkins, D., Jay, E., & Tishman, S. (1993). Beyond abilities: A dispositional theory of thinking. Merrill-Palmer Quarterly, 39(1), 1–21.Google Scholar
  51. Pompeii, L. A., Lipscomb, H. J., Schoenfisch, A. L., & Dement, J. M. (2009). Musculoskeletal injuries resulting from patient handling tasks among hospital workers. American Journal of Industrial Medicine, 52(7), 571–578.CrossRefGoogle Scholar
  52. Prawat, R. S. (1989). Promoting access to knowledge, strategy, and disposition in students: A research synthesis. Review of Educational Research, 59(1), 1–41.CrossRefGoogle Scholar
  53. Quinn, M. M., Markkanen, P. K., Galligan, C. J., Sama, S. R., Kriebel, D., Gore, R. J., et al. (2016). Occupational health of home care aides: Results of the safe home care survey. Occupational and Environmental Medicine, 73(4), 237–245.CrossRefGoogle Scholar
  54. Reme, S. E., Shaw, W. S., Boden, L. I., Tveito, T. H., O’Day, E. T., Dennerlein, J. T., & Sorensen, G. (2014). Worker assessments of organizational practices and psychosocial work environment are associated with musculoskeletal injuries in hospital patient care workers. American Journal of Industrial Medicine, 57(7), 810–818.CrossRefGoogle Scholar
  55. Rogoff, B. (1990). Apprenticeship in thinking – Cognitive development in social context. New York: Oxford University Press.Google Scholar
  56. Salas, E., Tannenbaum, S., Kraiger, K., & Smith-Jentsch, K. (2012). The science of training and development in organisations: What matters in practice. Psychological Science in the Public Interest, 13(2), 74–101.CrossRefGoogle Scholar
  57. Scribner, S. (1985). Knowledge at work. Anthropology and Education Quarterly, 16, 199–206.CrossRefGoogle Scholar
  58. Smith, R. (2005). Epistemological agency and the new employee. Australian Journal of Adult Learning, 45(1), 29–46.Google Scholar
  59. Somerville, M. (2006). Becoming – Worker: Vocational training for workers in aged care. Journal of Vocational Education and Training, 58(4), 471–481.CrossRefGoogle Scholar
  60. Stone, R. I. (2004). The direct care worker: The third rail of home care policy. Annual Review of Public Health, 25, 521–537.CrossRefGoogle Scholar
  61. Stone, R., Sutton, J., Bryant, N., Adams, A., & Squillace, M. (2013). The home health workforce, a distinction between worker categories. Home Health Services Quarterly, 32(4), 218–233.CrossRefGoogle Scholar
  62. Town, D. (2005). The transfer from the classroom of manual handling skills in community support workers. Australian Vocational Education Review, 12(2), 1–11.Google Scholar
  63. Valsiner, J. (2000). Culture and human development. London: Sage.Google Scholar
  64. Wertsch, J. V. (Ed.). (1985). Culture, communication and cognition: Vygotskian perspectives. Cambridge: Cambridge University Press.Google Scholar
  65. Wertsch, J. V. (1998). Mind as action. New York: Oxford University Press.Google Scholar
  66. Wood, D., Bruner, J., & Ross, G. (1976). The role of tutoring in problem solving. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 17, 89–100.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Faculty of HealthUniversity of Technology Sydney BroadwayUltimoAustralia
  2. 2.School of Education and Professional StudiesGriffith UniversityMount GravattAustralia

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