Multiple Dimensions of Work Intensity: Ambulance Work as Edgework
本文研究了英国NHS救护车服务中工作强度的四个维度(时间、身体、情感和组织),用边缘工作概念分析急救人员如何应对多维强度的回报与风险,指出组织因素可能将强度推向不必要极端,影响职业尊严和人员留存。
Working life in public sector professions is undergoing significant change and becoming increasingly demanding. This article explores work intensity in NHS ambulance services in England, describing four distinct but interrelated dimensions of intensity: temporal; physical; emotional; and organizational. We use the concept of edgework to explore the complexities involved in how emergency workers attempt to negotiate the rewards and risks associated with multidimensional work intensity. Although certain parts of ambulance work may be intrinsically intense and can provide an important source of validation, organizational elements have the potential to push work intensity to unnecessary extremes. Ambulance services are ‘professionalizing’, but as work in ambulance trusts continues to intensify, issues over dignity, staff retention and the meaning of work are becoming ever more challenging, just as they are in other public service professions.