Geographically mobile healthcare workers and the conditions of their travel: The perspectives of managers

Many healthcare workers are "on the road" traveling to and from fixed sites (eg, patients'/clients' homes). Qualitative interviews with nine Nova Scotian managers of mobile healthcare workers explored the conditions of workers' travel. Findings highlight challenges such as changing schedules, as well as positive features including flexibility over the travel schedule. Some managers noted worker mobility-related responsibilities including having to decide if travel is too dangerous due to poor weather. A few managers suggested that workers may not receive adequate economic reimbursement for travel costs (eg, wear and tear on vehicle), and in some instances, workers need to use a benefit (eg, vacation day) or are not paid if they cannot drive due to poor weather. Reported organizational supports for workers' travel were variable. This research indicates a need for supportive mobility-related policies and practices across all organizations, including policies that cover economic costs related to travel for all workers.

Intersecting Policy Contexts of Employment-Related Geographical Mobility of Healthcare Workers: The Case of Nova Scotia, Canada

Mobility and movement is an increasingly important part of work for many, however, Employment-Related Geographical Mobility (ERGM), defined as the extended movement of workers between places of permanent residence and employment, is relatively understudied among healthcare workers. It is critical to understand the policies that affect ERGM, and how they impact mobile healthcare workers. We outline four key intersecting policy contexts related to the ERGM of healthcare workers, focusing on the mobility of Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and Continuing Care Assistants (CCAs) in Nova Scotia: international labour mobility and migration; interprovincial labour mobility; provincial credential recognition; and, workplace and occupational health and safety.

The Relationship of Safety with Burnout for Mobile Health Employees

Objective: The study examined the relationship of occupational safety with job burnout. Design: The study used a cross-sectional survey design. Setting: The setting was Nova Scotia, Canada. Participants: Mobile health employees (N = 156) completed surveys on road safety, workload, burnout and supervisor incivility. Main outcome measure: The main outcome measure was the Maslach Burnout Inventory. Results: Results found that safety concerns improved the prediction of exhaustion beyond that provided by workload concerns alone. Further, confidence in safety buffered the relationship of exhaustion with cynicism such that the exhaustion/cynicism relationship was stronger for employees who had lower confidence in road safety. Conclusions: Employees’ confidence in occupational safety while addressing work responsibilities on the road has implications for their experience of job burnout.

Cell phones, complicity, and class politics in the Philippine labor diaspora

This article addresses the politics of class, culture, and complicity associated with Philippine gendered-labor export. Several examples drawn from multisited ethnographic research explore two faces of class: migrant performances of subordination contrasted with militancy in the labor diaspora. With few exceptions, the literature on Philippine women in domestic service has emphasized disciplined subjectivities, the everyday dialectics of subordination. But class is also represented in these same relationships, understandings, and actions. Alternatively, the political expressions of Philippine overseas workers, and their supporters, is a feature of Philippine migration that is not often mentioned in writing concerned with migrant inequalities. This article proposes a reconciliation of these two faces of class expression by exploring how new media, primarily cell-phone technologies, enhance possibilities for organized and personal resistance by Filipino migrants, even as they facilitate migrant acquiescence, linked here to gendered subordination and class complicity, in the contentious reproduction of the migrant labor force.

Introduction

This issue brings together the work of researchers who seek to illuminate the class configurations of contemporary global diasporas. Contributions proceed by problematizing the relationship between political mobilization and the class locations of women and men as they negotiate and renegotiate the social conditions under which they make a living as émigrés, people who are subject to and participants in the processes of global change. Although class and culture, as well as mobility and fixity, are often presented as oppositional lenses though which to view global transformations, articles in this issue explore the possibilities for translation of particularized local or cultural concerns into broader collective mobilizations of class activism, nationalist claims, or struggles for entitlement in the circumscribed political spaces migrants seek to create. The gender, ethnic, local, national, and other cultural components of identity and class formation are made explicit as contributors question how and why political struggles and activism may, or indeed may not, be carried forward in geographic and social border crossings as well as citizenship and migration scenarios. It is the contention of each contributor that any instance of activism, and also its absence, requires sustained critical examination of the politics and economics of its production and reproduction.