Cleaning up cleaning: the problem with split shift work

Unhealthy and unnecessary working practices impact unseen cleaners. It doesn’t have to be like that argues Ryan Gilfeather.

Ryan Gilfeather

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

A cleaner sweeps between large white interior walls of a concourse.

Photo by Verne Ho on Unsplash.

In offices across the country cleaners are often kept out of sight whilst the other workers do their jobs. Cleaners are instead brought in for two short shifts, the first starting as early as 1, 2 or 3 am, and a second beginning around 8pm. Most of us overlook this pattern of work, taking for granted that it is necessary.

However, dig a little deeper, and its insidious nature emerges. We begin to see how it is mostly unnecessary and harms the flourishing of cleaners in their health, family, and dignity. It treats small financial gains as worth more than human lives.

For many industries, cleaning does not need to happen in the early mornings and late nights. Consider the downsides of daytime cleaning. The cleaner would need to manoeuvre around colleagues at their desks and in meeting rooms, but they would still clean to a high standard in a similar timeframe. Their job does not need to be done during unsociable hours. There is a minor cost to the company in the office. The office worker might need to briefly step away from their desk for a moment as it is cleaned, they may be momentarily distracted by the sound of a hoover, and a meeting room may be out of action for a very short time. The only costs would be a tiny loss in efficiency and profits to the companies who hire these cleaners. Since the negative consequences of daytime cleaning, instead of split shifts at unsociable hours, are so marginal, the current working patterns are clearly unnecessary.

No choice, compelled to say yes

Importantly, these cleaners often do not have any other choice. I meet many of these cleaners in my work at the Joseph Centre for Dignified Work. None of them choose to work split shifts at unsociable hours. For many, employment with better conditions is simply not available. About 27 per cent are migrants and often they lack English-speaking skills, preventing them from getting other kinds of jobs. 59 per cent have attained an education below the equivalent of C or 4 at GCSE, so it is hard for them to find other work. 17 per cent are ethnic minorities, who face greater barriers accessing other kinds of work. They have to work, they often have no better choices than cleaning, and in this industry they cannot say no to these working patterns. In this way, they are compelled to say yes to these kinds of split shifts.

Split shifts deadly consequences

This working pattern damages health. A recent medical study demonstrates that working night shifts, a similar pattern to split shifts, more than doubles the odds of developing breast cancer Another study shows that shift-work disturbs worker’s circadian rhythms. This in turn leads to problems with cancer, heart health, mental health, and more. Split shifts have deadly consequences for cleaner’s health.

Eroding family time

Split shifts also steal cleaner’s time from their families. When cleaners earn below the real living wage, their family relationships suffer; 48 per cent say that their wage level has negatively affected their relationship with their children. For many, poverty wages force cleaners to take on two or more jobs. As Angus Ritchie, an Anglican priest, academic, and campaigner for marginalised communities puts it, poverty wages force workers to:

‘to choose between spending enough time with their children and having enough money to provide for them.’

These cleaners, who are often on poverty wages too, may only be able to briefly see their children between the end of school and the beginning of the nightshift, but will miss out on caring for them in the morning and enjoying extended periods of quality time. Therefore, when employers unnecessarily force these working hours upon cleaners, it also harms their relationships with their families.

Denying dignity

These patterns of work also render cleaners invisible. In an Equality and Human Rights Commission report from 2014, cleaners spoke about how they were made to feel ‘invisible’ and like the ‘lowest of the low.’ It is hardly surprising that they have this experience when the patterns of work we force upon them are designed to literally stop office workers from seeing them. Cleaners do crucial work which enables the broader enterprise of offices all around the country to function, yet they remain hidden away, their existence and contribution unseen and unacknowledged. Needless to say, these unnecessary split shifts take away their dignity.

Why value humanity

Campaigning to oppose this practice are Christians. Here’s why. The Bible and its tradition teaches that all human beings share the same inextinguishable value. As part of the story of creation says,

“God created humankind in his image, in the image of God he created them.”

Over the centuries Christians have interpreted this passage as affirming the same fundamental value of every person as one made in the image of God. Every person in some way dimly mirrors God’s inestimable goodness and love, and is, therefore, of greater value than all the riches of the world. To treat someone as less valuable than us or material goods is to deny the reality of how God created the world.

Split shifts at unsociable hours, however, represents the opposite belief. As argued above, these patterns of working are largely unnecessary, and only lead to small financial gains for the companies who hire the cleaners through tiny increases in efficiency. However, these small riches are treated as worth more than the flourishing of lives which are of inestimable value because they are made in the image of God. Fractional gains in money are placed above their ongoing health, their family relationships, and their dignity through recognition. These meagre financial rewards are more treasured than the flourishing of lives made in the image of God.

The working patterns are bad for cleaners. Not just because they damage health, but more fundamentally, because they deny the reality of God’s desire for creation. Enforcing split-shifts in pursuit of financial gain values small amounts of money above the flourishing of human beings, the infinitely valuable image of God, in their health, family, and dignity.

Christians are beginning to oppose this practice. For example, in 2017, three Christian organisations (Centre for Theology and Community, Church Mission Society, and the church, St Andrew by the Wardrobe) launched Clean for Good. This ethical cleaning company treats cleaners fairly; they pay the Real Living Wage and give holiday leave, sick pay, training and guaranteed working hours. Crucially, they also don’t force cleaners into working anti-social hours. They offer cleaners working conditions and hours which enable them to flourish in their health, family, and dignity, because they truly believe that these workers are infinitely valuable, being made in the image of God.

Article

Assisted dying

Comment

Politics

25 November 2024

7 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus Zimmerman

Markus is Professor of Moral Theology and Ethics at the University of Fribourg, Switzerland.

A single bed, wiith an unmade colourful duvet stands in the corner of a room. A hoist reaches over it from the corner.

The dying room, Dignitas Clinic, Zurich.

Dignitas.

While countries such as Germany, France or the UK are currently struggling to find a suitable regulation for assisted suicide, their peers in the Netherlands, Canada and Switzerland have years of experience with the controversial medical practice. Even if each state must explore its own ways of dealing with these ethically controversial issues, it is obvious that international experience should not be ignored as they try to find a way forward.

In Switzerland the discussions and challenges surrounding assisted suicide are increasing rather than decreasing. Contrary to the idea that a liberalisation of assisted suicide would lead to fewer debate, tensions and difficulties are increasing. My observation, and thesis, indicates that practices such as assisted suicide cannot be “normalised”, even in the medium and long term.

Developments

In recent years, one to two per cent of all deaths in Switzerland were due to assisted suicide. From an overall perspective, this practice is therefore still a marginal phenomenon. However, a look at the total number of assisted suicides per year gives a different impression, as this has increased more than fivefold in the years between 2008 and 2020, from an initial 253 to 1,251 deaths per year, a rising trend. The cause of death statistics for Switzerland only include those cases of assisted suicide in which persons resident in Switzerland were involved and the death was reported to the authorities. According to the Swiss Federal Statistical Office, in 2020, it was mainly people over the age of 64 who made use of assisted suicide. Detailed information on the underlying illnesses of the people affected in 2018 shows that about 40 per cent were affected by cancer, just under 12 per cent by diseases of the nervous system, a further 12 per cent by cardiovascular diseases and just over a third by other illnesses, including dementia and depression. There are currently seven right-to-die organisations in Switzerland which play a leading role in a typical assisted suicide procedure. They work closely with doctors who are prepared to prescribe a lethal drug, generally Pentobarbital. The data reflects an ambivalent picture: on the one hand, the proportion of assisted suicide cases is relatively low in relation to all deaths and, for example, in comparison to the large number of people who die in Switzerland in a state of deep sedation until death; on the other hand, the number of assisted suicides in Switzerland has risen sharply in recent years.

Perceptions and assessments

Since the 1990s, the public perception and assessment of assisted suicide in Swiss society has changed from an initially cautious and sceptical attitude towards broad acceptance. While the debates in other countries are characterised by relatively sharp controversies between those in favour and those against, public discourse in Switzerland has been less polarised. There are indications of a certain normalisation of the situation, the strongest sign is that Switzerland has so far refrained from regulating assisted suicide in a separate law. The results of a recently-published study on the opinions of Swiss people over the age of 55 regarding assisted suicide confirm these impressions.: The survey showed that over four-fifths of respondents support legal assisted suicide, almost two-thirds can imagine asking for assisted suicide themselves at some point, and that almost one-third are considering becoming members of an right-to-die organisation in the near future, with one-twentieth of respondents already being members at the time of the survey in 2015. Among people with a higher level of education and older people aged between 65 and 74, approval of assisted suicide and corresponding practices was higher than among less educated, younger and very old people; approval was also significantly lower among religious practitioners.

Sensitive topics

The fact that assisted suicide enjoys broad support in Swiss society as a whole does not mean that there are not difficult and controversial aspects relating to its practice. Relevant topics include, in particular, places of death, authorisation criteria and procedures.

Places of death: Assisted suicide is permitted also for mentally ill persons in psychiatric clinics, but the federal court recommends great caution here and requires two psychiatric expert opinions to ensure that the person willing to die is capable of judgement with regard to the desire to commit suicide. Although assisted suicide for children and adolescents has hardly been an issue in Switzerland to date, the corresponding debates are currently being held in Canada and elsewhere. The question of whether people in prison also have a right to make use of assisted suicide, has been the subject of intense debate in Switzerland for years, with a generally positive response. The question of whether right-to-die organisations should be given access to acute hospitals and nursing homes is still the subject of controversial debate, with regulations varying from hospital to hospital, nursing home to nursing home

Authorisation criteria: With regard to the admission criteria for persons willing to die, the capacity for judgement is at the centre of attention: while the importance of the criterion is undisputed in itself, there is a struggle for reliable standards and procedures to reliably test this criterion. Since the publication of the SAMS ethical guidelines Management of Dying and Death in 2018, the criterion for end of life and, depending on this, that of unbearable suffering have received new attention due to an objection by the Swiss Medical AssociationFMH. While the guidelines are based on the criterion of unbearable suffering, the FMH wants to stick to the near end of life. It is certainly difficult to diagnose the existence of unbearable suffering, as the international debate on the significance and assessment of existential (neither physical nor psychological) suffering shows. This difficulty is illustrated by the debate that has been going on for several years in Switzerland about so-called old-age suicide and the inherent criterion of tiredness of life. At the centre of the dispute is the legally difficult question of whether a doctor is also allowed to prescribe a lethal drug to a healthy person.

Procedures: Here the role of the medical profession and right to die organisations is by far the most important issue. In contrast to the physician-centred models in Belgium, Canada and the Netherlands, the Swiss model of assisted suicide is based on the idea that every person has the right to end their life and may call on the help of any other person to do so. Although the medical profession is usually involved in the process, the management of the procedure is normally the responsibility of a right-to-die organisation. This division of responsibilities is always up for debate when legal regulations are being considered, in which doctors should tend to take the lead in the process due to their professional background. There is also a debate about how and by whom compliance with the authorisation criteria should or could be monitored, whereby it remains to be decided whether this should be carried out before or after the death. At present, a certain amount of monitoring takes place following a suicide, insofar as the authorities investigate the cases afterwards. There is also debate as to whether Pentobarbital is a suitable means of suicide, especially if this barbiturate is not administered intravenously but taken orally; there is no knowledge of how many cases are currently administered intravenously and by whom an infusion is then set up. Last but not least, consideration has already been given to the use of lethal drugs, such as helium gas, which can be obtained over the counter.

Attempts at regulation

Political efforts to regulate assisted suicide in Switzerland in a more nuanced way than today have been made since the 1990s but have remain largely without consequences to date. In relevant judgements by the Federal Supreme Court or in statements by the Federal Department of Justice and Police, reference is regularly made to the ethical guidelines of the SAMS. These are classified as soft law and are therefore not legally binding, even though their content has become the subject of dispute. The National Advisory Commission on Biomedical Ethics (NCE) had already recommended more far-reaching legal regulation in 2005 as part of a detailed opinion on the subject; in the opinion of the NCE at the time, the review of authorisation criteria, a justifiable regulation of assisted suicide for the mentally ill, children and adolescents and state supervision of right-to-die organisations, should be ensured by law. The question is what form a legal regulation can take that grants the medical profession far-reaching powers but at the same time prevents medical paternalism (in favour of or against assisted suicide). From the perspective of Swiss experience, this is “a square circle”: either the doctors retain the final decision on who receives the barbiturate, or official access rules are established, the review of which does not generally require medical expertise.

The outlook

In the short and medium term, it can be assumed that the number of assisted suicides in Switzerland will continue to rise. The coronavirus pandemic and the particular difficulties faced by nursing homes during this time are likely to exacerbate this increase. In view of these expectations and the legislative processes in other European countries, pressure is likely to increase in Switzerland to create a legal regulation. Overall, I think politically it will be important to create a legal regulation, in order to ensure legal equality and legal certainty on the one hand and prevention of abuse and expansion on the other. At the centre of social-ethical reflection is the challenge of learning to deal with the pluralism of different ideas of a good death and to develop and establish alternative models to medically assisted dying. The thesis I mentioned at the beginning is confirmed today: assisted suicide in Switzerland can hardly be normalised; new problems, challenges and demands are constantly arising. Suicide, whether with or without the help of another person, always means an existential transgression that defies normalisation.