The quiet currency of age - A phenomenological study of older adults' roles in reverse ageism in senior living facilities

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shi Yin Chee
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Abstract

Ageism is often viewed as a one-way street, with older adults as the primary victims. But what happens when the roles are reversed? This study explores the less examined phenomenon of reverse ageism within senior living facilities, drawing on the lived experiences of older adults to examine how age-related dynamics shape interactions, autonomy, and caregiving roles within senior living facilities. Through semi-structured interviews with 20 older adults across four senior living facilities, analyzed using Moustakas' transcendental phenomenology and the Modified Stevick-Colaizzi-Keen method, four key themes emerged: the quiet currency of age, the push-pull of care, ethical tensions in caregiving, and social fragmentation versus emotional security. Age operates as a silent channel of authority, enabling older adults to exert authority in caregiving relationships, at times influencing dynamics that may challenge the professional autonomy of younger caregivers and shift traditional power balances. Controlling small but significant choices may diminish caregivers’ role, introducing ethical complexities, emotional friction, and shifts in caregiving authority. This push and pull between authority and vulnerability shows that ageism is not a one-directional phenomenon. These findings offer actionable insights for caregivers, facility managers, and policymakers, advocating for systemic changes such as policy shifts and intergenerational training to enhance teamwork, reduce isolation, support cognitive resilience, and rebalance authority in senior living facilities.
年龄的无声货币——老年人在老年生活设施中反向年龄歧视角色的现象学研究
年龄歧视通常被视为一条单行道,老年人是主要受害者。但是当角色互换时会发生什么呢?本研究探讨了老年生活设施中较少研究的反向年龄歧视现象,利用老年人的生活经验来研究与年龄相关的动态如何影响老年生活设施中的互动,自主性和护理角色。通过对来自四家老年生活机构的20名老年人进行半结构化访谈,使用穆斯塔卡斯的先验现象学和改进的史蒂夫克-科莱齐-肯恩方法进行分析,出现了四个关键主题:年龄的平静货币,护理的推拉式,护理中的伦理紧张关系,以及社会分裂与情感安全。年龄是一种无声的权威渠道,使老年人能够在照料关系中施加权威,有时会影响到可能挑战年轻照料者专业自主权的动态,并改变传统的权力平衡。控制小而重要的选择可能会削弱照顾者的作用,引入伦理复杂性、情感摩擦和照顾权威的转变。权威和脆弱之间的这种推拉表明,年龄歧视不是一种单向现象。这些发现为护理人员、设施管理人员和政策制定者提供了可操作的见解,倡导政策转变和代际培训等系统性变革,以加强团队合作,减少隔离,支持认知弹性,并重新平衡老年生活设施中的权力。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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