家庭护理院--一个不完全的机构。当护理之家的逻辑渗透到私人空间时

Glenn Möllergren
{"title":"家庭护理院--一个不完全的机构。当护理之家的逻辑渗透到私人空间时","authors":"Glenn Möllergren","doi":"10.15388/stepp.2024.29.3","DOIUrl":null,"url":null,"abstract":"This article examines how the provision of home care services impact older individuals in Sweden, focusing on how it may subtly institutionalise their daily lives. Domiciliary care is found to negatively impact users’ individuality and independence, contrary to initial intentions of offering an emancipatory alternative to nursing facilities.\nThe study uses Goffman’s concept of total institutions, operationalised by identifying aspects of everyday life within which institutionalisation manifests itself, including meals, daily rhythmics, and lifestyle choices.\nFor this article, the experiences of home care users in Sweden were collected in 34 qualitative interviews and 15 observations with respondents aged between 68 and 96 years. The material was examined using theory-driven thematic analysis.\nResults show that while some care users find comfort in the structures imposed to their lives, many are faced with limitations related to the tight, minute-timed scheduling and the assembly-line style of care provision. The constraints affect everyday life choices related to eating, sleeping hours, hobbies, and the sense of home, which are all influenced by the care organisation’s work regime and scheduling.\nThe analysis concludes by proposing the term “home care home”. This designation indicates the challenges to individuality entailed in the home care rationale, while acknowledging that the influence on users is “less-than-total”, as compared to typical institutionalising environments such as prisons or hospitals.\nWhile a total institution is commonly understood as a spatial structure, it also functions as a logic acting regardless of physical constraints – for instance, in a person’s home. Moreover, the study suggests that this logic may be at work anywhere within large-scale production of human services.\nIn summary, this article addresses the individuality-eroding force ingrained in home care provision and emphasises the need to strengthen users’ influence on care provision in order to increase their independence.","PeriodicalId":506308,"journal":{"name":"Socialinė teorija, empirija, politika ir praktika","volume":"108 s419","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Home Care Home – An Un-Total Institution. When the Care Home Logic Permeates the Private Space\",\"authors\":\"Glenn Möllergren\",\"doi\":\"10.15388/stepp.2024.29.3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This article examines how the provision of home care services impact older individuals in Sweden, focusing on how it may subtly institutionalise their daily lives. Domiciliary care is found to negatively impact users’ individuality and independence, contrary to initial intentions of offering an emancipatory alternative to nursing facilities.\\nThe study uses Goffman’s concept of total institutions, operationalised by identifying aspects of everyday life within which institutionalisation manifests itself, including meals, daily rhythmics, and lifestyle choices.\\nFor this article, the experiences of home care users in Sweden were collected in 34 qualitative interviews and 15 observations with respondents aged between 68 and 96 years. The material was examined using theory-driven thematic analysis.\\nResults show that while some care users find comfort in the structures imposed to their lives, many are faced with limitations related to the tight, minute-timed scheduling and the assembly-line style of care provision. The constraints affect everyday life choices related to eating, sleeping hours, hobbies, and the sense of home, which are all influenced by the care organisation’s work regime and scheduling.\\nThe analysis concludes by proposing the term “home care home”. This designation indicates the challenges to individuality entailed in the home care rationale, while acknowledging that the influence on users is “less-than-total”, as compared to typical institutionalising environments such as prisons or hospitals.\\nWhile a total institution is commonly understood as a spatial structure, it also functions as a logic acting regardless of physical constraints – for instance, in a person’s home. Moreover, the study suggests that this logic may be at work anywhere within large-scale production of human services.\\nIn summary, this article addresses the individuality-eroding force ingrained in home care provision and emphasises the need to strengthen users’ influence on care provision in order to increase their independence.\",\"PeriodicalId\":506308,\"journal\":{\"name\":\"Socialinė teorija, empirija, politika ir praktika\",\"volume\":\"108 s419\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Socialinė teorija, empirija, politika ir praktika\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15388/stepp.2024.29.3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Socialinė teorija, empirija, politika ir praktika","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15388/stepp.2024.29.3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

本文探讨了家庭护理服务对瑞典老年人的影响,重点关注家庭护理服务如何将老年人的日常生活巧妙地制度化。研究采用了戈夫曼的 "整体机构"(total institutions)概念,通过确定日常生活中机构化的表现形式,包括膳食、日常节奏和生活方式选择等方面,对瑞典家庭护理用户的经历进行了 34 次定性访谈和 15 次观察,受访者年龄在 68 岁至 96 岁之间。结果表明,虽然一些护理用户在强加给他们的生活结构中找到了慰藉,但许多人却面临着与紧张的、以分钟为单位的时间安排和流水线式的护理服务相关的限制。这些限制影响了日常生活中与饮食、睡眠时间、兴趣爱好和家的感觉有关的选择,而所有这些都受到护理组织的工作制度和时间安排的影响。这一称谓表明了家庭护理理念对个性的挑战,同时也承认,与监狱或医院等典型的机构化环境相比,家庭护理对使用者的影响 "不够全面"。总之,本文论述了家庭护理服务中根深蒂固的侵蚀个性的力量,并强调有必要加强使用者对护理服务的影响,以提高他们的独立性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Home Care Home – An Un-Total Institution. When the Care Home Logic Permeates the Private Space
This article examines how the provision of home care services impact older individuals in Sweden, focusing on how it may subtly institutionalise their daily lives. Domiciliary care is found to negatively impact users’ individuality and independence, contrary to initial intentions of offering an emancipatory alternative to nursing facilities. The study uses Goffman’s concept of total institutions, operationalised by identifying aspects of everyday life within which institutionalisation manifests itself, including meals, daily rhythmics, and lifestyle choices. For this article, the experiences of home care users in Sweden were collected in 34 qualitative interviews and 15 observations with respondents aged between 68 and 96 years. The material was examined using theory-driven thematic analysis. Results show that while some care users find comfort in the structures imposed to their lives, many are faced with limitations related to the tight, minute-timed scheduling and the assembly-line style of care provision. The constraints affect everyday life choices related to eating, sleeping hours, hobbies, and the sense of home, which are all influenced by the care organisation’s work regime and scheduling. The analysis concludes by proposing the term “home care home”. This designation indicates the challenges to individuality entailed in the home care rationale, while acknowledging that the influence on users is “less-than-total”, as compared to typical institutionalising environments such as prisons or hospitals. While a total institution is commonly understood as a spatial structure, it also functions as a logic acting regardless of physical constraints – for instance, in a person’s home. Moreover, the study suggests that this logic may be at work anywhere within large-scale production of human services. In summary, this article addresses the individuality-eroding force ingrained in home care provision and emphasises the need to strengthen users’ influence on care provision in order to increase their independence.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信