痴呆护理中的权力、阶级和性别:来自文化和语言多样化的澳大利亚女性家庭护理人员的护理不稳定性故事。

Teddy Nagaddya, Ruth Brookman, Olivia Maurice, Celia B Harris
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摘要

提供痴呆症护理是一项全球性挑战。然而,在家中为患有痴呆症的家庭成员提供护理的动态要复杂得多。有证据表明,在文化和语言多样化(CALD)社区中,痴呆症护理主要由社区内的家庭成员提供。但在家庭层面,护理发生在不平等的性别关系、复杂的痴呆症文化结构以及长期的家庭价值观和传统的交叉点。虽然这些动态显示了权力、阶级和性别的交集,但这些方面尚未在痴呆症政策计划中得到广泛重视。然而,他们塑造了照顾者的身份和社会定位,从而塑造了照顾者的不稳定性。这篇文章揭示了照顾患有痴呆症的家庭成员的角色被嵌入到复杂的权力结构中,这使照顾者和被照顾者的身份受到侮辱,再现了性别社会等级,加剧了经济不确定性,并削弱了孝道的价值——一种有价值的文化实践。通过聚焦来自CALD背景的女性护理人员的声音,作者强调政策制定者需要特别关注不同文化环境与家庭层面的痴呆症护理的交叉如何导致护理人员的不安全感和脆弱性-不稳定性。这就要求制定一项解放性痴呆症政策议程,重视女性照护者在提供照护过程中累积不利的生活经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Power, class, and gender in dementia care: Stories of carer precariousness from culturally and linguistically diverse female family carers in Australia.

Dementia care provision is a global challenge. However, dynamics to provide care to a family member living with dementia in their home are far more complex. Evidence suggests that dementia care among culturally and linguistically diverse (CALD) communities is largely offered by family members within communities. But at a family level, care happens at the intersection of unequal gender relations, complex cultural constructions of dementia, and longstanding family values and traditions. While these dynamics show the intersection of power, class, and gender, these aspects have not gained widespread currency in dementia policy plans. Yet they shape the identities and social positioning of carers and consequently carer precariousness. This article reveals that the role of caring for family members living with dementia is embedded in complex power structures that stigmatise the identities of carers and those cared for, reproduces gendered social hierarchies, exacerbate economic uncertainties, and diminish the merits of filial piety - a valued cultural practice. By centering the voices of female carers from a CALD background, the authors highlight the need for policymakers to devote particular attention to how the intersection of the diverse cultural environments with dementia care at a family level induce carer insecurities and vulnerabilities - precariousness. This calls for an emancipatory dementia policy agenda that values the lived experiences of female carers' cumulative disadvantage over the course of providing care.

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