Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants

Forssell, Emilia; Torres, Sandra; Olaison, Anna

doi:10.1017/s0144686x13000901

Cited by 17 publications

(14 citation statements)

References 28 publications

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“…Also, older migrant people use public elderly care to a lesser extent than those who are Swedish born (Forssell and Torres 2012). Research on care managers' experiences of cross-cultural needs assessment meetings shows several challenges relating to communication and language barriers as well as different demands and expectations from older immigrants, which caused feelings of insecurity in needs assessment meetings (Forssell, Torres, and Olaison 2015). The inclusion criteria for the target group then becomes unclear.…”

Section: The Swedish Context and Research On Elderly Care Administrationmentioning

confidence: 99%

Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers

Andersson

Johansson

2019

Nordic Social Work Research

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The aim of the article is to analyse and problematize care managers' argumentation of individual needs when assessing migrant customers within Swedish public elderly home care services. According to legislation, need for assistance should always be assessed individually. In recent decades of service decline, standardization of needs has been part of the distribution of elderly care services. Simultaneously, the stratum of older people has become more diverse, which means that a wider spectrum of needs is presented to the care managers. Ten interviews with care managers were analysed with a focus on their arguments regarding the care needs of elderly people with migrant backgrounds seeking assistance. The theoretical conceptions of the two perspectives of care and services were used to analyse the understanding of care managers' arguments. Our analysis shows that the service perspective with assistance and support that are standardized for Swedes is poorly suited to people born outside Sweden and socialized into other expectations of family and society. The meaning of individual needs was imprecise and contradictory when confronted with diverse cultural codes. When general standards were used in the arguments by referring to regulations and local guidelines, immigrants' individual needs were not prioritized. Our analysis suggests that the tension between national standards, local guidelines and individual needs has to be discussed further, where theoretical tools related to care and services may be useful in guiding care managers' professional arguments of individual needs and cultural sensitivity in the needs assessment.

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Section: The Swedish Context and Research On Elderly Care Administrationmentioning

confidence: 99%

Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers

Andersson

Johansson

2019

Nordic Social Work Research

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“…I blickfånget för denna artikel står därför föreställningar om och erfarenheter av en särskild typ av interaktion som biståndshandläggare har börjat att ge uttryck för i relation till upplevelser av utmaningar i yrkesutövningen (e.g. Anderson & Johansson 2010;Forssell 2012;Torres, Forssell & Olaison 2013;Forssell, Torres & Olaison 2014& 2015. Det handlar om en specifik kategori äldre som invandrat sent i livet.…”

Section: Introduktionunclassified

“…Förutom de studier som vi själva bedrivit (se Torres, Forssell & Olaison 2013;Forssell, Torres & Olaison 2014& 2015 har forskningsfrågan i fokus för denna artikel inte studerats. Två studier antyder dock att tvärkulturella biståndshandläggningsmöten inom äldreomsorgen kan innebära särskilda utmaningar.…”

Section: Introduktionunclassified

Biståndshandläggare om möten med sent-i-livet-invandrade äldre – inblick i hur en institutionell kategori skapas

Torres¹,

Olaison²,

Forssell³

2016

SVT

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Care managers on need assessment with late-in-life immigrants: insights into how an institutional category is created Research on the implications of cross-cultural interaction for needs assessment practice is scarce. This is particularly the case when it comes to research on care management within elderly care. There is therefore a need to explore the ways in which care managers regard and experience cross-cultural interaction when assessing older people’s needs prior to granting access to elderly care services. This article is based on a project that aimed to explore just that through focus group interviews with care managers (n=60) who work within the context of Swedish elderly care. The analysis presented here addresses the ways through which an institutional category is created as care managers discuss the kind of cross-cultural interaction that they find the most challenging (which is the one involving older people who migrated late, do not speak Swedish and come from cultures that are deemed to be too different). The analysis discloses the underlying assumptions about Otherness that the care managers alluded to when sharing their views on, and experiences of, assessing needs by way of cross-cultural interaction with late-in-life immigrants. The article discusses the implications that these findings have for care management practice in Sweden considering that the legislation dictates that care managers need to attend to older people’s “uniqueness”. The analysis reveals that the uniqueness associated with certain client categories is too unique to cater for

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“…The study upon which this article is based got its inspiration from the ongoing debate on the impact that the globalization of international migration will have on elderly care sectors across the world (Nordberg, 2012;Torres, 2012;Torres & Lawrence, 2012). This debate has brought attention to the implications that the increased diversity of ethnocultural backgrounds among elderly care recipients in European countries will have on the way in which elderly care policy is formulated and elderly care services are delivered (Forssell, Torres, & Olaison, 2013;Torres, 2012Torres, , 2013Warnes, Friedrich, Kellaher, & Torres, 2004). This debate has also brought attention to the elderly care sector's increasing reliance on care workers with migrant backgrounds, the challenges that these workers face, and the ones that they pose to the deliverance of user-friendly care (Kofman, 2012;Misra, Woodring, & Merz, 2006;Wrede & Näre, 2013).…”

mentioning

confidence: 99%

Daily newspaper reporting on elderly care in Sweden and Finland: a quantitative content analysis of ethnicity- and migration-related issues

Torres

Lindblom

Nordberg

2014

Vulnerable Groups & Inclusion

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Media representations are important sources of information especially about contexts that people have limited access to (such as the one we address here, that is, elderly care). Representations of this also give us an insight into how ethnicity-, culture-, and migration-related issues are regarded. This article aims to shed light on media representations related to the nexus of elderly care, ethnicity, and migration in Sweden and Finland, given that the two countries have similar elderly care regimes but different migration regimes. The study uses quantitative content analysis to analyze all of the daily newspaper articles on elderly care that have touched upon these issues and have been published in one major newspaper in each country between 1995 and 2011 (N0347). In this article, we present the topics that these newspaper articles discuss; the elderly care actors that the articles focus on (i.e. whether the focus has been on elderly care recipients, elderly care providers or informal caregivers); the ethnic backgrounds of those who expressed themselves in the articles (i.e. whether the focus has been on the ethnic majority or on ethnic minorities); and the type of explanatory frameworks used in the daily press reporting in question. The article problematizes the media representations of ethnicity-and migration-related issues within the Swedish and Finnish elderly care sectors that the analysis has unveiled in relation to the debate on the challenges that the globalization of international migration poses to the elderly care sector.

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Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants

Cited by 17 publications

References 28 publications

Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers

Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers

Biståndshandläggare om möten med sent-i-livet-invandrade äldre – inblick i hur en institutionell kategori skapas

Daily newspaper reporting on elderly care in Sweden and Finland: a quantitative content analysis of ethnicity- and migration-related issues

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