The Changing Geography of Care

Milligan, Christine; Power, Andrew

doi:10.1002/9781444314762.ch29

Cited by 28 publications

(27 citation statements)

References 68 publications

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“…This notion of having to carefully navigate the complex public–private divide of providing care in the home has been examined in other research that explores these blurred boundaries. Such research has consistently shown that caregivers feel as though they must struggle to maintain control in these care contexts (Andrews 2003; Stajduhar 2003; Williams and Crooks 2008; Yantzi and Rosenberg 2008; Milligan and Power 2010). Our study offers new insight into this carefully communicated negotiation through examining how the public–private divide is managed and languaged in the home from multiple perspectives in the formal and informal caregiver–care recipient triad, most particularly by showing these homecare nurses’ awareness of the need to respect family caregivers’ and clients’ spaces and desires.…”

Section: Discussionmentioning

confidence: 99%

Examining the language–place–healthcare intersection in the context of Canadian homecare nursing

2012

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Currently, much of the western world is experiencing a shift in the places where care is provided, namely from institutional settings like hospitals to diverse community settings such as the home. However, little is known about how language and the physical and social aspects of place interact to influence how health-care is delivered and experienced in the home environment. Drawing on ethnographic participant observations of homecare nursing visits and semi-structured interviews with Canadian family caregivers, care recipients and nurses, the intersection of language, place and health-care was explored in this secondary analysis. Our findings reveal four themes: homecare nurses view themselves as 'guests'; home environments facilitate the development of nurse-client relationships; nurses adapt healthcare language to each home environment; and storytelling and illness narratives largely prevail during medical interactions in the home. These findings demonstrate the spatiality of language and how the home environment informs decisions regarding language use. Furthermore, these findings exemplify how language and place mutually influence the experiences and delivery of home health-care. We conclude by discussing the importance of considering the language-place-healthcare intersection in order to gain a better understanding of medical exchanges in places and the associated implications for optimizing best nursing practice.

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Section: Discussionmentioning

confidence: 99%

Examining the language–place–healthcare intersection in the context of Canadian homecare nursing

2012

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“…in recent years, the term 'care' has become increasingly complex, being understood today as a concept that is fluid, temporal, dynamic and occurring across multiple scales (Milligan and Power 2010). Here, we define care broadly as being both the physical and emotional labour that is performed on behalf of another/others (Bowlby 2012;Conradson 2003).…”

Section: Critical Perspectives On the Geography Of Carementioning

confidence: 99%

“…Who provides care in our society is directed by deeply embedded socially-and politically-defined sets of expectations and practices regarding rights and responsibilities (Dyck 2005;Milligan and Power 2010). The common declaration that 'caregiving work is women's work' highlights these expectations and emphasizes the material and ideological underpinnings that differentiates labour by a gendered boundary shaping what women do, what we say they do and what we think they should do (Armstrong, Armstrong, and Scott-Dixon 2008).…”

Section: Critical Perspectives On the Geography Of Carementioning

confidence: 99%

“…There are now increasing calls for more healthcare geography researchers to recognize the diversity that exists within categories of difference, for example sex, gender, class, culture, socio-economic status, among others. Considering that care is understood, experienced, felt and acted out differently by different people in different places (Milligan and Power 2010), applying an intersectional lens to caregiving research holds the potential to produce valuable knowledge. A more nuanced understanding on the diversity of experiences of caregiving in the multitude of places in which it occurs can be used to inform policymakers on how best to address inequities in access to supports.…”

Section: Critical Perspectives On the Geography Of Carementioning

confidence: 99%

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Exploring the daily geographies of diverse men caregiving for family members with multiple chronic conditions

Giesbrecht

Williams

Duggleby

et al. 2016

Gender, Place & Culture

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Within Canada, it has been estimated that almost half of all family, also known as informal, caregivers are now men. However, the contributions and experiences of these caregiver men have received relatively little attention, particularly from geographies of care and caregiving researchers. This analysis hopes to shed light on the unique, yet diverse, experiences of men caregiving for persons with multiple chronic conditions in Canada. Drawing on semi-structured interviews with nineteen men caregivers in two provinces of Canada, this analysis aims to explore how social and physical axes of difference shape men's daily lived geographies when providing care. Our thematic findings reveal that caregiving is experienced by participants at the three scalar levels of the body, the home and the community. Our intersectional analysis reveals that at each scalar level, being a man was not the only variable shaping caregiving experiences. Rather, it was also age, physical capacity, culture, socio-economic status, marital status, housing status, social connectedness, relationship to the care recipient and care recipients' physical and mental capacity that shaped experiences and meanings of place during the caregiving process. Accounting for this diversity at each scale, our findings point to the unique stresses and challenges experienced. We conclude by emphasizing the significance in acknowledging the diverse challenges that exist for all caregivers in order to inform comprehensive and inclusive social policy that ultimately will produce equitable caregiver supports. Explorar las geografías diarias de hombres diversos que cuidan a familiares con enfermedades crónicas múltiples RESUMENDentro de Canadá, se ha estimado que casi la mitad de todos los que cuidan a algún miembro de la familia, conocidos también como cuidadores informales, son actualmente hombres. Sin embargo, las contribuciones y experiencias de estos cuidadores han recibido poca atención, particularmente de lxs investigadorxs de las geografías del cuidado y la salud. Este análisis apunta a echar luz sobre las experiencias únicas, aunque diversas, de los hombres que cuidan a personas con múltiples enfermedades crónicas en Canadá. Basándose en entrevistas semiestructuradas con diecinueve hombres que brindan cuidado en dos provincias de Canadá, este análisis apunta a explorar cómo los ejes social y físico de la diferencia dan forma a las geografías de las vidas cotidianas de los hombres cuando brindan cuidado. nuestros resultados temáticos revelan que el cuidar a alguien se vive por los participantes a los tres niveles escalares del cuerpo, el hogar y la comunidad. nuestro análisis interseccional revela que en cada nivel escalar, el ser hombre no era la única variable que daba forma a las experiencias de brindar cuidado. En cambio, eran también la edad, la capacidad física, la cultura, el estatus socieconómico, el estado civil, la situación habitacional, la conectividad social, la relación con el receptor del cuidado y la capacidad física y mental del/a r...

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“…Characterized in many contexts as the move towards neoliberal and third way approaches to welfare (Haylett, 2003;Milligan and Power, 2010;Mohan, 2003), there has been a significant restructuring in how, where and by whom care services are now delivered. While the means through which this restructuring occurs can vary, the objective in many cases is argued to be the same: to reduce the role and responsibility of the state in the delivery of care.…”

Section: Introductionmentioning

confidence: 99%

The business of care

Gallagher

2017

Progress in Human Geography

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The aim of this article is to outline a geographical research agenda for studying the marketization of childcare in Western neoliberal contexts. While childcare has been a key site of interrogation for feminist geographers, highlighting the profound inequities of marketized care for many who work in and use childcare, the contours of the childcare market as a situated and constructed economic entity has remained under-examined. I suggest that at a time when more families than ever rely on extra-familial childcare, an appreciation of how childcare markets function is urgently needed.

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The Changing Geography of Care

Cited by 28 publications

References 68 publications

Examining the language–place–healthcare intersection in the context of Canadian homecare nursing

Examining the language–place–healthcare intersection in the context of Canadian homecare nursing

Exploring the daily geographies of diverse men caregiving for family members with multiple chronic conditions

The business of care

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