The home as a site for long-term care: meanings and management of bodies and spaces

Dyck, Isabel; Kontos, Pia; Angus, Jan; McKeever, Patricia

doi:10.1016/j.healthplace.2004.06.001

Cited by 207 publications

(185 citation statements)

References 29 publications

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“…Even when the home is the preferred place, several studies argue that there can be tensions between domiciliaries, clients and relatives with regards to their use of the home (Twigg, 1999;Dyck et al, 2005;Milligan, 2009;England and Dyck, 2011). These authors argued that the main reason for this tension is because working in the client's home makes domiciliaries different to other care workers.…”

Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

“…Milligan and Taylor and Donnelly (2006) recognise that domiciliaries need a suitable and safe workspace, but highlight that this may conflict with clients' and relatives' requirements and they therefore may challenge any changes. North American studies argue that it might not be possible for clients to create an appropriate workspace, because of a lack of resources or restrictions in their ability (Dyck et al, 2005;McKeever et al, 2006;Gershon et al, 2008). They also highlight that the Canadian government does not provide services for the place of care.…”

Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

“…It is often problematic to undertake care work in a domestic space, rather than a designated care space, because the layout and equipment are typically inappropriate (Dyck et al, 2005;McKeever et al, 2006;Henriksen, 2009). …”

Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

“…Yet, although the client's home impacts upon domiciliary care, there has been limited research on this topic, and there have been calls internationally for more studies into domiciliaries' workplaces. Although this is a UK study, the place of domiciliary care is a subject of international interest (Dyck et al, 2005;Taylor and Donnelly, 2006;Henriksen et al, 2009) Interestingly, despite the recognition of dirty work in domiciliary care studies, the notion of a dirty workplace is largely absent. Whilst the limited literature (even internationally) that focuses on domiciliary care workplaces typically emphasises the hazards it entails, even these studies appear reluctant to describe client's homes as 'dirty workplaces'.…”

Section: Introductionmentioning

confidence: 99%

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The problems of a ‘dirty workplace’ in domiciliary care

Wibberley

2013

Health & Place

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Abstract'Dirty work' is an acknowledged part of domiciliary care, with tasks such as bathing and toileting, but there is little examination into whether the workplaces may also be dirty. Domiciliaries' workplace is the client's own home, but this space has been under-researched and is often not considered essential to client's care in policy. Through shadowing and interviews with domiciliaries, managers and stakeholders this paper suggests that in the most extreme cases the workplace may be dirty. Arguably 'dirty workplaces' have a negative effect upon domiciliaries' through unofficially increasing their workload, further devaluing their work and risking their wellbeing. Highlights► Shadowing and interviews with domiciliary care staff and stakeholders, on workspace. ► Domiciliaries' workplace is the client's own home, and an under-acknowledged place. ► In the most extreme cases the workplace may be dirty. ► 'Dirty workplaces' can have negative affects upon domiciliaries. ► Unofficially increases domiciliaries' work, devalues them and risks their wellbeing.

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Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

Section: Understanding Domiciliaries' Workplacementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The problems of a ‘dirty workplace’ in domiciliary care

Wibberley

2013

Health & Place

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“…19 Pero además, esta valorización tiene una función de reforzamiento de la obligación filial al enfatizar la idoneidad y la calidad de su acción, el cuidado, un punto donde los extraños no pueden superar aún cuando entren a los hogares. 20 El asilo: la antítesis del cuidado En México, la institución de cuidado de largo plazo con mayor presencia y arraigo cultural es el asilo; aunque existen algunas otras opciones como las residencias de día o estancias diurnas, es el asilo la institución por excelencia para sustituir el cuidado familiar fuera del hogar. De ahí la referencia unívoca al asilo en el imaginario de los ancianos como el ejemplo típico de cuidado institucional.…”

Section: El Cuidado Y Los "Extraños" En El Hogarunclassified

El cuidado a los ancianos: las valoraciones en torno al cuidado no familiar

Silva

Vázquez-Garnica

2008

Texto contexto - enferm.

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1 Financiamiento recibido del CONACYT, convenio G-34361, del proyecto Demografía de las edades avanzadas: implicaciones para el desarrollo y bienestar. 2 Doctora en Ciencias Sociales. Profesora del Departamento de Salud Pública de la Universidad de Guadalajara. Guadalajara, México. 3 Doctorante del Programa Doctorado en Ciencias de la Salud Pública de la Universidad de Guadalajara. Guadalajara, México. RESUMEN:El objetivo es identificar las valoraciones sobre el cuidado no familiar desde la perspectiva de ancianos residentes en comunidad en condiciones de pobreza. Se realizó un estudio multicéntrico con metodología cualitativa con 92 ancianos residentes en cuatro estados en México de 2002 a 2004. Se realizaron entrevistas semi-estructuradas en los hogares de los ancianos y se hizo un análisis de contenido. La expectativa de los ancianos es ser cuidados por sus hijos en sus hogares, sin embargo, este cuidado familiar no se da cuando existen rupturas en el sistema de reciprocidad entre las generaciones. En estas condiciones, el cuidado por extraños en el hogar o la institucionalización en un asilo es la opción para estos ancianos. Ambas opciones son valoradas negativamente, la primera porque no reúne los rasgos del cuidado otorgado por los hijos, y en el asilo porque no existe realmente un cuidado. ABSTRACT:The aim of this paper is to analyze the values of poor community-living elders about nonkin caregiving. A multicentric qualitative study was carried out in four states of Mexico. From 2002 to 2004, 92 old people participated. They were interviewed in their homes using a semi-structured interview. Data was content analyzed. Old people have the expectations to be cared by their children and in their homes. However, some of them do not receive care from their children because there is a lack of a reciprocity system between generations. Old people are cared by nonkin caregivers or they are institutionalized in a nursing home. Both types of care are valued negatively for two reasons, it is not a familial care and a nursing home is a place where care does not exist. RESUMO:O objetivo é identificar os valores estabelecidos sobre o cuidado não familiar a partir da perspectiva de idosos residentes em comunidades em condições de pobreza. Foi realizado um estudo multicêntrico, de 2002 a 2004, com metodologia qualitativa com 92 idosos residentes em quatro estados na República do México. Foram realizadas entrevistas semi-estruturadas nas casas dos idosos e sua posterior análise de conteúdo. Como resultado identificou-se a expectativa dos entrevistados em ser cuidado por seus filhos em suas casas, no entanto, este cuidado familiar não se dá quando há rupturas no sistema de reciprocidade entre as gerações. Nestas condições, o cuidado por estranhos em casa ou em Instituição de Longa Permanência para Idosos configura-se como a opção para estes idosos que não são cuidados por seus filhos. Ambas as possibilidades são consideradas negativamente, a primeira porque não reúne as características do cuidado outorgado pelos familiares e...

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Neoliberalization

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The home as a site for long-term care: meanings and management of bodies and spaces

Cited by 207 publications

References 29 publications

The problems of a ‘dirty workplace’ in domiciliary care

The problems of a ‘dirty workplace’ in domiciliary care

El cuidado a los ancianos: las valoraciones en torno al cuidado no familiar

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