scholarly journals Voices From The Other Side: Perceptions Of Caregivers On Operating Unregulated Home-Based ChildCare

Author(s):  
Victoria Popov

The purpose of this qualitative study was to gain a snapshot of the unregulated home-based care sector (UHBC). All seven participants in this study were Caucasian females providing unregulated childcare on a full-time basis within their homes. Data collection took place in the form of semi-structured interviews. The UHBC providers’ perceptions about their work were examined through the theoretical lens of the political economy of care that encompasses features such as social reproduction, grey market economy, transnationalization of care, and solutions that address political economy of care. The analysis revealed that the unregulated services UHBC providers offer embody a political economy of care. However, in addressing a political economy of care, the UHBC providers believe that they are meeting families’ needs, and wish for a better regulation of UHBC. A possible system of UHBC regulation is proposed.

2021 ◽  
Author(s):  
Victoria Popov

The purpose of this qualitative study was to gain a snapshot of the unregulated home-based care sector (UHBC). All seven participants in this study were Caucasian females providing unregulated childcare on a full-time basis within their homes. Data collection took place in the form of semi-structured interviews. The UHBC providers’ perceptions about their work were examined through the theoretical lens of the political economy of care that encompasses features such as social reproduction, grey market economy, transnationalization of care, and solutions that address political economy of care. The analysis revealed that the unregulated services UHBC providers offer embody a political economy of care. However, in addressing a political economy of care, the UHBC providers believe that they are meeting families’ needs, and wish for a better regulation of UHBC. A possible system of UHBC regulation is proposed.


Author(s):  
Kaitlynn Mendes ◽  
Jessica Ringrose ◽  
Jessalynn Keller

In this chapter, we outline our conceptual framework, addressing key theories that underpin our analysis, including, affect and related concepts, including affective solidarity, networked affect, and affective publics. We also introduce key terms from critical technology studies, including platform vernacular and other concepts relevant to the political economy of social media. After providing further information on the six case studies described in the Introduction, including their reason for selection and methods used, the chapter details our unique methodological approach, which draws insights from a range of interdisciplinary tools, including feminist ethnographic methods, thematic textual analysis, semi-structured interviews, surveys, and online observations.


2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Hege Merete Knutsen

The objective of this article is to explore how the mobility power of nurses (the ability to move between employers or leave the labor market) contributes to changing relations between health institutions and temporary work agencies in the Norwegian welfare state. Based on case study as the research strategy, the article contributes to the political economy of labor relations approach and the debate over the role ofTWAs and temporary nursing in the health sector.The mobility power of Swedish nurses who shift from agency nursing to direct temporary nursing in health insti- tutions (bank nursing) partly explains the constrained growth of agency nursing in the Norwegianhospital sector. However, contracting flows of Swedish nurses to Norway since 2015 challengeinternal labor hire and could make health institutions more agency-dependent in future.The dataemployed are semi-structured interviews, official statistics, reports, and news clippings.


2008 ◽  
Vol 13 (1) ◽  
pp. 29-40 ◽  
Author(s):  
Mary Thomas ◽  
Kirston Greenop

With the increasing prevalence of people in developing countries who suffer strokes, the long-term care of people who have had a stroke and who are living with disabilities has substantial consequences for caregivers and their respective families. As the caregiver plays a pivotal role in the rehabilitation of the people who have had a stroke, the objectives of this study constitute an investigation into the complexities of caregiving, including both perceptions and experiences of the healthcare system. Semi-structured interviews were utilised to elicit post-stroke experiences of six caregivers. The challenge the South African context adds to these experiences was probed. The data were analysed qualitatively by thematic and content analysis. Prominent themes associated with caregiving included: role changes and relationship disruptions within the family, occupational and social implications, fatigue, anxiety, depression, loneliness, frustration as well as financial problems. Caregiver experiences were exacerbated by the inadequate support structures available. The results are interpreted within a biopsychosocial approach, concluding with the concerns raised by caregivers on the support they require from the healthcare system in order to provide home-based care. Opsomming Met die toenemende voorkoms van beroerte in ontwikkelende lande bring die langdurige versorging van pasiënte met gestremdheid beduidende gevolge vir sorggewers en hulle onderskeie gesinne mee. Aangesien die sorggewer ‘n sleutelrol in die rehabilitasie van die beroertepasiënt speel, behels die doelstellings van hierdie studie ‘n ondersoek na die verwikkeldhede van versorging, wat sowel persepsies as ondervinding van die gesondheidsorgstelsel insluit. Semi- gestruktureerde onderhoude is aangewend om die na-beroerte ondervindings van ses sorggewers te peil. Die uitdaging wat die Suid- Afrikaanse konteks tot hierdie ondervindings meebring is ondersoek. Die data is kwalitatief deur middel van tematiese en inhoudsanalise ontleed. Prominente temas wat verbandhou met sorggewing sluit in: rolverandering en verhoudingsteurnisse binne die huisgesin, beroeps- en sosiale implikasies, uitputting, angs, depressie, eensaamheid, frustrasie sowel as finansiële probleme. Die probleme van sorggewers word vererger deur ontoereikende steunstrukture. Die resultate word binne ‘n biopsigososiale benadering ontleed, en saamgevat met probleme wat sorggewers uitspreek ten opsigte van die steun wat hulle van die gesondheidsorgstelsel benodig om tuisgebaseerde sorg te kan voorsien.


2019 ◽  
pp. c2-68
Author(s):  
The Editors

buy this issue This special issue of Monthly Review honors the fiftieth anniversary this month of Margaret Benston's landmark "The Political Economy of Women's Liberation." The essay sparked a revolution in Marxian thought, the full implications of which are only now being perceived in contemporary social reproduction theory. We have reprinted Benson’s pieces together with contributions by Silvia Federici, Martha E. Gimenez, Selma James (interviewed by Ron Augustin), Leith Mullings, Marge Piercy, and Lise Vogel, all of whom have played leading roles since the 1970s in the development of feminist historical materialism.


2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
John Cunningham ◽  
Austin Kerin ◽  
Rose Galvin ◽  
Katie Robinson

Abstract Background Almost a third (n=41,000) of all Irish farm holders are aged 65 years or older. Older farmers are vulnerable to Musculoskeletal Disorders (MSD’s) both by virtue of the nature of their work and their age. MSD’s are a known risk factor for workplace accidents and farming is the highest risk occupation in Ireland. This study aimed to explore older farmers’ experiences of living with and accessing healthcare for MSD’s. Methods A qualitative study design employing semi-structured interviews was employed. Nine Irish farmers aged 65 years and over with current or previous experience of MSD's were recruited. All participants continued to farm on either a full-time or part-time basis. Data were analysed using thematic analysis. Results Four themes describing older farmers' experiences of MSD’s and healthcare were identified; (1) acceptance of MSD’s as inevitable (2) biomechanical and biological beliefs about MSD’s (3) resilience and a commitment to continuing work in response to MSD’s (4) scepticism and avoidance of healthcare. Conclusion To the best of our knowledge this is the first qualitative study of older Irish farmers’ experiences of MSD’s. Findings reveal that older farmer’s experiences differ significantly from those reported by other occupational groups. Commitment to continue working permeated the findings of this study and shaped older farmers' experiences and responses to MSD's. Older farmers accept MSD’s and pain as inevitable consequences of farming, and they respond to MSD’s with stoicism. Lack of healthcare provider knowledge about farming culture and practices contributes to older farmers' negative healthcare experiences and avoidance of healthcare. Given the prevalence of MSD’s in this population future research should focus on developing and evaluating appropriate health promoting and patient-centered interventions to support continued safe farming for older Irish farmers.


1994 ◽  
Vol 34 ◽  
pp. 382
Author(s):  
Valerie Burton ◽  
Antonella Picchio

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Emma O'Shea ◽  
Eamon O'Shea ◽  
Suzanne Timmons ◽  
Kate Irving

Abstract Background Traditional models of respite, particularly those based within residential care settings, may not always be effective, and there is evidence of low acceptability for some people with dementia and carers. The aim of this study was to synthesise multiple stakeholders’ experiences of respite services for dementia and their perspectives on respite service development. Methods Purposive sampling was employed. Semi-structured interviews were conducted with 35 key stakeholders, including people with dementia (n=6), carers (n=9), front-line staff (n=7), managers (n=8), policy-makers/academics (n=5). Data were interpreted inductively using thematic analysis, with a focus on latent patterns of meaning. Results Three salient themes were identified (‘Phases of Transition’, ‘Person-centred Respite Care’; and ‘Recalibrating Respite’). Three distinct phases of respite transitions for people with dementia and carers are discussed. Respite services that actively support transitions through empathic communication regarding clients’ concerns, support needs and preferences are highly valued. Clients described care resembling a ‘person-centred’ approach as their ideal, without using that term, but people with dementia do not always experience this type of care. The majority of providers indicated that they provide ‘person-centred care’, but many demonstrated a poor understanding of the concept; many of these providers have a biomedical view of dementia and the personhood status of people with dementia. Regarding service development, clients would prefer more choice, flexibility and responsiveness, including a shift away from residential provision towards an integrated continuum of personalised, strengths-focused community-based and in-home supports. Conclusion Any recalibration of respite towards a home/community focus will require a transformation in how dementia is constructed by society, as well as a significant financial investment. Other implementation considerations include: staffing and staff competency; and the co-ordination, integration and regulation of personalised, home-based care models. Finally, it may be necessary to replace the outdated term ‘respite’ with an alternative nomenclature that is not discordant with person-centred care principles.


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