Intersecting vulnerabilities. Elderly care provided in the domestic environment

2020 ◽  
Vol 38 (2) ◽  
pp. 269-288
Author(s):  
María Teresa Martín Palomo ◽  
Inmaculada Zambrano Álvarez ◽  
José María Muñoz Terrón

This article analyses to what extent the forms of hire in the elderly care sector, as defined by recent Spanish law, enable this work to be professionalised. Using a qualitative piece of research based on semi-structured interviews with a variety of social actors involved in the social organisation of care, we embark on the comparative study of those types of hire that have been particularly affected by the legal changes: private hire by families and the Home Help Service. Our conclusion is that in domestic environments, the physical, emotional and moral aspects that characterise care pose specific barriers to professionalisation and these impact most notably on the special vulnerabilities of migrants employed in domestic care. The high expectations raised by the new legislation about the sector’s professionalisation have failed to be realised.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Cheng ◽  
Jiong Tu ◽  
Xiaoyan Shen

Abstract Background With China’s population ageing rapidly, stroke is becoming one of the major public health problems. Nurses are indispensable for caring for older patients with acute and convalescent stroke, and their working experiences are directly linked to the quality of care provided. The study aims to investigate registered nurses’ experiences of caring for older stroke patients. Methods A qualitative descriptive design was adopted. Data were collected via semi-structured interviews with 26 registered nurses about their lived experiences of caring for older stroke patients. Thematic analysis was used to analyze the data. Results Two main themes were identified. First, the nurses identified an obvious gap between their ideal role in elderly care and their actual practice. The unsatisfactory reality was linked to the practical difficulties they encountered in their working environment. Second, the nurses expressed conflicting feelings about caring for older stroke patients, displaying a sense of accomplishment, indifference, annoyance, and sympathy. Caring for older stroke patients also affects nurses psychologically and physically. The nurses were clear about their own roles and tried their best to meet the elderly people’s needs, yet they lack time and knowledge about caring for older stroke patients. The factors influencing their working experiences extend beyond the personal domain and are linked to the wider working environment. Conclusions Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of older people. Understanding nurses’ lived working experiences is the first step. At the individual level, nurse mangers should promote empathy, relieve anxiety about aging, and improve the job satisfaction and morale of nurses. At the institutional level, policymakers should make efforts to improve the nursing clinical practice environment, increase the geriatric nursing education and training, achieve a proper skill mix of the health workforce, and overall attract, prepare and sustain nurses regarding caring for older people in a rapidly aging society.


2021 ◽  
pp. 1050-1059
Author(s):  
И. Л. Сизова ◽  
Н. С. Орлова

В статье рассматриваются социальные процессы, сопровождающие реализацию политики «активного долголетия» в российской социальнотрудовой сфере. В первом разделе статьи кратко представляются основы концепции «активного долголетия» и обсуждаются возможные социальные механизмы ее применения. Особое место здесь отводится анализу социальных прав, которые формируют основу для разных моделей развития общественного благосостояния и качества жизни населения. Во втором разделе на базе парадигмы конструктивизма в социальных науках и теории символической власти П. Бурдьё предлагается авторский вариант изучения структур восприятия и оценивания населением реализованных государственных реформ. В третьем разделе представлены результаты эмпирического анализа серии полуструктурированных интервью с основными субъектами социально-трудовой сферы и текстов обращений граждан в органы государственной власти. В заключение интерпретируется символическая борьба вокруг восприятия политики «активного долголетия» в России. Авторы приходят к выводу о том, что ожидается новый всплеск программ социальной помощи пожилым и рост пассивности в их трудовом поведении. The article examines the social processes accompanying implementation of the policy «active aging» in the Russian social and labor spheres. The basic concepts of «active aging» are briefl y introduced and possible social mechanisms of its application are discussed in the first section of the article. Special importance is given to the analysis of social rights which form the basis for different models of the development of public welfare and the population’s quality of life. In the second section, author’s version of studying the perception and assessment structures by the population of the implemented reforms of the State are proposed on the basis of the paradigm of constructivism in the social sciences and the theory of symbolic power by P. Bourdieu. In the third section the results of an empirical analysis of a set of semi-structured interviews with the main subjects of the social and labor spheres and the texts of citizens’ appeals to government bodies are presented. In conclusion, the symbolic struggle around the perception of the «active aging» policy in Russia is interpreted. The authors conclude that a new surge in social assistance programs for the elderly and an increase in passivity in their work behavior are expected.


2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 161-168
Author(s):  
Leidyani Karina Rissardo ◽  
Luciane Prado Kantorski ◽  
Lígia Carreira

ABSTRACT Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.


2021 ◽  
Vol 13 (15) ◽  
pp. 8186
Author(s):  
Marcia Juliana d’Angelo ◽  
Janette Brunstein ◽  
Jones Madson Telles

This research examines social learning for sustainability (SLfS), particularly in its social dimension. Few studies have discussed or advanced on the ontological issues of SLfS relating to who social actors are becoming. This study aims to describe and analyze how the process of SLfS facilitates Brazilian families who were at the base of the social pyramid (no income) to change the status from landless campers to family farmers with land moving up four levels in the social pyramid over a decade. The research is qualitative interpretative, based on narratives from semi-structured interviews with 16 social actors and document analysis. The results show the meaning of learning professional ways of being family farmers from an existential ontological perspective.


2020 ◽  
Vol 5 (2) ◽  

The unexpected Corona crisis is affecting all ages, but mostly the elderly people of 65 years and over have been infected, hit and dead. The Coronavirus has also highly affected the rate of natality everywhere in the world. Besides that, many marriages have been postponed or suspended. In the United States where the number of Coronavirus affected people is the highest as compared with other parts of the world; 8 out of 10 deaths reported have been in adults 65 years and older [1]. Therefore, the present crisis will lead to the lack of children, optimistically when Coronavirus will be behind us. Even the children during the Corona crisis have not easy access to pediatrics and medical treatments. So, the natality situation is currently a hidden event, not being monitored by the social actors. The aging affected people are observed and talked about, whereas the newborns are not spoken about. Increasing number of developing societies are concerned with the issue. Therefore, natality issue needs more investigation by the sociologists as well as demographers. The method of research used in the present research is of qualitative type, and the whole theme is more sociologically appraised.


2020 ◽  
Vol 7 (2) ◽  
pp. 91-112
Author(s):  
Takahiro Miyo

The percentage of the elderly is increasing on a worldwide scale, and Japan has the highest in the world. Under this difficult demographic situation, how well the elderly can live their later lives is a very important question. The purpose of this study was to find out how the elderly in good health can envisage their future lives in which they need care from others, which may help the elderly make their own care-plans. I conducted semi-structured interviews with one married elderly couple, who had had various experiences of caring for their old parents. While recalling their old days when they used to care for their parents, they were also asked to envisage their own future lives, in which they will need care from others. Based on qualitative descriptive analyses of their interview data, a highly individual care-plan emerged for each study participant. It was suggested that the ways their old parents lived in their later lives, as well as their experiences of caring for them, were strongly reflected in their own future care-plans. In order to envisage one’s realistic future in which he/she needs care from others, concrete experience of relevance may be necessary, which would make it possible to discuss frequently his/her own future life with family, friends, and medical providers.


2018 ◽  
Vol 4 (1) ◽  
pp. 205630511775071 ◽  
Author(s):  
Alberto Cossu

Artists and creative workers are engaged once more in the social and political space. In the current wave, which started in the early 2010s, they have taken part in broad social movements (e.g., Occupy, Tahrir Square), created movements of their own (e.g., Network of Occupied Theaters in Italy and Greece), experimented with alternative economic models and currencies (e.g., Macao and D-CENT), carried out social research and radical education, partnered with institutional and social actors, supported neighborhoods, filled the void left by states’ retreat from the social, and hosted and co-produced art at a time when the budget for culture and independent art is being decreased in numerous countries across the world. This article aims to investigate the organizational and relational aspects of artistic social movements. Drawing on a 2-year-long ethnographic study conducted for my PhD dissertation and deploying a number of research techniques, including participant observation, digital methods, and semi-structured interviews, I propose a new understanding of the meaning of organization in contemporary artistic social movements. My article, focusing especially on data gathered on Macao, “The New Centre for Arts, Culture and Research of Milan,” constitutes an attempt to reflect on emerging organizational models in social movements.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245451
Author(s):  
Confidence Alorse Atakro ◽  
Abigail Atakro ◽  
Janet Sintim Aboagye ◽  
Alice Aluwah Blay ◽  
Stella Boatemaa Addo ◽  
...  

Background The increase in the number of elderly persons in developing countries has not had a corresponding increase in social and health care support systems for the elderly. There is a substantial difference in the quality of healthcare received by older people in developing and developed countries. Elderly persons in developing countries including Ghana are increasingly becoming marginalised and isolated. There is, however, limited evidence of healthcare challenges and expectations by elderly persons in Ghana. This study explored healthcare challenges and expectations of elderly persons to inform policy that could lead to improved quality of life for elderly persons in Ghana. Materials and methods Qualitative exploratory descriptive study design was used in conducting this study. Semi-structured interviews were used in collecting data from 30 participants from three regions in Ghana (10 from each region). Data analysis was carried out through content analysis. Results Four themes were extracted from data. These themes were: 1. Inadequate information from health workers regarding care of the older person. 2. Queuing frustrations. 3. Financial burden. 4. Focused elderly care demand. Conclusion The elderly in Ghana experience challenges of healthcare which include inadequate information, queuing frustrations and financial burdens. Elderly persons also have expectations of healthcare which include having dedicated professionals and units that will attend to them during their hospital visits. Academic and clinical gerontology experts could collaborate and help improve gerontology knowledge of health workers through workshops and conferences. Improving knowledge of health workers in gerontology may be a positive step towards meeting healthcare expectations of older Ghanaians.


Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 557 ◽  
Author(s):  
Laudicéia Noronha Xavier ◽  
Isabelle Cordeiro Nojosa Sombra ◽  
Annatália Meneses de Amorim Gomes ◽  
Gisele Lopes Oliveira ◽  
Cryslany Portela de Aguiar ◽  
...  

To analyze the perception of the elderly on the importance of a group of experience. Methods: iIt is an exploratory, descriptive research with qualitative approach, developed at a Basic Health Unit in a county of the Brazilian northeast, with 13 elderly people attending the Group. Data were collected through semi-structured interviews and analysis by the thematic analysis technique. Results: three empirical categories were identified: motivation to seek the group of experience, perspective concerning this group and changes perceived through participation. Conclusion: the group of experience can represent a therapeutic moment for the elderly, serving as support and strengthening the elderly in the social context, making the improvement and development of abilities as 


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