Labors of love: nursing homes and the structures of care work

2015 ◽  
Vol 52 (08) ◽  
pp. 52-4248-52-4248
Keyword(s):  
Nursing Homes ◽  
Care Work ◽  
Structures Of Care

Shaping social situations: A hidden aspect of care work in nursing homes

2013 ◽  
Vol 27 (4) ◽  
pp. 419-427 ◽  
Author(s):  
Eivind Grip Fjær ◽  
Mia Vabø
Keyword(s):  
Nursing Homes ◽  
Care Work ◽  
Social Situations

Informal use of restraint in nursing homes: A threat to human rights or necessary care to preserve residents’ dignity?

2018 ◽  
Vol 24 (2) ◽  
pp. 187-202
Author(s):  
Christine Øye ◽  
Frode F Jacobsen
Keyword(s):  
Human Rights ◽  
Nursing Homes ◽  
Ethnographic Study ◽  
Care Work ◽  
Grey Zone ◽  
Freedom Of Movement ◽  
Restraint Use

Use of restraint in nursing homes is highly controversial and fundamentally transgresses human rights and freedom of movement and choice. While different forms of formal restraint use in nursing homes are broadly delineated, the use of informal restraint is less understood. The aim of this article is to identify different kinds of informal restraint, and how staff use informal restraint under which circumstances. This article illuminates informal restraint use based on an ethnographic study in four nursing homes in the Western part of Norway. We have identified five different forms of informal restraint use which are as follows: (1) diversion of residents’ attention; (2) white lies; (3) persuasion and interpersonal pressure; (4) offers and finally (5) threats. These different forms of informal restraint are actions by staff against residents’ will, limiting residents’ freedom of movement and their personal preferences. In addition, we have identified ‘grey-zone restraint’ which comprises actions by staff towards residents which lie in-between formal and informal restraint. The use of informal restraint can be explained by institutional circumstances such as location, architecture and institutional collectivist constraints in relation to care work. Moreover, and paradoxically, informal restraint can be explained as a consequence of neo-liberal policies with establishment of extended premises for freedom of movement and practices of resident preferences in nursing homes. Informal restraint practices call into question whether these practices are compatible with fundamental human rights and the preservation of residents’ dignity.

scholarly journals Shaping nursing home mealtimes

2016 ◽  
Vol 37 (4) ◽  
pp. 823-844 ◽  
Author(s):  
TOVE HARNETT ◽  
HÅKAN JÖNSON
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Institutional Environment ◽  
Nursing Home Residents ◽  
Care Work ◽  
Structured Interviews ◽  
Social Scripts ◽  
Ethnographic Data

ABSTRACTA number of studies stress the importance of positive mealtime experiences for nursing home residents. However, the components that comprise an ideal nursing home meal remain unclear, reflecting the ambiguity of whether nursing homes should be framed as institutions, domestic settings or a type of hotel. In this study, nursing home meals were viewed as situations that the involved parties could continuously modify and ‘work on’. The aim was to analyse how the staff and residents shaped mealtimes by initiating frames and acting according to established social scripts. The study was based on semi-structured interviews with staff and residents and on ethnographic data, consisting of 100 hours of observations at two nursing home settings in Sweden. The analysis revealed how staff and residents interactively shaped meals using institutional, private or restaurant frames. There were three important findings: (a) an institutional meal frame was dominant; (b) there were substantial difficulties in introducing private frames and established private scripts for meals, since such meal versions are personal and not easy to transport into collective settings; (c) successful creation of private or home-like meal situations illustrates an often overlooked skill in care work. Making meals as ‘care-free’ as possible can be viewed as a way to operationalise the goal of providing a non-institutional environment in nursing homes.

Kollegialt følelsesarbejde på plejehjem og i daginstitutioner

2016 ◽  
Vol 27 (3/4) ◽  
pp. 65-82
Author(s):  
Merete Monrad
Keyword(s):  
Nursing Homes ◽  
Day Care ◽  
Qualitative Interviews ◽  
Working Environment ◽  
Care Work ◽  
Professional Status ◽  
Frontline Workers ◽  
Emotional Labour ◽  
Work Related ◽  
Emotional Capital

Artiklen diskuterer kollegialt følelsesarbejde på baggrund af et studie af omsorgsarbejde i daginstitutioner for småbørn og på plejehjem. Baseret på 27 kvalitative interview med frontlinjemedarbejdere, belyser artiklen følelsesarbejdets kollektive karakter. Analysen er centreret omkring to spørgsmål: 1) På hvilken måde udgør kollegialt følelsesarbejde en ressource i omsorgsarbejdet? 2) Hvilken rolle spiller følelsesudtryk i distinktionsprocesser imellem kolleger? Artiklen viser, at de følelser, kolleger udtrykker, og de stemninger kolleger skaber, kan være en ressource i mestringen af arbejdet, og det foreslås, at denne ressource kan begrebsliggøres som en kollektiv emotionel kapital, som præger et medarbejderteam. Kollegialt følelsesarbejde spiller en rolle i distinktionsprocesser, og artiklen viser her, hvordan kolleger forholder sig til hinandens følelsesarbejde og til tider griber regulerende ind over for andres (mangelfulde) følelseshåndtering. Bestemte følelsesudtryk fremstår således implicit som forbundet med faglig status. Samspillet imellem arbejdsmiljøproblemer og den kollektive emotionelle kapital diskuteres, og der gives eksempler på, at medarbejdere oplever, at kollegiale diskussioner af arbejdsrelaterede frustrationer kan være nedbrydende for den kollektive emotionelle kapital. Det tydeliggør vigtigheden af at skabe et legitimt kollektivt rum for diskussioner af arbejdsrelaterede frustrationer, så de ikke fortrænges til individuelle og private fora af hensyn til den kollektive emotionelle kapital. ENGELSK ABSTRACT: Merete Monrad: Collegial Emotional Labour in Nursing Homes and Day Care Institutions This article examines collegial emotional labour through a study of care work in day care institutions for children aged 0-6 years and in nursing homes. Based on 27 qualitative interviews with frontline workers, the article elucidates the collective nature of emotional labour in care work. The analysis is centered on two questions. First, in what way is collegial emotional labour a resource in care work, and second, what role do expressed emotions play in distinctions between colleagues? The article shows that colleagues’ emotions can be an important resource in coping with work, and suggests that this resource can be understood as collective emotional capital in the work team. Collegial emotional labour is related to processes of distinction, and the article analyzes how colleagues relate to each other’s emotional labour and how emotional expressions are implicitly related to professional status. The interplay between the working environment and collective emotional capital is discussed. Workers may experience that collegial discussions of work-related frustrations diminish collective emotional capital. The article raises the concern that work-related frustrations are displaced to individual and private conversations in order to preserve the collective emotional capital. Keywords: care, emotional labour, colleagues, work environment, emotional capital.

Coding Medicare A and B in Nursing Homes

ASHA Leader ◽  
2012 ◽  
Vol 17 (15) ◽  
pp. 3-31
Author(s):  
Mark Kander
Keyword(s):  
Nursing Homes
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