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International Journal of Care and Caring最新文献

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Interprofessional practice and person-centred care: moral contexts and ethical conflicts in the US and Canada 跨专业实践和以人为本的护理:美国和加拿大的道德背景和伦理冲突
IF 1.4 Pub Date : 2024-03-25 DOI: 10.1332/23978821y2024d000000030
Phillip G. Clark
Health and social care services and systems increasingly promote both interprofessional practice and person-centred care. This discussion first examines the clinical and community-based contexts for providing interprofessional practice and person-centred care through the lens of personal, interpersonal, interprofessional and organisational values. Emerging conflicts among values are highlighted using the concept of moral distress, with examples from US and Canadian settings. The comparison then moves to the systems level, examining different US and Canadian contexts for improving the quality and reducing the cost of care. Finally, implications and applications are presented, focusing on interrelationships among the individual, interprofessional team and organisation.
医疗和社会护理服务及系统越来越多地提倡跨专业实践和以人为本的护理。本讨论首先从个人、人际、跨专业和组织价值观的角度,探讨了提供跨专业实践和以人为本的护理的临床和社区环境。通过美国和加拿大的实例,使用道德困扰的概念强调了价值观之间新出现的冲突。然后将比较转移到系统层面,研究美国和加拿大在提高护理质量和降低护理成本方面的不同情况。最后,介绍了影响和应用,重点是个人、跨专业团队和组织之间的相互关系。
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引用次数: 0
Care consequences of the COVID-19 pandemic COVID-19 大流行的护理后果
IF 1.4 Pub Date : 2024-03-22 DOI: 10.1332/23978821y2024d000000031
Michael D. Fine
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引用次数: 0
Intersecting vulnerabilities and compounded risks of women asylum seekers working in care during COVID-19 in Ireland 爱尔兰 COVID-19 期间寻求庇护妇女的交叉脆弱性和护理工作的复合风险
IF 1.4 Pub Date : 2024-02-28 DOI: 10.1332/23978821y2024d000000029
Felicity Daly, Jacqui O’Riordan
This article explores findings from a qualitative participatory study with asylum seekers in Ireland employed in the healthcare sector during the COVID-19 pandemic. By extending an intersectional analysis framework, we demonstrate how the vulnerability of care workers living within the international protection accommodation system ‘under the care’ of the state intersects with power exercised by the neoliberal care market and is compounded by global health controls instituted during the pandemic. Participants reveal a lack of autonomy and forms of precarity that were not faced by other care workers, particularly increased risk of exposure to COVID-19 and multiple forms of stigma.
本文探讨了在 COVID-19 大流行期间对受雇于医疗保健部门的爱尔兰寻求庇护者进行定性参与式研究的结果。通过扩展交叉分析框架,我们展示了生活在国家 "照顾 "下的国际保护收容系统中的护理人员的脆弱性如何与新自由主义护理市场行使的权力交织在一起,并因大流行病期间实施的全球卫生控制而变得更加复杂。参与者揭示了其他护理工作者所没有的缺乏自主权和不稳定的形式,特别是接触 COVID-19 的风险增加和多种形式的污名化。
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引用次数: 1
The risks of job flexibility: an analysis of reconciling paid work and informal care across organisations using the capabilities approach 工作灵活性的风险:利用能力方法对各组织兼顾有偿工作和非正规护理的分析
IF 1.4 Pub Date : 2024-02-15 DOI: 10.1332/23978821y2024d000000027
Marcel Hoogenboom, Mara A. Yerkes, W. Kruijswijk
While welfare states and work organisations often provide policies to facilitate a reconciliation of paid work and informal care, the literature pays little attention to employees’ actual capabilities to engage with such policies. In this article, we apply the capabilities approach to interview data from managers and employees in the Netherlands to understand employees’ use or non-use of the policies. We found that job flexibility may help workers reconcile work and care in the short run but that respondents with greater job flexibility reported more health problems than respondents with less flexibility, which calls into question the sustainability of these policies.
虽然福利国家和工作组织经常提供政策来促进有偿工作和非正式护理之间的协调,但文献很少关注员工参与此类政策的实际能力。在本文中,我们将能力方法应用于荷兰管理人员和员工的访谈数据,以了解员工使用或不使用这些政策的情况。我们发现,工作灵活性在短期内可以帮助工人协调工作与护理之间的关系,但工作灵活性较高的受访者比工作灵活性较低的受访者报告了更多的健康问题,这让人质疑这些政策的可持续性。
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引用次数: 0
The risks of job flexibility: an analysis of reconciling paid work and informal care across organisations using the capabilities approach 工作灵活性的风险:利用能力方法对各组织兼顾有偿工作和非正规护理的分析
IF 1.4 Pub Date : 2024-02-15 DOI: 10.1332/23978821y2024d000000027
Marcel Hoogenboom, Mara A. Yerkes, W. Kruijswijk
While welfare states and work organisations often provide policies to facilitate a reconciliation of paid work and informal care, the literature pays little attention to employees’ actual capabilities to engage with such policies. In this article, we apply the capabilities approach to interview data from managers and employees in the Netherlands to understand employees’ use or non-use of the policies. We found that job flexibility may help workers reconcile work and care in the short run but that respondents with greater job flexibility reported more health problems than respondents with less flexibility, which calls into question the sustainability of these policies.
虽然福利国家和工作组织经常提供政策来促进有偿工作和非正式护理之间的协调,但文献很少关注员工参与此类政策的实际能力。在本文中,我们将能力方法应用于荷兰管理人员和员工的访谈数据,以了解员工使用或不使用这些政策的情况。我们发现,工作灵活性在短期内可以帮助工人协调工作与护理之间的关系,但工作灵活性较高的受访者比工作灵活性较低的受访者报告了更多的健康问题,这让人质疑这些政策的可持续性。
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引用次数: 0
Consequences of caring for the physical health, mental health and subjective well-being of Chilean older adults 护理对智利老年人身体健康、心理健康和主观幸福感的影响
IF 1.4 Pub Date : 2024-02-08 DOI: 10.1332/23978821y2024d000000026
M. B. Fernández, Claudia Miranda-Castillo, Javiera Rosell, M. S. Herrera
Using a propensity score matching approach, this study evaluates the effect of caring on the physical health, mental health and subjective well-being of Chilean older people. The average treatment effect was not significant in any of the outcomes to physical health. However, older carers – and those who care intensely – were more likely to have depressive and anxious symptomatology and lower life satisfaction than older non-carers. Interventions should consider strategies that favour mental health and avoid caregiver burden, considering the interaction between caring and the challenges of ageing. This could improve the quality of life of carers and those being cared for.
本研究采用倾向得分匹配法,评估了护理对智利老年人身体健康、心理健康和主观幸福感的影响。平均治疗效果对身体健康的任何结果都没有显著影响。然而,与非照顾者相比,老年照顾者--以及那些高度照顾者--更容易出现抑郁和焦虑症状,生活满意度也更低。干预措施应考虑有利于心理健康和避免照顾者负担的策略,同时考虑到照顾与老龄化挑战之间的相互作用。这可以提高照护者和被照护者的生活质量。
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引用次数: 0
Consequences of caring for the physical health, mental health and subjective well-being of Chilean older adults 护理对智利老年人身体健康、心理健康和主观幸福感的影响
IF 1.4 Pub Date : 2024-02-08 DOI: 10.1332/23978821y2024d000000026
M. B. Fernández, Claudia Miranda-Castillo, Javiera Rosell, M. S. Herrera
Using a propensity score matching approach, this study evaluates the effect of caring on the physical health, mental health and subjective well-being of Chilean older people. The average treatment effect was not significant in any of the outcomes to physical health. However, older carers – and those who care intensely – were more likely to have depressive and anxious symptomatology and lower life satisfaction than older non-carers. Interventions should consider strategies that favour mental health and avoid caregiver burden, considering the interaction between caring and the challenges of ageing. This could improve the quality of life of carers and those being cared for.
本研究采用倾向得分匹配法,评估了护理对智利老年人身体健康、心理健康和主观幸福感的影响。平均治疗效果对身体健康的任何结果都没有显著影响。然而,与非照顾者相比,老年照顾者--以及那些高度照顾者--更容易出现抑郁和焦虑症状,生活满意度也更低。干预措施应考虑有利于心理健康和避免照顾者负担的策略,同时考虑到照顾与老龄化挑战之间的相互作用。这可以提高照护者和被照护者的生活质量。
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引用次数: 0
Virtual mutual care practices of Chinese people amid censorship during the initial COVID-19 outbreak in Wuhan, China 中国武汉 COVID-19 初期疫情爆发期间审查制度下中国人的虚拟互助护理实践
IF 1.4 Pub Date : 2024-01-29 DOI: 10.1332/23978821y2024d000000025
Minhui Yang
The initial outbreak of the COVID-19 pandemic hit Wuhan, China, in early January 2020, and restrictive lockdown measures were implemented. Risks of transmission and the lockdown measures severely disrupted everyday life and affected the well-being of local residents. Applying institutional ethnography and autoethnography, this study focuses on the virtual mutual care of Chinese social network site users, which attended to the hardship of local people through activities in cyberspace. Not only were the virtual mutual care activities lifesaving, as they tackled critical challenges of the affected residents, but they also had radical meanings, as they strived for solidarity and justice in the context of crisis.
2020 年 1 月初,中国武汉首次爆发 COVID-19 大流行,并实施了限制性封锁措施。传播风险和封锁措施严重扰乱了日常生活,影响了当地居民的福祉。本研究运用制度民族志和自我民族志的方法,关注中国社交网站用户的虚拟互助关怀,通过网络空间的活动关注当地居民的困难。这些虚拟互助活动不仅拯救了生命,因为它们解决了受影响居民的关键难题,而且还具有激进的意义,因为它们在危机背景下争取团结和正义。
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引用次数: 1
Social care: time for a name change? 社会关怀:是时候更名了吗?
IF 1.4 Pub Date : 2024-01-29 DOI: 10.1332/23978821y2024d000000023
Catherine Needham, Heather Morris, Robin Miller, D. Ayton, Mandy O’Connor, Kelly Hall, Helen Skouteris
In this debate piece (written by UK and Australian academics), we discuss the utility of the term ‘social care’. This term has been used in the UK for more than 20 years. While not as widely used in Australia, it is understood in both countries to describe the provision of social work, personal care, protection or social support services for those with needs arising from illness, disability, old age and/or poverty. We conclude that there is space for the ‘social’ in social care if it is framed in relation to the shared human need for care and support. Rather than shifting to the descriptively simple term ‘long-term care’, let us continue to work to make social care more meaningfully social.
在这篇辩论文章(由英国和澳大利亚学者撰写)中,我们讨论了 "社会关怀 "一词的实用性。这一术语在英国已经使用了 20 多年。虽然这一术语在澳大利亚的使用并不广泛,但两国都将其理解为向那些因疾病、残疾、年老和/或贫困而有需求的人提供社会工作、个人护理、保护或社会支持服务。我们的结论是,如果社会关怀中的 "社会 "与人类对关怀和支持的共同需求相关联,那么社会关怀中就有 "社会 "的空间。让我们继续努力,使社会护理更具社会意义,而不是转向描述简单的 "长期护理 "一词。
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引用次数: 0
Care, Crisis and Activism: The Politics of Everyday Life by Eleanor Jupp (2022) 关爱、危机与行动主义:日常生活的政治学》,埃莉诺-朱普著(2022 年)
IF 1.4 Pub Date : 2024-01-26 DOI: 10.1332/23978821y2024d000000024
Valentina Hinojosa
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引用次数: 0
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International Journal of Care and Caring
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