Search results for ‘Subject term:"older people"’ Sort:
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What makes a nursing home a home? Insights from family members and friends
- Authors:
- WEEKS Lori, CHAMBERLAIN Stephanie, KEEFE Janice
- Journal article citation:
- Housing Care and Support, 20(4), 2017, pp.152-163.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the concept of homelikeness from the perspective of family members and friends of nursing home residents across different models of nursing homes. Design/methodology/approach: This mixed-methods study examined survey data collected from 397 family members and friends of residents living in 23 nursing homes representing three models of care (traditional, new augmented, and full scope). Participants completed a homelikeness scale and a measure of the importance of nursing home spaces to family members and friends. This study also involved conducting three focus groups with 20 family members and friends to provide further insights into the findings. Findings: Analysis of survey data indicated quite high levels of homelikeness overall. Significant differences did emerge between traditional model nursing homes compared to new full-scope and new augmented models for all items in the homelikeness scale and for many items about nursing home spaces. Qualitative results provided insights into how homelikeness can be fostered through public and private spaces and through care and relationships. Research limitations/implications: As this study was conducted in one Canadian province, the results may not be applicable to other geographic areas. In addition, there are limitations in survey response rate. Practical implications: Homelikeness can be supported across models of care by fostering relationships between residents and staff, ensuring that that family and friends feel welcome, and creating public and private physical spaces that are conducive to new and ongoing relationships. Originality/value: The results provide evidence to nursing home decision makers about how to foster a homelike environment in various models of nursing homes. (Publisher abstract)
Establishing empirically-informed practice with caregivers: findings from the CARES program
- Author:
- BLACK Kathy
- Journal article citation:
- Journal of Gerontological Social Work, 56(6-7), 2013, pp.585-601.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There is increasing interest in delivering efficacious interventions to caregivers. This study reports on the processes and findings from a modified approach of the Wraparound System of Care. The practice model is implemented over 4 phases and is based on 3 theoretical constructs and 10 principles. The evaluation utilized treatment fidelity measures and employed a quasi-experimental pretest/posttest design to examine caregiver outcomes (N = 120). Findings suggest significant improvement among caregivers’ self-reported health, life satisfaction, well-being, and quality of life, as well as a reduction in caregiver risk and burden. Delineation of the processes used in the model are presented. (Publisher abstract)
The ethics of transnational market familism: inequalities and hierarchies in the Italian elderly care
- Author:
- NARE Lena
- Journal article citation:
- Ethics and Social Welfare, 7(2), 2013, pp.184-197.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
This article examines the recent transformations of the Italian welfare state from a familist welfare model to what is described as transnational market familism. In this model, families buy in care labour, commonly provided by migrant workers. The article analyses the ethical implications of the migrant-in-the-family model, which transforms the care relationship between the caregiver and care receiver into a complex relationship between the family member organising care, the migrant caregiver and the dependent care receiver. The context of such welfare provision is transnational. Examining this care triangle, the author draws on care ethics and individualization perspective for an analysis of how social policies safeguard, or overlook, human interaction and care relationships in the context of global hierarchies. The article draws on ethnographic data gathered in Naples, Italy, during 2004–2005, including interviews with Neapolitan employers and elderly care-receivers, interviews with migrant workers, as well as participant observations. (Edited publisher abstract)
Care by spouses, care by children: projections of informal care for older people in England to 2031
- Authors:
- PICKARD Linda, et al
- Journal article citation:
- Social Policy and Society, 6(3), July 2007, pp.353-366.
- Publisher:
- Cambridge University Press
The future market costs of long-term care for older people will be affected by the extent of informal care. This paper reports on projections of receipt of informal care by disabled older people from their spouses and (adult) children to 2031 in England. The paper shows that, over the next 30 years, care by spouses is likely to increase substantially. However, if current patterns of care remain the same, care by children will also need to increase by nearly 60 per cent by 2031. It is not clear that the supply of care by children will rise to meet this demand.
Modernisation and ageing theory revisited: current explanations of recent developing world and historical Western shifts in material family support for older people
- Author:
- ABODERLIN Isabella
- Journal article citation:
- Ageing and Society, 24(1), January 2004, pp.29-50.
- Publisher:
- Cambridge University Press
Modernisation and ageing theory has provided the main platform for the debate on changes in family support for older people in both the industrialised and the developing worlds. Although its well-known proposition of an ‘abandonment’ of older people in individualistic society has received much attention and been solidly refuted, the modernisation model continues to be the principal and most common framework for explaining the decline in familial material support for older people – both historically in the West, or at present in developing countries. The main rival explanation is provided by materialist accounts. The ability of these explanations to provide a meaningful understanding of why material family support may diminish has however received little if any analytical attention, despite its vital policy relevance, especially for the developing world. This paper critically examines the content and basis of both explanatory models. For each it exposes fundamental conceptual and epistemological limitations that render neither able to provide a solid understanding of the nature and causes of decline in support. Building on this analysis, the paper proposes a new approach in order to develop a fuller conceptual and empirical understanding.
Postmodern critique of systems theory in social work with the aged and their families
- Authors:
- GREENE Roberta R., BLUNDO Robert G.
- Journal article citation:
- Journal of Gerontological Social Work, 31(3/4), 1999, pp.87-100.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Postmodern shifts in thinking about families, ageing, and intervention have dramatically challenged the fundamental paradigms of family systems or functionalist theory and the nature of intervention. This article use postmodern theory to critique the general systems approach to practice. It explores alternative views and recommends that social workers reconsider their intervention models.
Welfare policies and the construction of welfare relations in a residual welfare state: the case of Hong Kong
- Author:
- CHAN Chak-Kwan
- Journal article citation:
- Social Policy and Administration, 32(3), September 1998, pp.278-291.
- Publisher:
- Wiley
Each welfare system has its own welfare relations for shaping and maintaining certain types of welfare practices and welfare ideologies. Welfare relations concern the distribution of welfare responsibilities among various social institutions, the public welfare expectations and entitlements, and the status of welfare recipients. Discusses how welfare policies construct the required welfare relations with regard to Hong Kong's social security system. Argues that the persistence of Hong Kong's residual welfare model is partly based on the residual welfare relations which facilitate family-centred and market-oriented welfare practices.
Elder abuse and neglect in Poland
- Author:
- HALICKA Malgorzata
- Journal article citation:
- Journal of Elder Abuse and Neglect, 6(3/4), 1995, pp.157-169.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Polish gerontological literature has not defined abuse and neglect with regard to elderly people. Presents an interpretation of neglect and abuse and reports on research conducted in Bialystok. Concludes that social services do not solve the problems of older people in Poland. The transition from a centrally managed economy to a market economy means that there is a need to form a new model of social services. Outlines key points for policies aimed at preventing and solving the problems of neglect.
Assessment of dementia patients and their families: an ecological-family-centred approach
- Author:
- MONAHAN Deborah J.
- Journal article citation:
- Health and Social Work, 18(2), May 1993, pp.123-131.
- Publisher:
- Oxford University Press
Demand for assessment and treatment of dementia patients and their families in the USA is expected to increase substantially by the end of the decade. Offers a guide to social work practice in the assessment of dementia patients and their families using an ecological-family-centred model of practice. A case presentation illustrated how to apply the model whilst incorporating ethnically sensitive practice principles. The model organized complex assessment issues that often arise when working with families of dementia patients and illustrates the significance of cultural diversity in case practice.
Empowering families of the chronically ill: a partnership experience in a hospital setting
- Authors:
- MAYER J.B., et al
- Journal article citation:
- Social Work in Health Care, 14(4), 1990, pp.73-90.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Describes a model of community care for elderly people in which social workers and members of the family work together as case managers.