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Unpaid Work in Nursing Homes
EPDF and EPUB available Open Access under CC-BY-NC-ND licence. The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it. Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes. It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations. By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.
- Cover
- Half Title
- Title Page
- Copyright Page
- Table of Contents
- Notes on Contributors
- Acknowledgements
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1 Introduction: framing and comparing unpaid care work
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The guiding theory
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The evidence
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The context for unpaid care
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Normative frameworks
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Funding and ownership
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Staffing
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Inside nursing homes
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Implications for unpaid work in nursing homes
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References
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2 Accessing nursing home care: family members’ unpaid care work in Ontario and Sweden
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Nursing home care systems in Ontario and Sweden
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Trying to manage at home
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Trigger points
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Navigating the system
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The change after the move
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Structural features shaping unpaid care work
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References
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3 Body-work-that-isn’t: supporting nursing home residents’ autonomy in self-care and sexual expression
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An Ontario vignette: Joe’s socks, negotiating regulations and staffing constraints
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Analysis of Joe’s case
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A Swedish vignette: Anna’s shower, negotiating dementia, and time to problem-solve
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Analysis of Anna’s case
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Bodily care includes sexual expression
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An Ontario vignette: Elsbeth’s sex life and negotiating consent
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Analysis of Elsbeth’s case
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Body-work-that-isn’t: what matters?
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Notes
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References
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4 “They make the difference between survival and living”: social activities and social relations in long-term residential care
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Gaining knowledge of residents’ past lives and interests
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Bringing outside interests into nursing homes
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Encouraging friendships
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The pleasure of intergenerational activities
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Getting residents out of their rooms
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The shift from paid to unpaid work
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References
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5 Residents who care: rethinking complex care and disability relations in Ontario nursing homes
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Care work, social bonds and the resident who said “no”: situating residents’ embodied practices and possibilities
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Concluding remarks
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References
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6 Family workers: the work and working conditions of families in nursing homes
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The multiple forms of family workers’ unpaid work
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Personalising care
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Coordinating care
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Advocating for change
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On paper: narrow depiction of working conditions
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How are families discussed?
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What is missing?
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Conditions of work and care
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Family and staff perceptions of family work
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Putting family workers’ rights and protections on the agenda
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Promising practices and a politicised conception of family work
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Improving the conditions of care for both staff and family workers
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Notes
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References
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7 Staff perspectives on families’ unpaid work in care homes
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Different physical environments and staffing conditions
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Different frameworks for families
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Different family work roles
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The first encounter between staff and families
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Increased presence of families
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Handling tensions with families
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Context matters!
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References
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8 Contextual conditions and social mechanisms in rural communities and care homes
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Theoretical framework
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Method and data
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Geographical conditions
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Visits from family and friends
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Access to services, competences and staff
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Fluidity of private and professional spheres in rural communities
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Sense of community and transparency
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Prior knowledge as a catalyst for interaction
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Up- and downsides of shared knowledge
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Unpaid work of family and staff
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More unpaid work by staff in rural areas?
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Rural homes offer both a safety net and surveillance
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Policy implications
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References
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9 Bringing the outside in and the inside out: the role of institutional boundaries in nursing homes
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A case from Western Norway
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Norwegian nursing homes
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Relations with the wider community: physical and social surroundings
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The nursing home cases
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The rebuilt nursing home
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Boundaries between inside and outside
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Bringing the inside out
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Bringing the outside in
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Where outside is inside and the inside is embedded in the outside
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Nursing homes in the community and wider society
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Removing the brackets from around nursing homes
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References
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- 10 Conclusion: a labour of love is still labour
- Index
- 出版地 : 英國
- 語言 : 英文
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