#MoreThanAVisitor: Families as "Essential" Care Partners During COVID-19.

#MoreThanAVisitor: Families as "Essential" Care Partners During COVID-19.
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DOI:
10.1093/geront/gnaa161
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发表时间:
2021-02-23
期刊:
The Gerontologist
影响因子:
--
通讯作者:
Kemp CL
Kemp CL
中科院分区:
其他
文献类型:
--
作者:
Kemp CL

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在包括辅助生活在内的长期护理社区,针对当前冠状病毒大流行的公共卫生应对措施包括禁止访客。这项包括家庭成员在内的禁令被批评为不公平、不健康和不安全。在此背景下,我研究了家庭在居民的日常生活和护理程序中所扮演的角色。我认为,将家庭划分为“访客”而不是基本的护理伙伴,忽视了他们的关键贡献,并且源于对性别、家庭和护理工作的想当然的假设,我论证了为什么家庭不仅仅是访客。禁止家访的政策也反映了对健康的狭隘理解,这种理解侧重于减轻感染风险,而忽视了整体健康和福祉。这一政策进一步源于对护理关系的有限理解。研究表明,禁止家庭探视对居民、家庭本身和直接护理人员都有负面影响。我认为,确定更好地理解和支持家庭参与的方法至关重要,并证明护理车队模式在大流行期间和之后的长期护理研究、政策和实践中指导家庭重新概念化的效用。
The public health response to the current Coronavirus pandemic in long-term care communities, including assisted living, encompasses prohibiting visitors. This ban, which includes family members, has been criticized for being unfair, unhealthy, and unsafe. Against this backdrop, I examine the roles family play in residents’ daily lives and care routines. I argue that classifying family as “visitors” rather than essential care partners overlooks their critical contributions and stems from taken-for-granted assumption about gender, families, and care work, and I demonstrate why families are more than visitors. Policies that ban family visits also reflect a narrow understanding of health that focuses on mitigating infection risk, but neglects overall health and well-being. This policy further stems from a limited comprehension of care relations. Research shows that banning family visits has negative consequences for residents, but also families themselves, and direct care workers. I argue that identifying ways to better understand and support family involvement is essential and demonstrate the utility of the Convoys of Care model for guiding the reconceptualization of family in long-term care research, policy, and practice during and beyond the pandemic.
DOI: 10.1093/geront/gnz119
发表时间: 2020-05-15
期刊: GERONTOLOGIST
影响因子: 5.7
作者:
Kemp, Candace L.;Ball, Mary M.;Fitzroy, Andrea F.
通讯作者: Fitzroy, Andrea F.
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发表时间: 2018-05-01
影响因子: 6.2
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DOI: 10.1377/hlthaff.2009.0520
发表时间: 2010-01-01
期刊: HEALTH AFFAIRS
影响因子: 9.7
作者:
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