The Historical Context of “Humanistic” Culture Change in Long-Term Care
The Historical Context of “Humanistic” Culture Change in Long-Term Care
复制标题
长期护理中“人文”文化变迁的历史语境
DOI：
10.1300/j181v02n01_04
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
S. Tobin
中科院分区：
文献类型：
--
作者：
S. Tobin
在18世纪，有公共穷人的房子;在19世纪后期，更人性化的非营利老人院;到20世纪中期，人性化程度较低，特别是专有的养老院。20世纪70年代见证了一个关于零碎方案的新兴文献的开始，这些方案对居民有益，但往往既没有产生人文文化的变化，也没有持续下去。此外，这些文化甚至不是从雄心勃勃的立法改革中产生的。然而，人文主义文化的成分已经出现在许多出版物中，尽管它们还没有被纳入实践。本文追溯了人文关怀的历史，以及政府在催化变革中的作用。
SUMMARY In the 1700s, there were public poor houses; in the later 1800s, more humanistic not-for-profit homes for the aged; and by the mid-1900s, less humanistic, particularly proprietary, nursing homes. The 1970s witnessed the beginning of a burgeoning literature on piecemeal programs which are beneficial for residents but often have neither produced humanistic culture change nor have persisted. Also, these cultures did not emerge from even ambitious legislated reforms. Yet, the ingredients for humanistic cultures have appeared in many publications even though they have not been incorporated into practice. This article traces the history of humanistic approaches to care and the role of government in catalyzing change.