Sustainable Elderly Care. Relevance and Organization of Professional Care Services Considered From a Socio-Ethical Stance

为越来越多的老年人提供适当、有尊严的照顾是一项社会任务，需要公共和民间主角之间复杂地分担责任。这一社会伦理研究项目在彻底探讨老年人护理系统中臭名昭著的缺陷和问题的基础上，旨在构思未来专业护理服务的组织方式，以确保护理的数量充足和质量充足以及护理专业人员享有公平的工作条件。从社会伦理的角度收集和讨论护理专业人员的社会保障选择以及利用数字技术和技术援助在护理方面的潜力的个人和机构合作的形式和模式。将对德国的试点项目进行调查，并对科学文献和文件(灰色文献、政策和组织指导原则)进行定性研究和分析，进行国际比较(德国、丹麦、瑞士)。对关怀结构的审视和伦理反思将从三个社会学层面展开：制度层面、组织层面和互动层面。本项目将阐明的社会伦理框架以承认理论为基础，遵循权利(老年人、其家人和护理专业人员的权利)和正义(关于分配、性别、世代、空间和国际关系)的语义。根据这些结果，将制定基本的规范结构，以便能够公正地组织护理工作(“关爱社会的宪法规范”)、一套组织专业老年人护理的社会伦理标准以及劳动和护理政策改革的指导方针。

The provision of adequate, dignified care for the growing number of senior citizens is a societal task for which a complex sharing of responsibility among public and civil protagonists is required. Based on a thorough exploration of the notorious shortcomings and issues in the elder care system, this socio-ethical research project aims to conceptualize the future organization of professional care services in such a way as to ensure quantitative sufficiency and qualitative adequacy of care as well as fair working conditions for care professionals. Social security options for care professionals and forms and models of personal and institutional cooperation exploiting the potential of digital technology and technical aids in care and are gathered and discussed from a socio-ethical point of view. Pilot projects in Germany will be investigated and an international comparison (Germany, Denmark, Switzerland) will be conducted by means of qualitative research and analysis of scientific literature and documents (grey literature, policies and guiding principles of organizations). The examination and ethical reflection of care structures will be carried out on three sociological levels: institution, organization and interaction. The socio-ethical framework which will be spelled out in this project is based on the theory of recognition and follows a semantics of rights (of the elderly, their families and of care professionals) and justice (regarding distribution, gender, generations, space and international relations). Based on these results, essential normative structures which enable a just organization of care work (“constitutional norms for a caring society”), a set of socio-ethical criteria for the organization of professional elderly care and guidelines for reforms of labor and care policy will be developed.