Healthy Ageing in Residential Places (HARP)

世界卫生组织将积极老龄化定义为“让人们在整个生命过程中实现其身体，社会和精神健康的潜力，并参与社会，同时在需要时为他们提供足够的保护，安全和照顾”。大多数政府和社区的做法主要集中在让人们远离长期住宿照顾，即使许多人现在继续住在这些地方，并将在未来这样做。同样重要的是，很少有人关注长期住宿护理的老龄化劳动力。此外，虽然长期住宿护理主要是由妇女提供的护理，但实际上缺乏关于这对工作人员和居民健康意味着什么的研究。基于对身心、社交和精神健康的广泛看法，我们寻求为长期住宿护理确定健康的老年策略，让员工和居民生活得更好，更充实的生活。这些战略还可能通过减少住院医生和工作人员所需的医疗和其他护理来节省资金。拟议的国际项目的核心是由经验丰富的国家工作队领导的比较和合作个案研究，这些研究将提供关于具体护理设施中的居民和工作人员形成和界定健康老龄化的物质、经济、环境、社会和行为条件的详细信息。我们的研究过程始于收集和分析加拿大，英国，瑞典和挪威国家或司法管辖区层面的现有统计信息和研究报告，以了解特定住宅的背景。我们的主要技术是在这一领域的一种新方法的应用：快速，网站切换民族志。它的目的是捕捉丰富的细节，以确定积极，健康的老龄化战略，使当地和外国的研究人员一起研究在每个国家的两个设施。他们将观察工作人员和居民，为居民提供相机作为表达意见的一种方式，并采访工作人员和居民关于他们在设施中的经历。这将为这些网站带来“新鲜的目光”，同时也最大限度地提高了家庭研究人员的“本地”知识。

The World Health Organisation defines active ageing as allowing 'people to realise their potential for physical, social and mental well-being throughout the life course and to participate in society, while proiding them with adequate protection, security and care when they need'. Most government and community approaches focus mainly on keeping people out of long term residential care, even thought many people continue to live in these places now and will do so in the future. Equally important, little attention has been paid to the ageing labour force in long term residential care. Moreover, although long term residential care is mainly care for women by women, research on what this means for the health of staff and residents is virtually absent. Based on a broad view of health that includes mental, physical, social and spiritual aspects, we seek to identify healthy ageing strategies for long-term residential care that allow both staff and residents to live better, and more fulfilling lives. Such strategies also have the potential to save money by reducing the amount of medical and other care requiired for both residents and staff. Central to the proposed international project are comparative, collaborative case studies led by experienced national teams that will offer detailed information on physical, economic, environmental, social and behavioural conditions that shape and define healthy ageing for residents and staff in specific care facilities. Our reserach process begins with the collection and analysis of existing statistical information and reseach reports at the national or jurisdictional level in Canada, the UK, Sweden and Norway to set the context for understanding specific residences. Our main technique is the application of a new method in this field: rapid, site-switching ethnography. It is designed to capture the rich detail necessary to identify strategies for active, healthy ageing by brining local and foreign researchers together to study two facilities in each country. They will observe staff and residents, provide residents with cameras as a way of expressing their views and interview both staff and residents about their experiences in facilities. This will bring 'fresh eyes' to these sites while also maximising the 'local' knowledge of the home researcher.