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身体、社会和精神健康的潜力，参与社会，同时在他们需要的时候为他们提供充分的保护、安全和照顾”。大多数政府和社区的方法主要集中在让人们远离长期的寄宿护理，即使许多人现在和将来继续住在这些地方。同样重要的是，在长期住宿护理方面，对老龄化劳动力的关注很少。此外，虽然长期住院护理主要是由妇女照顾妇女，但实际上没有研究这对工作人员和住院医生的健康意味着什么。基于包括心理、身体、社会和精神方面的广泛健康观，我们力求确定长期住宿护理的健康老龄化战略，使工作人员和居民都能过上更好、更充实的生活。这种战略也有可能通过减少居民和工作人员所需的医疗和其他护理费用来节省资金。拟议的国际项目的核心是由经验丰富的国家小组领导的比比性、合作性案例研究，这些研究将提供关于影响和界定特定护理设施中居民和工作人员健康老龄化的物质、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现有的统计信息和研究报告，为了解特定的住宅设置背景。我们的主要技术是在这一领域应用一种新方法：快速、地点切换人种志。它的目的是通过将当地和外国研究人员聚集在一起研究每个国家的两个设施，捕捉确定积极、健康老龄化战略所需的丰富细节。他们将观察工作人员和居民，为居民提供相机作为表达他们观点的方式，并采访工作人员和居民关于他们在设施中的经历。这将为这些站点带来“新鲜的视角”，同时也最大化了本地研究人员的“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.