“Careworkers don't have a voice:” Epistemological violence in residential care for older people

Banerjee, Albert; Armstrong, Pat; Daly, Tamara; Armstrong, Hugh; Braedley, Susan

doi:10.1016/j.jaging.2015.02.005

Cited by 63 publications

(64 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This emphasis is highlighted in the ever increasing (and some would argue constricting) number of regulations developed for the long-term, residential care industry. Banerjee and colleagues ( 63 ) asserted that, “these regulations, and the reporting they require, take valuable time away from care, often fail to account for the relational aspects of care, and disempower residents while empowering paperwork (p. 7). The focus on safety in these regulations may lead to the disempowerment of persons with dementia by limiting their choices, removing their control, and ensuring that the dignity of risk is not extended to persons with dementia.…”

Section: Resultsmentioning

confidence: 99%

Nonpharmacological Management of Behavioral and Psychological Symptoms of Dementia: What Works, in What Circumstances, and Why?

Caspar

Davis

Douziech

et al. 2017

Innovation in Aging

View full text Add to dashboard Cite

ObjectiveBehavioral and psychological symptoms of dementia (BPSD) refer to the often distressing, noncognitive symptoms of dementia. BPSD appear in up to 90% of persons with dementia and can cause serious complications. Reducing the use of antipsychotic medications to treat BPSD is an international priority. This review addresses the following questions: What nonpharmacological interventions work to manage BPSD? And, in what circumstances do they work and why?MethodA realist review was conducted to identify and explain the interactions among context, mechanism, and outcome. We searched electronic databases for empirical studies that reported a formal evaluation of nonpharmacological interventions to decrease BPSD.ResultsSeventy-four articles met the inclusion criteria. Three mechanisms emerged as necessary for sustained effective outcomes: the caring environment, care skill development and maintenance, and individualization of care. We offer hypotheses about how different contexts account for the success, failure, or partial success of these mechanisms within the interventions.DiscussionNonpharmacological interventions for BPSD should include consideration of both the physical and the social environment, ongoing education/training and support for care providers, and individualized approaches that promote self-determination and continued opportunities for meaning and purpose for persons with dementia.

show abstract

Section: Resultsmentioning

confidence: 99%

Nonpharmacological Management of Behavioral and Psychological Symptoms of Dementia: What Works, in What Circumstances, and Why?

Caspar

Davis

Douziech

et al. 2017

Innovation in Aging

View full text Add to dashboard Cite

show abstract

“…time, human resources, or money), stress is likely to occur ( Veer et al, 2013 ). This underlines a counter-effect of skill development within an untenable system and reveals how the reductionist organization of care work conflicts with the needs of relational care ( Banerjee et al, 2015 ). The statement, ‘we just can’t do it right’ reflects the perceived powerlessness of care workers being exposed to ‘a greedy organization’.…”

Section: Discussionmentioning

confidence: 97%

Work-related change in residential elderly care: Trust, space and connectedness

et al. 2017

View full text Add to dashboard Cite

Increasing care needs and a declining workforce put pressure on the quality and continuity of long-term elderly care. The need to attract and retain a solid workforce is increasingly acknowledged. This study reports about a change initiative that aimed to improve the quality of care and working life in residential elderly care. The research focus is on understanding the process of workforce change and development, by retrospectively exploring the experiences of care professionals. A responsive evaluation was conducted at a nursing home department in the Netherlands one year after participating in the change program. Data were gathered by participant observations, interviews and a focus and dialogue group. A thematic analysis was conducted. Care professionals reported changes in workplace climate and interpersonal interactions. We identified trust, space and connectedness as important concepts to understand perceived change. Findings suggest that the interplay between trust and space fostered interpersonal connectedness. Connectedness improved the quality of relationships, contributing to the well-being of the workforce. We consider the nature and contradictions within the process of change, and discuss how gained insights help to improve quality of working life in residential elderly care and how this may reflect in the quality of care provision.

show abstract

“…The apparent conflict between perceiving the program as very valuable and being reluctant to accommodate it mirrors other results suggesting that the low resource base and task-oriented nature of work in Canadian LTC settings competes directly with health providers' interests in forging stronger relationships with the residents (41,42). On one hand, Namaste Care is a solution to this problem, since it is promoted as a way to improve care without necessarily increasing staffing, and since it provides a means of systematizing resident-centred care.…”

Section: Discussionmentioning

confidence: 72%

Using the ecological framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system

Hunter¹,

Kaasalainen²,

Froggatt³

et al. 2017

Ann. Palliat. Med.

View full text Add to dashboard Cite

show abstract

“Careworkers don't have a voice:” Epistemological violence in residential care for older people

Cited by 63 publications

References 27 publications

Nonpharmacological Management of Behavioral and Psychological Symptoms of Dementia: What Works, in What Circumstances, and Why?

Nonpharmacological Management of Behavioral and Psychological Symptoms of Dementia: What Works, in What Circumstances, and Why?

Work-related change in residential elderly care: Trust, space and connectedness

Using the ecological framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system

Contact Info

Product

Resources

About