Slaps, Punches, Pinches—But not Violence: Boundary‐Work in Nursing Homes for the Elderly

Åkerström, Malin

doi:10.1525/si.2002.25.4.515

Cited by 80 publications

(68 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Emotional bonds between resident and staff are reinforced by family ideology (Dodson and Zincavage 2007), which encourages staff to view residents as if they are part of a family. In a set of observations closer to the agenda of this article, Akerstrom’s (2002) study of boundary work in nursing homes found that staff endure slaps, punches, and scratches, but do not think of them as “violent” as a strategy to preserve boundaries between staff as care givers, residents as care takers, and nursing homes as caring places.…”

Section: Theoretical Frameworkmentioning

confidence: 92%

Attributions of Agency and the Construction of Moral Order: Dementia, Death, and Dignity in Nursing-home Care

Rodriquez

2009

Soc Psychol Q

View full text Add to dashboard Cite

Using evidence gathered during 18 months of participant-observation in 2 nursing homes and 65 interviews with staff, this article examines how nursing-home staff use agency as a rhetorical resource to construct a dignified workplace. Staff attribute agency to dying residents, saying they choose the timing and conditions of their death. Staff equally insist that aggressive residents do not have agency. These two sets of attributions are used as counterpoints. Both go well beyond the available facts of the situation and reflect unspoken assumptions and interests of nursing-care workers. Through these attributions, the staff achieves a situated moral order in which compassionate care is provided to deserving residents in caring nursing homes. Staff attributions of agency are collectively shaped by professional philosophies, training and education, and regulatory guidelines. Finally, this article shows how it is analytically and theoretically productive to recast agency as a cultural object, whose use is subject to empirical investigation, rather than as a theoretical construct.

show abstract

Section: Theoretical Frameworkmentioning

confidence: 92%

Attributions of Agency and the Construction of Moral Order: Dementia, Death, and Dignity in Nursing-home Care

Rodriquez

2009

Soc Psychol Q

View full text Add to dashboard Cite

show abstract

“…This situation could be applied to the nursing home setting where older people who may have lived alone for many years are exposed to interactions among many individuals, both residents and staff in crowded spaces. Any hostile and aggressive interactions can create an environment where all participants are at increased risk of being an abuse victim (Akerstrom, 2002). Cognitive impairment of both victim and perpetrator has been identified as an important potential risk factor for R-REM in long term care.…”

Section: Introductionmentioning

confidence: 99%

Managing Resident-to-Resident Elder Mistreatment in Nursing Homes: The SEARCH Approach

Ellis¹,

Teresi²,

Ramírez³

et al. 2014

J Contin Educ Nurs

View full text Add to dashboard Cite

This article describes an educational program to inform nursing and care staff in the management of resident-to-resident elder mistreatment (R-REM) in nursing homes, using the SEARCH approach. Although relatively little research has been conducted on this form of abuse, there is mounting interest in R-REM, as such aggression has been found to be extensive and can have both physical and psychological consequences for residents and staff. The aim of the SEARCH approach is to support staff in the identification and recognition of R-REM, and suggesting recommendations for management. The education program and the SEARCH approach are described. Three case studies from the research project are presented, illustrating how the SEARCH approach can be used by nurses and care staff to manage R-REM in nursing homes. Resident- and staff safety and well-being can be enhanced by the use of the evidence-based SEARCH approach.

show abstract

“…3 However, the jurisdictional boundaries are not the only lines of demarcation that are of importance for professional groups. Other types of boundaries with relevance to professions concern, among other things, identity, knowledge, autonomy, discretion, and valued objects (Bechky, 2003;MacLure, 1996;Norris, 2001;Åkerström, 2002). While, for the purposes of analysis, these boundaries can be separated, in reality they are immanently intertwined.…”

Section: Professions As Landscapesmentioning

confidence: 99%

Key Metaphors in the Sociology of Professions: Occupations as Hierarchies and Landscapes

Liljegren

2012

Comp Sociol

View full text Add to dashboard Cite

Key metaphors guide our way of thinking in that, among other things, they provide perspective, relations, directions, distances, causality, features, and principles. The literature on professions appears to encompass at least two overarching key metaphors, one that likens professional groups to a hierarchy, and another that describes them as a landscape. This article provides an analysis of two key metaphors in the literature on professions, the purpose being to outline, analyse, and relate them to a number of other central concepts. In carrying out this analysis, questions relating to the similarities and differences between the two metaphors will be addressed. What are their epistemic virtues, and what are the consequences of privileging one metaphor over the other?

show abstract

Slaps, Punches, Pinches—But not Violence: Boundary‐Work in Nursing Homes for the Elderly

Cited by 80 publications

References 37 publications

Attributions of Agency and the Construction of Moral Order: Dementia, Death, and Dignity in Nursing-home Care

Attributions of Agency and the Construction of Moral Order: Dementia, Death, and Dignity in Nursing-home Care

Managing Resident-to-Resident Elder Mistreatment in Nursing Homes: The SEARCH Approach

Key Metaphors in the Sociology of Professions: Occupations as Hierarchies and Landscapes

Contact Info

Product

Resources

About