Baur Vivianne, Abma Tineke, Baart Ingrid
Department of Medical Humanities, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherland,
Health Care Anal. 2014 Sep;22(3):272-91. doi: 10.1007/s10728-012-0203-6.
Client participation in elderly care organizations requires shifting traditional power relations and establishing communicative action that involves the lifeworlds of clients and professionals alike. This article describes a particular form of client participation in which one client was part of a team of professionals in a residential care home. Their joint remit was to plan the implementation of a new personal care file for residents. We describe the interactions within this team through an ethnodrama, based on participant observations and the embodied presence of the researcher (first author). The narratives and voices of all team members are dramatized in this ethnodrama. Throughout the project the team members experienced confusion relating to the confrontation between lifeworld and system, as experienced by the client and professionals in the team. We analyze these tensions by making use of a Habermasian theoretical framework. We conclude that forms for collective client participation in residential care homes should be developed based on communicative action between clients and professionals, with room for emotional engagement.
老年人护理机构中的客户参与需要转变传统的权力关系，并建立涉及客户和专业人员生活世界的交往行动。本文描述了一种特殊形式的客户参与，其中一名客户是一家养老院专业团队的一员。他们的共同职责是为居民规划实施新的个人护理档案。我们通过一部民族志戏剧来描述这个团队内部的互动，这部戏剧基于参与观察以及研究者（第一作者）的亲身参与。所有团队成员的叙述和声音都在这部民族志戏剧中得以展现。在整个项目过程中，团队成员都经历了与生活世界和系统之间的冲突相关的困惑，这是团队中的客户和专业人员都体验到的。我们利用哈贝马斯的理论框架来分析这些紧张关系。我们得出结论，应基于客户与专业人员之间的交往行动，并为情感投入留出空间，来发展集体客户参与养老院护理的形式。
