Abma Tineke A, Baur Vivianne
Department of Medical Humanities, Emgo+ Research Institute for Health and Primary Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands,
Health Care Anal. 2014 Dec;22(4):366-84. doi: 10.1007/s10728-012-0222-3.
Participation of older people in designing and improving the care and services provided in residential care settings is limited. Traditional forms of democratic representation, such as client councils, and consumer models are management-driven. An alternative way of involving older people in the decisions over their lives, grounded in notions of care ethics and deliberative democracy, was explored by action research. In line with this tradition older people engage in collective action to enhance the control over their lives and those of others. In this article the theoretical background of altruistic action is presented and illustrated by a case example of a group of older women who changed the food policies within their residential home. Altruistic action is the joint and coordinated action by a group of clients based on their agenda. Such action is given in by a shared dissatisfaction and search for connections. Altruistic action may enhance the sense of self, belonging and ownership, and create a transformative movement enhancing the wellbeing and community life in residential settings.
老年人参与设计和改进寄宿护理机构所提供的护理和服务的程度有限。传统的民主代表形式，如客户委员会，以及消费者模式都是由管理层驱动的。行动研究探索了一种基于关怀伦理和协商民主理念，让老年人参与决定自己生活的替代方式。按照这一传统，老年人参与集体行动以增强对自己及他人生活的掌控。本文介绍了利他行动的理论背景，并通过一群老年女性改变其寄宿家庭食物政策的案例进行说明。利他行动是一群客户基于自身议程采取的联合与协调行动。这种行动源于共同的不满和对联系的探寻。利他行动可能会增强自我意识、归属感和主人翁意识，并引发一场变革运动，提升寄宿环境中的幸福感和社区生活质量。
