Hermsen M A, Embregts P J C M, Hendriks A H C, Frielink N
Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg, The Netherlands; Kennisn@ Dichterbij, Ottersum, The Netherlands.
J Intellect Disabil Res. 2014 Mar;58(3):221-32. doi: 10.1111/j.1365-2788.2012.01638.x. Epub 2012 Oct 12.
Research has shown that care staff are not always able to offer quality care. Commercialisation and market forces within the care sector are often pointed to as an explanation for this shortcoming. In the present study, insight is gained into the possible connections between the commercialisation of care, on the one hand, and the shrinkage of possibilities and motivation to offer professional loving care, on the other hand, from the perspective of care staff working with people with mild intellectual disabilities.
Semi-structured qualitative interviews were conducted with 28 care staff working with people with mild intellectual disabilities. Scientific research methods were combined with normative ethical reflection to examine the internal morals of the care staff.
According to participating care staff, an affiliation with and recognition of the client form the basis for professional loving care. Care staff recognise that their profession is increasingly being built upon manageability and accountability, and this is making their jobs more difficult.
We conclude that care staff perceive the precedence given to the smooth running of production processes over investment in direct contact with clients to be a real threat to the quality of care. Concerns about declining motivation and loss of work satisfaction as a result of the commercialisation of care are only partly acknowledged by care staff. While shrinkage of space for professional loving care is recognised, one can hardly speak of declining motivation.
研究表明，护理人员并非总能提供高质量的护理。护理行业的商业化和市场力量常被视为这一缺陷的解释。在本研究中，从为轻度智力残疾者提供护理的护理人员的角度，探究了护理商业化一方面与提供专业关爱护理的可能性和动机的缩减另一方面之间可能存在的联系。
对28名照顾轻度智力残疾者的护理人员进行了半结构化定性访谈。将科学研究方法与规范性伦理反思相结合，以审视护理人员的内在道德。
参与访谈的护理人员表示，与服务对象建立联系并得到认可，是提供专业关爱护理的基础。护理人员认识到，他们的职业越来越基于可管理性和问责制，这使得他们的工作更加困难。
我们得出的结论是，护理人员认为生产流程的顺畅运行优先于对与服务对象直接接触的投入，这对护理质量构成了真正威胁。护理人员只是部分承认对护理商业化导致的工作积极性下降和工作满意度丧失的担忧。虽然认识到专业关爱护理的空间在缩减，但很难说工作积极性在下降。
