Pirhonen Jari
School of Health Sciences and Gerontology Research Center, University of Tampere, Tampere, Finland.
Nurs Philos. 2015 Jan;16(1):29-39. doi: 10.1111/nup.12057. Epub 2014 Mar 11.
The ageing populations of the Western world present a wide range of economic, social, and cultural implications, and given the challenges posed by deteriorating maintenance ratios, the scenario is somewhat worrying. In this paper, I investigate whether Martha C. Nussbaum's capabilities approach could secure dignity for older people in long-term care, despite the per capita decreases in resources. My key research question asks, 'What implications does Nussbaum's list of central human capabilities have for practical social care?' My methodology combines Nussbaum's list with ethnographic data gathered from a Finnish sheltered home for older people. On the basis of this study, it seems that the capabilities approach is a plausible framework for the ethics of care because it highlights differences in the ability to function and thus differences in opportunities to pursue a good life. The ideas presented in this article could assist social policy planners and executives in creating policies and practices that help old people to maintain their dignity until the end of their days.
西方世界的人口老龄化带来了广泛的经济、社会和文化影响,鉴于赡养率下降带来的挑战,这种情况有些令人担忧。在本文中,我研究了玛莎·C·努斯鲍姆的能力方法能否在资源人均减少的情况下确保长期护理中的老年人享有尊严。我的关键研究问题是:“努斯鲍姆的核心人类能力清单对实际社会护理有何影响?”我的研究方法将努斯鲍姆的清单与从芬兰一家老年人庇护所收集的人种志数据相结合。基于这项研究,能力方法似乎是护理伦理的一个合理框架,因为它突出了功能能力的差异,从而也突出了追求美好生活机会的差异。本文提出的观点可以帮助社会政策规划者和执行者制定政策和实践,以帮助老年人在生命终结前保持尊严。