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探索丹麦家庭护理领域的限时护理模式

Navigating the field of temporally framed care in the Danish home care sector.

作者信息

Tufte Pernille, Dahl Hanne Marlene

机构信息

Department of Society and Globalisation, Roskilde University, Denmark.

出版信息

Sociol Health Illn. 2016 Jan;38(1):109-22. doi: 10.1111/1467-9566.12343. Epub 2015 Oct 16.

Abstract

The organisational and temporal framing of elderly care in Europe has changed in the wake of new public management reforms and standardised care services, the strict measurement of time and work schedules have become central aspects of care work. The article investigates the crafting of care in this framing: how care workers approach the services specified in their rotas and navigate between needs, demands and opportunities in the daily performance of duties. Applying feminist theory on time and anthropological theory on social navigation, it examines the practice of home care work in two Danish municipalities. Data are derived predominantly from participant observation. The article identifies two overarching temporal dilemmas in different home care situations: one where process time prevails over clock time and another where the care workers balance the two. Focusing on how care workers respond to these dilemmas in practice, the article identifies various navigation tactics, including leaving time outside, individualised routinisation, working on different paths simultaneously and postponing tasks. By assessing care workers' performance in the temporal framing of work and focusing on care workers' mediation between different time logics, this study provides an in-depth perspective on the broader feminist literature on the dilemmas of care.

摘要

在新公共管理改革和标准化护理服务之后,欧洲老年护理的组织和时间框架发生了变化,严格的时间计量和工作时间表已成为护理工作的核心方面。本文探讨了在此框架下护理的构建方式:护理人员如何处理轮班表中规定的服务,并在日常履行职责时在需求、要求和机会之间进行权衡。运用女性主义时间理论和社会导航的人类学理论,研究了丹麦两个市镇的家庭护理工作实践。数据主要来自参与观察。本文识别出不同家庭护理情境中的两个总体时间困境:一个是过程时间优先于时钟时间,另一个是护理人员在两者之间进行平衡。通过关注护理人员在实践中如何应对这些困境,本文识别出各种导航策略,包括留出外部时间、个性化常规化、同时在不同路径上工作以及推迟任务。通过评估护理人员在工作时间框架内的表现,并关注护理人员在不同时间逻辑之间的调解,本研究为关于护理困境的更广泛女性主义文献提供了深入视角。

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