Moen Phyllis, DePasquale Nicole
University of Minnesota, USA.
Pennsylvania State University, USA.
Int J Care Caring. 2017 Mar;1(1):45-62. doi: 10.1332/239788217X14866284542346.
This article addresses the need for policy-relevant research agendas on family care in transaction with formal care and public as well as organisational norms and policies in light of the crisis in caregiving for older adults. We propose a combined institutional and life-course theoretical approach, suggesting seven ways of organising scholarly enquiry to promote understanding of the changing nature of family care in the 21st century, inform policymakers' efforts at supporting family caregivers and improve caregivers' and care recipients' quality of life. These include: (1) moving beyond snapshots of individuals; (2) conducting comparative cross-cultural and crosscohort analyses; (3) documenting social heterogeneity, vulnerability and inequality; (4) capturing individuals' and families' adaptive strategies and cycles of control during the caregiving process; (5) investigating policy innovations and natural experiments; (6) assessing third parties as mediating institutions between regulatory environments and caregiving families; and (7) attending to the subjective meanings of care.
鉴于老年人护理危机，本文探讨了制定与政策相关的家庭护理研究议程的必要性，该议程涉及家庭护理与正式护理、公共以及组织规范和政策之间的相互关系。我们提出了一种将制度理论和生命历程理论相结合的方法，建议通过七种方式组织学术探究，以促进对21世纪家庭护理性质变化的理解，为政策制定者支持家庭护理人员的努力提供信息，并提高护理人员和护理接受者的生活质量。这些方式包括：（1）超越对个体的即时观察；（2）进行比较性跨文化和跨队列分析；（3）记录社会异质性、脆弱性和不平等；（4）捕捉个体和家庭在护理过程中的适应策略和控制周期；（5）研究政策创新和自然实验；（6）评估第三方作为监管环境与护理家庭之间的中介机构；（7）关注护理的主观意义。
