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探索就业对于家庭照顾者来说是一个喘息和抵抗的空间。

Exploring employment as a space of respite and resistance for family caregivers.

机构信息

Clear Pane Research Services, Guelph, Ontario, Canada.

Department of Geography, University of Guelph, Guelph, Ontario, Canada.

出版信息

Health Soc Care Community. 2019 Nov;27(6):1481-1489. doi: 10.1111/hsc.12819. Epub 2019 Aug 1.

Abstract

This paper challenges traditional definitions of work and leisure as separate concepts by suggesting that a space where individuals engage in employment (paid work) can, at the same time, be a space of respite (leisure) for employees who are also family caregivers. The research aims to better understand what caregivers perceive as ideal respite space, what that space means to them, how the space where employment takes place fits that ideal and what forces restrict caregivers' ability to engage with employment as a space of respite. The term space is used because a caregiver's presence in a particular space (inside or outside of a place) gives it meaning that is simultaneously social, political and emotional. We report on a qualitative intrinsic case study of primary caregivers who are both employed and providing care to relatives with dementia. Using a reflective iterative process, 12 participants were recruited and interviewed from two Canadian provinces in 2013/14. Using a non-temporal view of respite facilitated the identification of employment as an important space for caregivers to experience effective respite. Although this connection has been noted by other scholars, our research goes beyond this to identify four forces that create challenges for caregivers who want to maintain engagement with employment as a space of respite. These forces are internalised socialisation, family and organisational pressures and government policy. In addition, this research is one of the first to suggest ways that caregivers resist these forces. In concluding remarks, we reflect on the limitations of the study and offer suggestions for further research aimed at elucidating the spatiality of caregiver respite and the complex and dynamic aspects of resistance.

摘要

本文通过提出一个观点,即个体从事雇佣劳动(有薪工作)的场所,同时也可以成为员工(同时也是家庭照顾者)的休息空间,从而挑战了工作和休闲作为两个独立概念的传统定义。本研究旨在更好地理解照顾者如何看待理想的休息空间,该空间对他们意味着什么,雇佣劳动场所如何符合这一理想,以及哪些因素限制了照顾者将雇佣劳动场所作为休息空间的能力。之所以使用“空间”一词,是因为照顾者在特定空间(场所内或外)的存在赋予了其具有社会、政治和情感意义的内涵。我们报告了一项对主要照顾者的定性内在案例研究,这些照顾者既受雇又为患有痴呆症的亲属提供护理。在 2013/14 年期间,我们使用了一种非时间性的休息视角,从两个加拿大省份招募并采访了 12 名参与者。使用这种视角有助于确定雇佣劳动是照顾者体验有效休息的重要空间。尽管其他学者已经注意到这种联系,但我们的研究更进一步,确定了四个因素,这些因素给希望将雇佣劳动场所作为休息空间的照顾者带来了挑战。这些因素包括内化的社会化、家庭和组织压力以及政府政策。此外,这项研究首次提出了照顾者如何抵制这些力量的方法。在结论部分,我们反思了研究的局限性,并提出了进一步研究的建议,旨在阐明照顾者休息的空间性以及抵抗的复杂和动态方面。

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