The Gerontology Institute and Department of Sociology, Georgia State University, Atlanta, USA.
Gerontologist. 2021 Feb 23;61(2):145-151. doi: 10.1093/geront/gnaa161.
The public health response to the current Coronavirus pandemic in long-term care communities, including assisted living, encompasses prohibiting visitors. This ban, which includes family members, has been criticized for being unfair, unhealthy, and unsafe. Against this backdrop, I examine the roles family play in residents' daily lives and care routines. I argue that classifying family as "visitors" rather than essential care partners overlooks their critical contributions and stems from taken-for-granted assumption about gender, families, and care work, and I demonstrate why families are more than visitors. Policies that ban family visits also reflect a narrow understanding of health that focuses on mitigating infection risk, but neglects overall health and well-being. This policy further stems from a limited comprehension of care relations. Research shows that banning family visits has negative consequences for residents, but also families themselves, and direct care workers. I argue that identifying ways to better understand and support family involvement is essential and demonstrate the utility of the Convoys of Care model for guiding the reconceptualization of family in long-term care research, policy, and practice during and beyond the pandemic.
公共卫生应对当前长期护理社区(包括辅助生活)中的冠状病毒大流行的措施包括禁止访客。这项禁令包括家庭成员,这一禁令被批评为不公平、不健康和不安全。在此背景下,我研究了家庭在居民日常生活和护理常规中的作用。我认为,将家庭归类为“访客”而不是必要的护理伙伴,忽视了他们的重要贡献,这源于对性别、家庭和护理工作的想当然的假设,我展示了为什么家庭不仅仅是访客。禁止家庭探访的政策也反映了一种狭隘的健康观念,这种观念侧重于降低感染风险,但忽视了整体健康和福祉。这项政策还源于对护理关系的理解有限。研究表明,禁止家庭探访对居民、家庭本身和直接护理人员都有负面影响。我认为,确定更好地理解和支持家庭参与的方法至关重要,并展示了关怀车队模式在大流行期间和之后指导长期护理研究、政策和实践中重新概念化家庭的实用性。