• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

构建歧视权利:长期护理健康设施员工之间的比较。

Constructing Discrimination Rights: Comparisons Among Staff in Long-Term Care Health Facilities.

机构信息

School of Social Welfare, University of California, Berkeley, California, USA.

出版信息

Gerontologist. 2023 Jun 15;63(5):900-909. doi: 10.1093/geront/gnac152.

DOI:10.1093/geront/gnac152
PMID:36183258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10268581/
Abstract

BACKGROUND AND OBJECTIVES

Despite increased attention to racial and gender justice in the workplace in recent years, discrimination complaints remain vastly underreported. Building on legal consciousness theory-which explains how individuals invoke (or do not invoke) legal principles to define everyday experiences-this study examines how long-term care facility staff understand experiences of discrimination by residents and why staff fails to report discrimination.

RESEARCH DESIGN AND METHODS

This qualitative comparative study uses in-depth semistructured ethnographic interviews to compare experiences among facility staff (n = 80) at three levels (floor staff, mid-management, and upper-management). The qualitative content analysis incorporated both inductive and deductive coding approaches.

RESULTS

Findings reveal extensive unreported instances of discrimination from residents. Staff at all levels rarely invoked discrimination concepts to describe interactions between residents and staff. Floor staff framed residents' discriminatory behavior as a condition of employment or attributed resident behavior to their health or cognitive status. Mid-management framed experiences around staff safety. Upper-management acknowledged staff rights without invoking discrimination rhetoric.

DISCUSSION AND IMPLICATIONS

By avoiding naming experiences as discrimination and blaming residents, most floor staff never reached the claiming process that would result in a report or complaint of discrimination. Managers' framings also shaped how front-line staff and managers named, blamed, and claimed experiences of discrimination and help explain why staff may be hesitant to report discrimination by residents. These findings suggest the need for new and targeted policy and practice approaches that address the nuances accompanying how staff understands workplace experiences as discrimination.

摘要

背景和目的

尽管近年来人们越来越关注工作场所中的种族和性别公正,但歧视投诉仍然严重不足。本研究基于法律意识理论——该理论解释了个体如何援引(或不援引)法律原则来定义日常经验——探讨了长期护理机构工作人员如何理解居民的歧视经历,以及为什么工作人员未能报告歧视。

研究设计和方法

这项定性比较研究使用深入的半结构化民族志访谈,比较了三个层次(楼层工作人员、中层管理人员和高层管理人员)的设施工作人员(n=80)的经验。定性内容分析采用了归纳和演绎编码方法。

结果

研究结果揭示了居民广泛存在但未报告的歧视事件。各层次的工作人员很少援引歧视概念来描述居民与工作人员之间的互动。楼层工作人员将居民的歧视行为视为就业条件,或将居民的行为归因于他们的健康或认知状况。中层管理人员将经验围绕工作人员的安全展开。高层管理人员承认工作人员的权利,但不援引歧视言论。

讨论和影响

通过避免将经验命名为歧视并指责居民,大多数楼层工作人员从未进入到导致报告或投诉歧视的主张过程。经理的框架也塑造了一线工作人员和经理如何命名、指责和主张歧视经验,并有助于解释为什么工作人员可能不愿意报告居民的歧视行为。这些发现表明,需要新的和有针对性的政策和实践方法,以解决与工作人员如何将工作场所经验理解为歧视相关的细微差别。

相似文献

1
Constructing Discrimination Rights: Comparisons Among Staff in Long-Term Care Health Facilities.构建歧视权利:长期护理健康设施员工之间的比较。
Gerontologist. 2023 Jun 15;63(5):900-909. doi: 10.1093/geront/gnac152.
2
Navigating Religious Refusal to Nursing Home Care for LGBTQ+ Residents: Comparisons Between Floor Staff and Managers.为 LGBTQ+ 居民规避养老院护理的宗教拒绝:楼层员工与经理的比较。
J Gerontol B Psychol Sci Soc Sci. 2024 Sep 1;79(9). doi: 10.1093/geronb/gbae122.
3
Experiences of recently relocated residents of a long-term care facility in Ontario: assessing quality qualitatively.安大略省一家长期护理机构近期搬迁居民的经历:定性评估质量。
Int J Nurs Stud. 2007 Jan;44(1):47-57. doi: 10.1016/j.ijnurstu.2005.11.022. Epub 2006 Jan 18.
4
Nursing staff interactions during the older residents' transition into long-term care facility in a nursing home in rural Norway: an ethnographic study.挪威农村一家养老院中,老年居民向长期护理机构过渡期间护理人员的互动:一项人种志研究。
BMC Health Serv Res. 2015 Mar 29;15:125. doi: 10.1186/s12913-015-0818-z.
5
Examining Racial and Ethnic Disparities Among Older Adults in Long-Term Care Facilities.探讨长期护理机构中老年人的种族和民族差异。
Gerontologist. 2021 Aug 13;61(6):858-869. doi: 10.1093/geront/gnab035.
6
'I accept it [staff assistance]; no choice': an ethnographic study of residents' attitudes towards mobility within nursing homes.“我接受(工作人员的帮助);别无选择”:一项关于居民对养老院内部流动性态度的民族志研究。
Int J Older People Nurs. 2014 Dec;9(4):258-68. doi: 10.1111/opn.12029. Epub 2013 Apr 26.
7
Being flexible and tuning in: professional caregivers' reflections on management of violent behaviour in nursing homes.灵活应变与关注:专业照护者对养老院中暴力行为管理的反思。
Int J Older People Nurs. 2013 Dec;8(4):290-8. doi: 10.1111/opn.12005. Epub 2012 Oct 10.
8
Challenges in Caring for Unbefriended Residents in Long-term Care Homes: A Qualitative Study.关爱长期护理院无亲友居民的挑战:一项定性研究。
J Gerontol B Psychol Sci Soc Sci. 2020 Oct 16;75(9):2050-2061. doi: 10.1093/geronb/gbaa079.
9
Older care home residents' and their relatives' knowledge, understanding and views of shift handovers: an exploratory, focused-ethnographic qualitative study using interviews and observations.养老院老年人及其亲属对交接班的知识、理解和看法:使用访谈和观察的探索性、重点民族志定性研究。
BMJ Open. 2019 Dec 10;9(12):e032189. doi: 10.1136/bmjopen-2019-032189.
10
Perspectives of residents and staff regarding food choice in residential aged care: A qualitative study.居民和工作人员对养老机构食品选择的看法:一项定性研究。
J Clin Nurs. 2020 Feb;29(3-4):626-637. doi: 10.1111/jocn.15115. Epub 2019 Dec 11.

引用本文的文献

1
Resilience and Aging Among Black Gay and Bisexual Older Men.黑人男同性恋和双性恋老年男性的复原力与衰老
Int J Environ Res Public Health. 2025 Aug 6;22(8):1226. doi: 10.3390/ijerph22081226.
2
Aging and Mentorship in the Margins: Multigenerational Knowledge Transfer Among LGBTQ+ Chosen Families.边缘群体中的老龄化与导师指导:LGBTQ+ 选择家庭中的多代知识传承
J Gerontol B Psychol Sci Soc Sci. 2025 May 8;80(6). doi: 10.1093/geronb/gbaf027.
3
The unmet need for mental health support among persons with disabilities in Somalia: Principal correlates and barriers to access.索马里残疾人心理健康支持方面未得到满足的需求:主要相关因素及获取障碍。
Glob Ment Health (Camb). 2024 May 24;11:e73. doi: 10.1017/gmh.2024.66. eCollection 2024.

本文引用的文献

1
Using theory in health professions education research: a guide for early career researchers.健康职业教育研究中的理论运用:初出茅庐的研究者指南
BMC Med Educ. 2022 Aug 4;22(1):601. doi: 10.1186/s12909-022-03660-9.
2
Barriers and facilitators to infection prevention and control in Dutch residential care facilities for people with intellectual and developmental disabilities: A theory-informed qualitative study.荷兰智障和发育障碍人士护理院感染预防和控制的障碍和促进因素:一项基于理论的定性研究。
PLoS One. 2021 Oct 29;16(10):e0258701. doi: 10.1371/journal.pone.0258701. eCollection 2021.
3
Addressing Systemic Racism in Nursing Homes: A Time for Action.解决养老院中的系统性种族主义问题:是时候采取行动了。
J Am Med Dir Assoc. 2021 Apr;22(4):886-892. doi: 10.1016/j.jamda.2021.02.023. Epub 2021 Mar 26.
4
Certified Nursing Assistants' Perceived Workplace Violence in Long-Term Care Facilities: A Qualitative Analysis.长期护理机构中认证护理助理所感知到的工作场所暴力:一项定性分析。
Workplace Health Saf. 2021 Aug;69(8):366-374. doi: 10.1177/2165079920986159. Epub 2021 Jan 29.
5
Capabilities for Physical Activity by Turkish- and Russian-Speaking Immigrants Aged 65 Years and Older in Germany: A Qualitative Study.德国65岁及以上讲土耳其语和俄语的移民的身体活动能力:一项定性研究
J Aging Phys Act. 2020 Jan 8;28(4):567-579. doi: 10.1123/japa.2018-0446. Print 2020 Aug 1.
6
Exploring social-based discrimination among nursing home certified nursing assistants.探索养老院注册护士助理中的基于社会的歧视现象。
Nurs Inq. 2020 Jan;27(1):e12315. doi: 10.1111/nin.12315. Epub 2019 Aug 9.
7
A critical realist exploration of the vulnerability of staff to sexual harassment in residential long-term care.从批判现实主义视角探究长期居住型养老护理中员工易受性骚扰影响这一现象。
Soc Sci Med. 2019 Oct;238:112356. doi: 10.1016/j.socscimed.2019.112356. Epub 2019 Jun 8.
8
Tiredness of Life in Older persons: A Qualitative Study on Nurses' Experiences of Being Confronted With This Growing Phenomenon.老年人的生活疲惫:一项关于护士面对这一日益增长现象的经验的定性研究。
Gerontologist. 2020 May 15;60(4):735-744. doi: 10.1093/geront/gnz088.
9
Effect of Nurses' Emotional Labor on Customer Orientation and Service Delivery: The Mediating Effects of Work Engagement and Burnout.护士情绪劳动对以客户为导向和服务提供的影响:工作投入和职业倦怠的中介作用。
Saf Health Work. 2018 Dec;9(4):441-446. doi: 10.1016/j.shaw.2017.12.001. Epub 2017 Dec 9.
10
The Intersectionality of Stigmas among Key Populations of Older Adults Affected by HIV: a Thematic Analysis.老年 HIV 感染者中主要人群的污名交叉现象:主题分析。
Clin Gerontol. 2019 Mar-Apr;42(2):137-149. doi: 10.1080/07317115.2018.1456500. Epub 2018 Apr 4.