Ness Tove Mentsen, Silan Wasiq
Nord University, Levanger, Norway.
University of Helsinki, Finland.
Glob Qual Nurs Res. 2023 Oct 16;10:23333936231202876. doi: 10.1177/23333936231202876. eCollection 2023 Jan-Dec.
In Taiwan an increasing number of families are employing live-in carers from abroad to cope with care responsibilities, including the Indigenous Tayal. The aim of this research was to understand the transition from Indigenous family carer to employer with older family members who have extensive care needs. Six Indigenous employers were interviewed, and a narrative hermeneutic analysis was performed. The Tayal caregivers' cases revealed that their transition to employing live-in carers was complex and filled with ethical dilemmas due to their vulnerable positions. They tried to ensure person-centered care for their family members, but by doing this they risked reproducing vulnerability when transferring their own vulnerability to the live-in carer. The results indicate the interwoven nature of care dependency when it is defined by multiple vulnerabilities, Indigeneity and migration, and the multifaceted components of cultural safety.
在台湾，越来越多的家庭雇佣来自国外的住家护理人员来应对护理责任，其中包括泰雅族原住民。本研究的目的是了解原住民家庭护理人员向雇主的转变，这些家庭中有需要大量护理的老年家庭成员。研究人员采访了六位原住民雇主，并进行了叙事诠释学分析。泰雅族护理人员的案例表明，由于他们的弱势地位，他们向雇佣住家护理人员的转变过程复杂且充满伦理困境。他们试图确保以家人为中心的护理，但这样做时，他们将自己的弱势转移到住家护理人员身上，从而有可能再次产生弱势情况。结果表明，当护理依赖由多种弱势、原住民身份和移民身份来界定时，其具有相互交织的性质，以及文化安全的多方面组成部分。
