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关怀的道德:女性家庭照顾者照顾老年移民的动机

The Morality of Care: Female Family Caregivers' Motivations for Providing Care to Older Migrants.

作者信息

Shrestha Sunita, Arora Sanjana, Hunter Alistair, Debesay Jonas

机构信息

Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.

Centre for Intercultural Communication, VID Specialized University, Stavanger, Norway.

出版信息

Qual Health Res. 2025 Aug;35(9):992-1006. doi: 10.1177/10497323241280239. Epub 2024 Nov 5.

Abstract

Finding suitable long-term care arrangements for older migrants in Europe, including Norway, has been a major concern for healthcare policymakers in the last decade. However, many older people with migrant backgrounds, and to a certain extent their descendants, often prefer that care arrangements are managed within the family. Although caring for family members may be personally satisfying, it can also be a source of distress. This study explores the motivations of care among female family caregivers of older Pakistani migrants within the Norwegian Ahmadiyya community. Our data are derived from a qualitative study including individual and group interviews with 19 female family caregivers. The study participants were aged 25-62 and resided in Norway. The interviews were conducted in Urdu and English and later transcribed verbatim in English. Our findings resulted in four main themes regarding motivations for caregiving: (1) "Who else, if not the family?": care perceived as a family obligation; (2) The divine duty of caregiving; (3) Women are better at caregiving; and (4) "What will people say?": fear of judgments. The intersection of culture, religion, gender, and migration shaped caregiving as a moral practice, and those providing care were considered individuals with high moral identity. The moral identity assigned to the role of family caregivers appears to exacerbate rather than alleviate the care burden on women of migrant origin. Understanding the motivations for caregiving can shed light on ways in which better support can be provided to ethnic minority families with aging members.

摘要

在过去十年里,为包括挪威在内的欧洲老年移民寻找合适的长期护理安排一直是医疗政策制定者的主要关切。然而,许多有移民背景的老年人,以及在一定程度上他们的后代,往往更倾向于由家庭来管理护理安排。虽然照顾家庭成员可能会让人获得个人满足感,但这也可能成为困扰的根源。本研究探讨了挪威阿赫默迪亚社区中老年巴基斯坦移民的女性家庭照顾者的护理动机。我们的数据来自一项定性研究,包括对19名女性家庭照顾者进行的个人访谈和小组访谈。研究参与者年龄在25岁至62岁之间,居住在挪威。访谈用乌尔都语和英语进行,之后逐字转录成英文。我们的研究结果产生了关于护理动机的四个主要主题:(1)“若非家人,更待何人?”:护理被视为家庭义务;(2)护理的神圣职责;(3)女性更擅长护理;(4)“人们会怎么说?”:害怕受到评判。文化、宗教、性别和移民的相互交织将护理塑造为一种道德实践,提供护理的人被视为具有高度道德认同感的个体。赋予家庭照顾者角色的道德认同感似乎加剧而非减轻了移民女性的护理负担。了解护理动机有助于揭示如何为有老年成员的少数族裔家庭提供更好的支持。

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