von Kutzleben Milena, Weßel Merle, Ulitsa Natalie, Nebowsky Anna-Eva, Ayalon Liat, Schweda Mark
Division for Prevention and Rehabilitation Research, Department for Health Services Research, School VI - Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Diversity Executive Department, Hannover, Germany.
Front Psychiatry. 2025 Jan 10;15:1453948. doi: 10.3389/fpsyt.2024.1453948. eCollection 2024.
In many industrialized countries, hiring a migrant live-in carer represents a promising solution to support families caring for an older person at home and to avoid institutionalization. Migrant live-in carers live in the household of the person in need of care and provide extensive care and social support. They usually come from geographic areas such as Eastern Europe or Southeast Asia. Due to often unclear legal regulations regarding labor and migration status, as well as contradicting expectations and entangled vulnerabilities within the triad of the person in need of care, the live-in carer, and the family, these live-in care arrangements are prone to a variety of moral conflicts that require ethical analysis. This article proposes a conceptual ethical framework for analyzing moral conflicts within live-in care arrangements. By recognizing and addressing these conflicts within the multi-level ethical framework, the ground for a triadic perspective is laid and the ethical discussion around live-in care for older people can be put on an empirical basis. This can help to inform counselling and support for these arrangements, as well as policy advice for ethical solutions and improved caregiving practices.
在许多工业化国家，雇佣一名住家护工是一种很有前景的解决方案，有助于支持家庭在家照顾老年人，并避免将老人送进养老院。住家护工住在需要照顾的人的家里，提供广泛的照料和社会支持。他们通常来自东欧或东南亚等地区。由于劳动和移民身份的法律法规往往不明确，以及在需要照顾的人、住家护工和家庭这三者之间存在相互矛盾的期望和错综复杂的脆弱性，这些住家护理安排容易引发各种道德冲突，需要进行伦理分析。本文提出了一个概念性的伦理框架，用于分析住家护理安排中的道德冲突。通过在多层次伦理框架内认识并解决这些冲突，奠定了三元视角的基础，围绕老年人住家护理的伦理讨论可以建立在实证基础之上。这有助于为这些安排提供咨询和支持，以及为伦理解决方案和改善护理实践提供政策建议。
