The need for flexibility when negotiating professional boundaries in the context of home care, dementia and end of life
Dados Bibliográficos
| ID | 11200546 |
|---|---|
| Autores | Ruth Abrams (0000-0002-2974-7859, Kingston University, autor correspondente), Tushna Vandrevala (0000-0002-1140-8445, Kingston University), Kritika Samsi (0000-0001-5961-6086, King's College London), Jill Manthorpe (0000-0001-9006-1410, King's College London) |
| Ano | 2019 |
| Volume | 39 |
| Fascículo | 9 |
| Páginas | 1976-1995 |
| Data de publicação | 2019-09-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Ageing and Society (JOURNAL) |
| Identificadores do periódico | ISSN: 0144-686X • E-ISSN: 1469-1779 |
| Editora | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s0144686x18000375 |
| OpenAlex | W2796670080 |
| Idioma | EN |
| Citações recebidas | 15 |
| Referências citadas | 21 |
Professional boundaries may help care staff to clarify their role, manage risk and safeguard vulnerable clients. Yet there is a scarcity of evidence on how professional boundaries are negotiated in a non-clinical environment ( e.g. the home) by the home-care workforce in the context of complex care needs ( e.g. dementia, end-of-life care). Through analysis of semi-structured interviews, we investigated the experiences of home-care workers (N = 30) and their managers (N = 13) working for a range of home-care services in the South-East and London regions of England in 2016–17. Findings from this study indicate that home-care workers and their managers have clear perceptions of job role boundaries, yet these are modified in dementia care, particularly at end of life which routinely requires adaptability and flexibility. As a lone worker in a client's home, there may be challenges relating to safeguarding and risk to both clients and workers. The working environment exacerbates this, particularly during end-of-life care where emotional attachments to both clients and their family may affect the maintenance of professional boundaries. There is a need to adopt context-specific, flexible and inclusive attitudes to professional boundaries, which reconceptualise these to include relational care and atypical workplace conventions. Pre-set boundaries which safeguard clients and workers through psychological contracts may help to alleviate to some extent the pressure of the emotional labour undertaken by home-care workers
Business · Context (archaeology) · Dementia · Disease · Flexibility (engineering) · Management · Negotiation · Political science · Professional boundaries · Public relations · Safeguarding · Sociology · Workforce · Emotional Labor in Professions · Employment and Welfare Studies · Geriatric Care and Nursing Homes · Medicine · Nursing · Psychology
Between breaking and restoring boundaries
Confronting power in low places
Working with colleagues and other professionals when caring for people with dementia at the end of life
Combining professionalization and personalization in English long-term care
Accessing community dementia care services in Ireland
Home‐care workers' experiences of assisting people with dementia with their personal care
Navigating professional boundaries
Understanding Safeguarding for People Living with Dementia
An Ethnographic Exploration of Social‐Ecological Influences on Physical Activity in Care Homes for Older People
Risks and risk mitigation in homecare for people with dementia—A two‐sided matter
Caring for people with dementia in their own homes
Right at home
Citizens with a caregiving experience in the past year are more likely to participate in neighbourhood activities regarding serious illness, death or loss
Facilitating inter-professional integration in palliative care
Social Relationships in Nurses' Caring of Adolescents and Emerging Adults With Life-Limiting Illnesses or Injuries
The Managed Heart
The role of healthcare support workers in providing palliative and end-of-life care in the community
The shared experience of caring
Independence’ among older people receiving support at home
The Boundaries of the Social Work Relationship Revisited
Boundary Issues in Social Work
A critical examination of home care
The struggle to improve patient care in the face of professional boundaries
| Obras citantes distintas | 15 |
|---|---|
| Citações por ano | 2,14 |
| Intervalo de citações | 2019 - 2026 (8) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 15 |