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Strategies to handle the challenges of intimacy in nighttime home care services
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-1456-1207
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-1666-0639
2017 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 20, no 2, 219-230 p.Article in journal (Refereed) Published
Abstract [en]

The provision of intimate and personal care constitutes a challenge for both careworkers and care recipients and is still a neglected area of research. An observational study of the interaction between the careworkers and care recipients in night-time home care services was conducted in a large municipality in Sweden. The results were analysed in light of previous research and theorising on strategies for handling intimacy in intimate care. The study highlights what appears to be a tension between the ways in which the recipient of care is conceptualised as an active consumer of care in present-day guidelines and the strategies chosen on the part of both caregivers and care recipients, when intimacy and integrity is most at stake, and framed as it is by the care recipients' situation of dependency and vulnerability. Home care services night-time was shown to be a case that markedly differs from many other settings of intimate care, but in the interactional routines intimate care came forth as a smooth and minimally obtrusive activity. The careworkers and care recipients engaged in strategies such as disattention, eye-discipline, middle-distance orientation, and objectification, thereby serving the purpose of balancing the transgressions of thresholds of intimacy.

Abstract [sv]

Intim hjälp och omsorg i hemtjänsten innebär en utmaning för både omsorgstagare och omsorgsgivare och utgör ett eftersatt forskningsområde. Artikeln presenterar resultat från en observationsstudie av interaktionen mellan omsorgsgivare och omsorgstagare i en nattlig hemtjänstverksamhet i en större kommun i Sverige. Resultaten har analyserats i förhållande till tidigare forskning och teoretiska studier vad gäller hur intimitet hanteras i omsorg och vård. Den intima hjälp och omsorg som utförs på natten inom hemtjänsten skiljer sig markant från den omsorg som utförs dagtid, liksom inom ramen för andra institutioner. Så väl objektifierande som distanserande strategier påvisades i samspelet mellan omsorgsgivare och omsorgstagare. Strategierna bidrog till att i viss mån balansera de nödvändiga överträdelser av intimitetsgränser som gavs av omsorgstagarnas situation av utsatthet, beroende och sårbarhet. Resultaten står i bjärt kontrast till framställningen av omsorgstagaren som en 'aktiv konsument' i dagens riktlinjer.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. Vol. 20, no 2, 219-230 p.
Keyword [en]
Intimate care, framing, home care services, participant observation, night-time
Keyword [sv]
Intim omsorg, framing, hemtjänst, deltagande observation, nattetid
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-111965DOI: 10.1080/13691457.2016.1188779ISI: 000395162500007OAI: oai:DiVA.org:umu-111965DiVA: diva2:874493
Funder
Swedish Research Council, 2007-7231
Note

Strategier för att hantera intimitetens utmaningar nattetid i hemtjänsten

Published online 28 Jun 2016

Available from: 2015-11-27 Created: 2015-11-27 Last updated: 2017-05-12Bibliographically approved

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Andersson, KatarinaKalman, Hildur
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CiteExportLink to record
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Citation style
  • apa
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Output format
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