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Perceptions of intimacy and integrity in formal home care: [Föreställningar om intimitet och integritet i hemtjänst och personlig assistans]
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-0925-0340
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0001-9590-777x
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
2023 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 26, no 5, p. 828-839Article in journal (Refereed) Published
Abstract [en]

Sweden has a long tradition of providing social care and support to its citizens in their own homes through formal home care, delivered either by home care services or personal assistance. A majority of people given support by formal home care need assistance with personal and intimate care. The focus of this interview study was on exploring care recipients’, care workers’, personal assistants’ and care unit managers’ perceptions and experiences of intimate and personal care in the context of formal home care in Sweden. In total, 57 interviews were conducted with 42 persons. Three themes emerged in the analysis: Personal Hygiene, Personal Sphere, and The Contextual Variability of Intimacy. Interviewees described intimate care as being inseparable from a person’s service needs as a whole. Highlighted was how caring for and washing intimate body parts, intrusion into recipients’ personal spheres, and the need to preserve integrity vary depending on situational, temporal and relational aspects. To safeguard the care recipient’s influence, integrity and dignity in the reception/provision of care work, home care services and personal assistance, it is important to raise awareness of the variation in perceptions of intimate and personal care in education and inhouse training.

Abstract [sv]

I Sverige får ett stort antal sköra äldre och personer med funktionsnedsättning omsorg i hemmet, i form av hemtjänst och/eller personlig assistans. För majoriteten av omsorgsmottagare utgör personlig och intim omsorg både ett centralt och vardagligt inslag i verksamheterna. Fokus för denna intervjustudie var att undersöka omsorgsmottagares, omsorgspersonals och enhetschefers uppfattning om och erfarenheter av personlig och intim omsorg i hemtjänst och personlig assistans. Totalt genomfördes 57 intervjuer med 42 personer. Tre övergripande teman framkom i analysen; personlig hygien, personlig sfär och kontextuell variation av intimitet. Intervjupersonerna beskriver personlig och intim omsorg som något som inte går att separera från behovet av omsorg som helhet. Analysen visar hur intim omsorg och överträdelser av omsorgsmottagarens personliga sfär, samt behovet av att trygga omsorgsmottagarens integritet, varierar beroende på situationella, temporala och relationella aspekter. För att säkra omsorgstagares inflytande, integritet och värdighet i samband med omsorgsarbete, är det viktigt att i utbildning och inskolning skapa en ökad medvetenhet om olikheter och variationer i uppfattningar av vad som räknas som personligt och intimt i hemtjänst och personlig assistans.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023. Vol. 26, no 5, p. 828-839
Keywords [en]
Intimate and personal care, formal home care, home care services, personal assistance, integrity and dignity
Keywords [sv]
Intim och personlig omsorg, formell hemtjänst, personlig assistans, integritet och värdighet
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-199052DOI: 10.1080/13691457.2022.2113862ISI: 000844098800001Scopus ID: 2-s2.0-85136604104OAI: oai:DiVA.org:umu-199052DiVA, id: diva2:1692355
Funder
The Kamprad Family FoundationAvailable from: 2022-09-01 Created: 2022-09-01 Last updated: 2023-09-04Bibliographically approved

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Ahnlund, PetraLövgren, VeronicaAndersson, KatarinaKalman, Hildur

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