Power, empowerment, and person-centred care: Using ethnography to examine the everyday practice of unregistered dementia care staff
dc.contributor.author | Schneider, Justine | |
dc.date.accessioned | 2017-11-01T15:46:04Z | |
dc.date.available | 2017-11-01T15:46:04Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Scales, K., Bailey, S., Middleton, J. & Schneider, J. (2017). Power, empowerment, and person-centred care: Using ethnography to examine the everyday practice of unregistered dementia care staff. Sociology of Health and Illness, 39 (2), pp.227-243. | en |
dc.identifier.other | 10.1111/1467-9566.12524 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/8135 | |
dc.description.abstract | The social positioning and treatment of persons with dementia reflects dominant biomedical discourses of progressive and inevitable loss of insight, capacity, and personality. Proponents of person-centred care, by contrast, suggest that such loss can be mitigated within environments that preserve rather than undermine personhood. In formal organisational settings, person-centred approaches place particular responsibility on ‘empowered’ direct-care staff to translate these principles into practice. These staff provide the majority of hands-on care, but with limited training, recognition, or remuneration. Working within a Foucauldian understanding of power, this paper examines the complex ways that dementia care staff engage with their own ‘dis/empowerment’ in everyday practice. The findings, which are drawn from ethnographic studies of three National Health Service (NHS) wards and one private care home in England, are presented as a narrative exploration of carers’ general experience of powerlessness, their inversion of this marginalised subject positioning, and the related possibilities for action. The paper concludes with a discussion of how Foucault's understanding of power may help define and enhance efforts to empower direct-care staff to provide person-centred care in formal dementia care settings. (PsycINFO Database Record (c) 2017 APA, all rights reserved) (Source: journal abstract) | en |
dc.description.uri | http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12524/abstract;jsessionid=CCEFA680AF08F2B81F54D46FF86D9CDD.f02t02 | |
dc.subject | Dementia | en |
dc.subject | Attitude of health personnel | en |
dc.subject | Allied health personnel | en |
dc.title | Power, empowerment, and person-centred care: Using ethnography to examine the everyday practice of unregistered dementia care staff | en |
dc.type | Article |