Unpaid Work in Nursing Homes: Flexible Boundaries

Front Cover
Half-title
Unpaid Work in Nursing Homes: Flexible Boundaries
Copyright information
Table of contents
Notes on contributors
Acknowledgements
1 Introduction: framing and comparing unpaid care work
	The guiding theory
	The evidence
	The context for unpaid care
		Normative frameworks
		Funding and ownership
		Staffing
	Inside nursing homes
	Implications for unpaid work in nursing homes
	References
2 Accessing nursing home care: family members’ unpaid care work in Ontario and Sweden
	Nursing home care systems in Ontario and Sweden
	Trying to manage at home
	Trigger points
	Navigating the system
	The change after the move
	Structural features shaping unpaid care work
	References
3 Body-work-that-isn’t: supporting nursing home residents’ autonomy in self-care and sexual expression
	An Ontario vignette: Joe’s socks, negotiating regulations and staffing constraints
		Analysis of Joe’s case
	A Swedish vignette: Anna’s shower, negotiating dementia, and time to problem-solve
		Analysis of Anna’s case
	Bodily care includes sexual expression
	An Ontario vignette: Elsbeth’s sex life and negotiating consent
		Analysis of Elsbeth’s case
	Body-work-that-isn’t: what matters?
	Notes
	References
4 “They make the difference between survival and living”: social activities and social relations in long-term residential care
	Gaining knowledge of residents’ past lives and interests
	Bringing outside interests into nursing homes
	Encouraging friendships
	The pleasure of intergenerational activities
	Getting residents out of their rooms
	The shift from paid to unpaid work
	References
5 Residents who care: rethinking complex care and disability relations in Ontario nursing homes
	Care work, social bonds and the resident who said “no”: situating residents’ embodied practices and possibilities
	Concluding remarks
	References
6 Family workers: the work and working conditions of families in nursing homes
	The multiple forms of family workers’ unpaid work
		Personalising care
		Coordinating care
		Advocating for change
	On paper: narrow depiction of working conditions
		How are families discussed?
		What is missing?
	Conditions of work and care
		Family and staff perceptions of family work
		Putting family workers’ rights and protections on the agenda
		Promising practices and a politicised conception of family work
	Improving the conditions of care for both staff and family workers
	Notes
	References
7 Staff perspectives on families’ unpaid work in care homes
	Different physical environments and staffing conditions
	Different frameworks for families
	Different family work roles
	The first encounter between staff and families
	Increased presence of families
	Handling tensions with families
	Context matters!
	References
8 Contextual conditions and social mechanisms in rural communities and care homes
	Theoretical framework
	Method and data
	Geographical conditions
		Visits from family and friends
		Access to services, competences and staff
	Fluidity of private and professional spheres in rural communities
		Sense of community and transparency
		Prior knowledge as a catalyst for interaction
		Up- and downsides of shared knowledge
	Unpaid work of family and staff
		More unpaid work by staff in rural areas?
	Rural homes offer both a safety net and surveillance
	Policy implications
	References
9 Bringing the outside in and the inside out: the role of institutional boundaries in nursing homes
	A case from Western Norway
	Norwegian nursing homes
	Relations with the wider community: physical and social surroundings
	The nursing home cases
		The rebuilt nursing home
		Boundaries between inside and outside
		Bringing the inside out
		Bringing the outside in
		Where outside is inside and the inside is embedded in the outside
	Nursing homes in the community and wider society
	Removing the brackets from around nursing homes
	References
10 Conclusion: a labour of love is still labour
Index