학술논문

Bringing the outside in and the inside out: the role of institutional boundaries in nursing homes
Document Type
Book
Source
Unpaid Work in Nursing Homes: Flexible Boundaries. :113-126
Subject
Language
Abstract
This chapter offers an analysis based on ethnographic research in six Norwegian nursing homes with different degrees and forms of integration into local communities, with community understood as the local neighbourhood, a village or a city. It is also informed by fieldwork carried out in nursing homes in Canada, the UK, the US and Sweden, adding an international, comparative dimension to our analysis. COVID-19 has made clear the urgent necessity of opening up nursing homes, in Norway and elsewhere. This unbracketing furthermore implies opening up for wider social relationships and for beneficial forms of unpaid work from families and friends. However, and in alignment with other chapters in this volume, this is a benefit that should add to, as opposed to replace, paid care work.
Produced by a team that has conducted research together for well over a decade, this book focuses on uncovering the extent and nature of unpaid work carried out by residents, families, volunteers and staff in places that provide 24-hour nursing care and receive significant public funding. The research is guided by feminist political economy approaches that attend to structural and intersectional issues as well as to the experiences of the entire range of people involved in nursing homes. By using multiple methods to compare unpaid work primarily in Canadian, Norwegian and Swedish nursing homes while also drawing on the team’s research in the UK, the US and Germany, the book shows how the boundaries between paid and unpaid work are flexible and identifies forces at multiple levels contributing to this flexibility. Understanding a wide range of contributions to care as work allows the team to explore the conditions and relations that shape them, attending to the multiple skills and tensions involved as well as to the values and structures that frame them. It exposes unpaid labour ranging from advocacy and accessing care to brushing teeth and changing soiled briefs, ending with a commentary on how a labour of love is still labour and the benefits of approaching unpaid work from this perspective.EPDF and EPUB available Open Access under CC-BY-NC-ND licence.The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it.Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes.It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations.By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.Drawing on a range of international research projects, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes. It provides insights which will be critical in planning for nursing home care post-pandemic.

Online Access