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Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework
More research is needed into how “person-centered care” (PCC) manifests in home care (HC) worker-client relationships. Qualitative data were collected at three time points from twelve HC workers and others to better understand how approaches to care shape the pathways of older adult HC clients with...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693726/ https://www.ncbi.nlm.nih.gov/pubmed/37801285 http://dx.doi.org/10.1177/07334648231201837 |
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author | Spring, Lauren Funk, Laura Kuryk, Kaitlyn Warner, Grace Macdonald, Marilyn Burke, Rosanne Keefe, Janice M. |
author_facet | Spring, Lauren Funk, Laura Kuryk, Kaitlyn Warner, Grace Macdonald, Marilyn Burke, Rosanne Keefe, Janice M. |
author_sort | Spring, Lauren |
collection | PubMed |
description | More research is needed into how “person-centered care” (PCC) manifests in home care (HC) worker-client relationships. Qualitative data were collected at three time points from twelve HC workers and others to better understand how approaches to care shape the pathways of older adult HC clients with chronic conditions in two Canadian health jurisdictions. This paper uses critical disability and intersectionality frameworks to highlight ways in which PCC enables social and instrumental benefits for workers’ and clients. It also exposes difficulties in being flexible and developing interpersonal relationships because of HC policies. Workers also acknowledged risks when trying to prioritize client preferences, sometimes drawing distinctions between reasonable and unreasonable demands. Implications for enhanced training and support for workers around navigating flexibility and boundaries and using a relational approach to PCC are discussed, as are implications for policy-making that protect all parties. |
format | Online Article Text |
id | pubmed-10693726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106937262023-12-04 Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework Spring, Lauren Funk, Laura Kuryk, Kaitlyn Warner, Grace Macdonald, Marilyn Burke, Rosanne Keefe, Janice M. J Appl Gerontol Home and Community-Based Care More research is needed into how “person-centered care” (PCC) manifests in home care (HC) worker-client relationships. Qualitative data were collected at three time points from twelve HC workers and others to better understand how approaches to care shape the pathways of older adult HC clients with chronic conditions in two Canadian health jurisdictions. This paper uses critical disability and intersectionality frameworks to highlight ways in which PCC enables social and instrumental benefits for workers’ and clients. It also exposes difficulties in being flexible and developing interpersonal relationships because of HC policies. Workers also acknowledged risks when trying to prioritize client preferences, sometimes drawing distinctions between reasonable and unreasonable demands. Implications for enhanced training and support for workers around navigating flexibility and boundaries and using a relational approach to PCC are discussed, as are implications for policy-making that protect all parties. SAGE Publications 2023-10-06 2024-01 /pmc/articles/PMC10693726/ /pubmed/37801285 http://dx.doi.org/10.1177/07334648231201837 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Home and Community-Based Care Spring, Lauren Funk, Laura Kuryk, Kaitlyn Warner, Grace Macdonald, Marilyn Burke, Rosanne Keefe, Janice M. Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title | Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title_full | Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title_fullStr | Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title_full_unstemmed | Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title_short | Person-Centered Home Care: Exploring Worker-Client Relationships Using an Intersectional and Critical Disability Framework |
title_sort | person-centered home care: exploring worker-client relationships using an intersectional and critical disability framework |
topic | Home and Community-Based Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693726/ https://www.ncbi.nlm.nih.gov/pubmed/37801285 http://dx.doi.org/10.1177/07334648231201837 |
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