• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >The Decision to Institutionalize Among Nursing Home Residents and their Children in Shanghai.
【24h】

The Decision to Institutionalize Among Nursing Home Residents and their Children in Shanghai.

机译：上海市疗养院居民及其子女的制度化决定。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A rapidly growing aging population, the one-child policy, and the Economic Reform in urban China pose unprecedented challenges to its ingrained tradition of family caregiving. An increasing number of elders in Shanghai have entered nursing homes to meet their needs for long-term care. The contradiction between self-reliant caregiving tradition and growing nursing home utilization calls for an exploration of how these elders and their children decide to institutionalize. Integrating crisis theory, social identity theory, and uncertainty management theory, this study proposes a framework to conceptualize the phases of this decision-making process.;This phenomenological study retrospectively described both generations' experiences of deciding to institutionalize. The author conducted semi-structured interviews with 12 dyads of matched elders and their children (total N = 24) in a government-sponsored, municipal-level nursing home in Shanghai. From a dyadic perspective, data analysis emphasized the relational aspects of participants' intergenerational communication about reaching consensus on institutionalization.;In accordance with a phenomenological approach, the essence of participants' experience of deciding to institutionalize is that elders and their children proactively or reactively chose institutionalization. Decision-making occurred in the face of family caregiving crises, such as elders' declining health conditions, disrupted caregiving arrangements, and strained intergenerational relationships. Proactive families chose institutionalization to prevent potential caregiving pressure that might exceed family caregiving capacity, while reactive families sought institutionalization after they had encountered tremendous caregiving pressure and depleted caregiving resources. Within dyads, each generation, respectively, had its own motivation to institutionalize while preserving positive social identity in intergenerational communication, but ultimately children held decision-making power. When family caregiving crises occurred, filial piety may have become less practical for children, though it remained an integral part of the decision-making process.;This study addresses the importance of catering to various needs for long-term care of Chinese elders---the world's largest aging population in the coming decades. This study informs policy to develop diverse and specialized home- and community-based long-term care in urban China and emphasizes social work practice to establish specific needs assessment criteria, improve overall caregiving communication, advocate for elders' decision-making autonomy, and enhance geriatric training for frontline workers.
机译：迅速增长的人口老龄化，独生子女政策以及中国城市的经济改革对其根深蒂固的家庭照料传统构成了前所未有的挑战。上海越来越多的老年人进入疗养院，以满足他们对长期护理的需求。自给自足的护理传统与疗养院利用的不断增长之间的矛盾，要求探索这些老年人及其子女如何决定建立机构化的问题。整合了危机理论，社会认同理论和不确定性管理理论，提出了一个框架来概念化这一决策过程的阶段。现象学研究回顾性地描述了两代人决定制度化的经历。作者在上海一家政府资助的市级养老院中对12个配对的长者及其子女（共N = 24）进行了半结构化访谈。从二元分析的角度来看，数据分析强调了参与者之间关于制度化达成共识的代际交流的相关方面;根据现象学方法，参与者决定制度化的经验的实质是老年人和他们的孩子主动或被动地选择制度化。决策是在家庭护理危机的情况下发生的，例如老年人的健康状况下降，护理安排中断以及代际关系紧张。积极的家庭选择收容所，以防止可能超过家庭照料能力的潜在照料压力，而被动家庭在遇到巨大的照料压力和枯竭的照料资源后才寻求制度化。在二代内部，每一代人都有自己的动机去制度化，同时在世代间的交流中保持积极的社会认同，但最终儿童拥有决策权。当发生家庭护理危机时，孝顺对于孩子来说可能变得不那么实用了，尽管它仍然是决策过程中不可或缺的一部分。这项研究解决了满足中国老年人长期护理的各种需求的重要性- -未来几十年内世界上最大的老龄化人口。这项研究为在中国城市发展多样化和专业化的基于家庭和社区的长期护理提供了政策依据，并强调社会工作实践以建立具体的需求评估标准，改善总体护理沟通，倡导老年人的决策自主权并增强一线工人的老年医学培训。

著录项

  • 作者

    Chen, Lin.;

  • 作者单位

    University of California, Los Angeles.;

  • 授予单位 University of California, Los Angeles.;
  • 学科 Social Work.;Gerontology.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 199 p.
  • 总页数 199
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号