Balancing the Tension in Long-Term Residential Care
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Although high income countries increasingly emphasize care at home, long-term residential care is and will remain the place where some of our most vulnerable live and work. Based on over 500 interviews with the entire range of actors in long-term residential care, intensive observations by interdisciplinary teams of at least 12 in 27 different sites in six countries and on background documents that take context into account, this paper explores tensions in long-term residential care. It argues that recognizing and balancing these tensions is critical to care and constitute promising practices. However, multiple pressures are shifting the balances in these tensions, with for-profit, chain ownership and the increasing pressure to emphasize clinical care among the most powerful forces.
KeywordsNursing homes Social care Risk Equity Regulations
Compliance with Ethical Standards
Conflict of Interest
Pat Armstrong declares no conflict of interest.
As there is no person or personal data appearing in the paper, there is no one from whom a permission should be obtained in order to publish personal data.
Ethical Treatment of Experimental Subjects (Animal and Human)
This research received ethics approval from York University as well as from specific homes studied, where this was required.
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