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Centre for Policy on Ageing | |
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Making nursing homes more community-oriented
— insights from an exploratory study in Germany | | Author(s) | Kerstin Hamel |
| Journal title | Ageing and Society, vol 36, no 4, April 2016 |
| Publisher | Cambridge University Press, April 2016 |
| Pages | pp 673-693 |
| Source | journals.cambridge.org/aso |
| Keywords | Nursing homes ; Coordination ; Interaction [welfare services] ; Neighbourhoods, communities etc ; Qualitative Studies ; Germany. |
| Annotation | Nursing homes have been criticised for restricting the lifestyle of older people in need of care. As concepts of elder care have changed and services in formal care have developed further, efforts towards de-institutionalisation have led to the enhancement of community care models. This paper discusses how ideas of community care can also influence reform within institutional care. The study focuses on the challenges and obstacles of practice change arising in German nursing homes, by opening up to civil society principles. Applying the model of organisational hybridisation, the concept of 12 German nursing homes regarding family and community partners' involvement were analysed through explorative qualitative interviews with nursing home directors. The nursing homes have conceived various forms of co-operation with community actors. Nevertheless, emerging tensions between state, market and civil society conceptions of the nursing homes limit practical change. The 'organisational hybridisation' has generated two general problems for discussion. First is the difficulty nursing homes have in opening their doors to new perceptions of care as well as to the interests of their community partners. Second, is the fact that the nursing homes tend either to strive for an integration in community life, or for the maintenance of a 'sheltered zone' for their residents implies that nursing homes' definition of 'normality' has a strong influence on their chosen concept of care. (RH). |
| Accession Number | CPA-160318001 A |
| Classmark | LHB: QAJ: QK6: RH: 3DP: 767 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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