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Open Access
Book part
Publication date: 1 May 2019

Marit Støre-Valen and Ingrid Smistad

It’s a global challenge to make cities and communities become an age-friendly society. This paper aims to discuss how to develop good concepts for senior residences in Norway and…

Abstract

Purpose

It’s a global challenge to make cities and communities become an age-friendly society. This paper aims to discuss how to develop good concepts for senior residences in Norway and aim to study what the challenges are in the early planning phase, searching the answer to the following research questions: (1) What makes a senior housing attractive? (2) What are the challenges that hinder future concept development? (3) Suggest actions in order to obtain a sustainable development.

Design/Methodology/Approach

This research uses a descriptive and explorative approach describing the phenomena by (I) a short literature review describing existing concepts and challenges, (II) “Walk-through”-methodology with informal dialogue on site and (II) semi-structured interviews of property developers, architects or contractors, politicians, care providers or planners in the municipality involved in seven pilot projects in Kristiansand and Stavanger.

Findings

The authors find that new and diverse concepts need to be developed to meet the demand of the seniors. The new concepts should be developed in collaboration with both public and private actors as well as developing a communication platform to meet the needs of the seniors in terms understanding the possibilities of alternative housings, incentives to move and how to influence and get involved in the planning.

Research Limitations/Implications

There is a limited no. of informants among the public stakeholders. Only three of the seven pilot projects are accomplished. There is an advantage if the rest of the projects are evaluated when accomplished.

Practical Implications

Develop participation models and PPP models at the local level.

Originality/Value

The value lies in the evaluation of the seven pilot projects.

Details

10th Nordic Conference on Construction Economics and Organization
Type: Book
ISBN: 978-1-83867-051-1

Keywords

Content available
Book part
Publication date: 28 February 2007

Abstract

Details

Modelling Our Future: Population Ageing, Health and Aged Care
Type: Book
ISBN: 978-1-84950-808-7

Book part
Publication date: 24 September 2010

Maria DiTullio and Douglas MacDonald

A primary impetus of the modern hospice movement was the disparity, during the later 20th century, between the care provided to persons with illnesses considered “curable” and the…

Abstract

A primary impetus of the modern hospice movement was the disparity, during the later 20th century, between the care provided to persons with illnesses considered “curable” and the treatment – or lack of it – accorded the incurably or terminally ill. In its transformation from a reform-oriented, interdisciplinary response to the needs of the dying to an integrated component of the American healthcare system, hospice care's original mission, target population, and modality of service delivery were all significantly altered in ways that generated new disparities in access to “death with dignity.” This chapter attempts to trace the political, economic, and institutional dimensions of this transformation as reflected in the experiences of one Northeastern hospice during a 6-month period in 2001. Using an analytic approach known as institutional ethnography (IE), the authors focus on the work of the Hospice's Interdisciplinary Group (IDG) to uncover the linkages between local problems in the delivery of hospice care and extra-local sites of power and constraint at the mezzo- and macrolevels of the American healthcare system. The significance of these linkages for patients, frontline workers, and other stakeholders are interpreted from several perspectives. Implications for change are discussed.

Details

The Impact of Demographics on Health and Health Care: Race, Ethnicity and Other Social Factors
Type: Book
ISBN: 978-1-84950-715-8

Book part
Publication date: 16 June 2022

Patricia Drentea, Beverly Rosa Williams, Karen Hoefer, F. Amos Bailey and Kathryn L. Burgio

Purpose: To explore how families respond to the death and dying of their loved ones in a hospital setting, archival research was conducted using eight qualitative articles

Abstract

Purpose: To explore how families respond to the death and dying of their loved ones in a hospital setting, archival research was conducted using eight qualitative articles describing next-of-kins’ perceptions of end-of-life care in Veterans Affairs Medical Centers (VAMCs). The articles were based on the qualitative arm of the VA Health Services Research and Development (HSR&D) study entitled, “Best Practices for End-of-life Care and Comfort Care Order Sets for our Nation’s Veterans” (BEACON).

Design: The archival research consisted of an interactive methodological process of data immersion, analysis, and interpretation which resulted in the emergence of two overarching thematic frameworks called “losing control” and “holding on.”

Findings: “Losing control” is the process that occurs when the patient experiences a cascading sequence of deleterious biological events and situations rendering the caregiver no longer able to direct the timing or setting of the dying trajectory. The notion of “holding on” captures family member’s responses to the need to maintain control after relinquishing the patient’s care to the institutional setting. During the patient’s hospitalization, the dual dynamics of “losing control” and “holding on” unfolded in the spatial, temporal, and life narrative domains.

Originality: The findings not only contribute to better overall understanding of family members’ responses to death in the pre-COVID-19 hospital setting but also heighten the awareness of the complex spatial, temporal, and narrative issues faced by family members who lost a hospitalized loved one during the COVID-19 pandemic.

Details

Facing Death: Familial Responses to Illness and Death
Type: Book
ISBN: 978-1-80382-264-8

Keywords

Book part
Publication date: 23 October 2003

Colleen Reid

The association between income distribution and measures of health has been well established such that societies with smaller income differences between rich and poor people have…

Abstract

The association between income distribution and measures of health has been well established such that societies with smaller income differences between rich and poor people have increased longevity (Wilkinson, 1996). While more egalitarian societies tend to have better health, in most developed societies people lower down the social scale have death rates two to four times higher than those nearer the top. Inequities in income distribution and the consequent disparities in health status are particularly problematic for many women, including single mothers, older women, and women of colour. The feminization of poverty is the rapidly increasing proportion of women in the adult poverty population (Doyal, 1995; Fraser, 1987).

Details

Gender Perspectives on Health and Medicine
Type: Book
ISBN: 978-1-84950-239-9

Book part
Publication date: 27 December 2013

Sara E. Green, Rosalyn Benjamin Darling and Loren Wilbers

This chapter reviews qualitative research on parenting children with disabilities published over the last 50 years to explore whether shifts in academic discourse and changes in…

Abstract

Purpose

This chapter reviews qualitative research on parenting children with disabilities published over the last 50 years to explore whether shifts in academic discourse and changes in professional training have affected research on parenting and/or the experiences of parents who are the subject of such research.

Methodology/approach

An extensive literature search was conducted, and 78 peer-reviewed, qualitative studies on the experience of parenting a child with a disability were included in the sample. Themes were extracted from the reviewed literature and compared across decades.

Findings

The findings of the present review suggest that some aspects of the parenting experience have changed very little. In particular, parents continue to experience negative reactions such as stress and anomie, especially early in their children’s lives, and socially imposed barriers such as unhelpful professionals, and a lack of needed services continue to create problems and inspire an entrepreneurial response. In addition, stigmatizing encounters with others continue to be a common occurrence. In contrast to earlier decades, studies conducted in more recent years have begun to use the social model of disability as an analytic frame and also increasingly report that parents are questioning and challenging the concept of “normal” itself.

Social/practical implications

Additional improvements are needed in professional education and services to reduce the negative reactions experienced by parents of children with disabilities.

Originality/value of chapter

The findings of this meta-analysis can serve as a guide to future research on parenting children with disabilities.

Details

Disability and Intersecting Statuses
Type: Book
ISBN: 978-1-78350-157-1

Keywords

Abstract

Details

Occupational Therapy With Older People into the Twenty-First Century
Type: Book
ISBN: 978-1-83753-043-4

Book part
Publication date: 16 September 2019

Gerlinde Verbist and Michael Förster

This chapter discusses the major steps and issues related to the inclusion of public services in inequality research. Empirically, it investigates how the income distribution in…

Abstract

This chapter discusses the major steps and issues related to the inclusion of public services in inequality research. Empirically, it investigates how the income distribution in countries changes when the value of publicly provided services to households is included. The authors consider five major categories of public services: education, health care, social housing, childcare and elderly care. On average across OECD countries, spending on these ‘in-kind’ benefits accounts for about 13% of GDP, slightly more than the spending on cash transfers – but with considerable cross-country variation. Broadening the income concept to account for in-kind benefits considerably increases households’ economic resources. But public services also contribute to reducing income inequality, by between one-fifth and one-third depending on the inequality measure. This chapter suggests that publicly provided services fulfil an important direct redistributive role in OECD countries.

Details

What Drives Inequality?
Type: Book
ISBN: 978-1-78973-377-8

Keywords

Book part
Publication date: 17 January 2022

Rebecca Dickason

Purpose: As specific emotional arenas, hospitals are characterized by the interweaving of various emotional requirements, arising from different sources of norms, rules, or…

Abstract

Purpose: As specific emotional arenas, hospitals are characterized by the interweaving of various emotional requirements, arising from different sources of norms, rules, or guidelines. This study aims to highlight an often-overlooked dimension of emotional labor in healthcare by describing the coexistence of emotional rules (i.e. feeling and/or display rules) through a multilevel perspective (institutional level, cluster/department level, service level, ward level, professional level). Study Design/Methodology/Approach: These emotional requirements for nurses and nursing assistants are investigated through three sets of data (observation, interviews, and internal documents) in a French public hospital, focusing on two hospital services: three long-term care units (primary field of investigation), and five adult medical emergency wards (secondary field of investigation). Findings: The results of the analysis show the pervasive nature of emotional requirements which are intertwined and more or less implicit/explicit according to the level analyzed. In addition to organizational rules, professional and social emotional rules contribute to shaping emotional requirements, particularly through rules of “empathetic expression” and those of retenue bienveillante. Research Limitations/Implications: This research has contributed to showing the dynamic nature of emotional requirements and their appropriation and modulation by healthcare professionals. The qualitative methodology used allows for unique insights but limits the generalization of results. Originality/Value: This research has addressed various gaps in the existing literature by describing emotional requirements through a multilevel analysis, by outlining a set of rules that had not been previously described (retenue bienveillante) and by including the population of nursing assistants as well as nurses in a study on hospital emotional labor. Future research could envisage spatial analysis of emotional labor to help better understand emotional requirements' variability according to emotionalized zones.

Book part
Publication date: 26 January 2023

Kim Fernandes and Tanushree Sarkar

In this chapter, we examine how the media in India constructed the lives, needs, and desires of disabled children in India during the tumultuous pandemic.

Abstract

Purpose

In this chapter, we examine how the media in India constructed the lives, needs, and desires of disabled children in India during the tumultuous pandemic.

Methods/Approach

Through critical discourse analysis, we address how children's bodies and needs have been explicitly discursively constructed as “excessive,” while implicitly drawing upon neoliberal, ableist logics of loss and productivity.

Findings

We foreground how the framing of COVID-19 as a disaster in the Indian context obscures state neglect, suggesting that inequality has been the result of the pandemic rather than the limits of state care under neoliberal ableism. Despite the recognition of gaps in the care received by disabled children, neoliberal, entrepreneurial solutions have emerged as a new, widely touted form of care during the pandemic.

Implication/Value

Through our analysis, we highlight how disabled children have been neglected by the state and constructed as burdensome and vulnerable. We argue that this occurs when disabled children's bodyminds do not conform to an ideal of the self-reliant, independent citizen under the logics of neoliberal ableism. Our work demonstrates how children with disabilities are discursively rendered absent from conceptualizations of normate citizenship, unless seen as contributing to current or future aspirations for state productivity and growth.

Details

Disability in the Time of Pandemic
Type: Book
ISBN: 978-1-80262-140-2

Keywords

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