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Power, empowerment, and person-centred care: using ethnography to examine the everyday practice of unregistered dementia care staff.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Scales, Kezia Bailey, Simon Middleton, Joanne Schneider, Justine |
| Copyright Year | 2017 |
| Abstract | The social positioning and treatment of persons with dementia reflects dominant biomedical discourses of progressive and inevitable loss of insight, capacity, and personality. Proponents of person-centred care, by contrast, suggest that such loss can be mitigated within environments that preserve rather than undermine personhood. In formal organisational settings, person-centred approaches place particular responsibility on 'empowered' direct-care staff to translate these principles into practice. These staff provide the majority of hands-on care, but with limited training, recognition, or remuneration. Working within a Foucauldian understanding of power, this paper examines the complex ways that dementia care staff engage with their own 'dis/empowerment' in everyday practice. The findings, which are drawn from ethnographic studies of three National Health Service (NHS) wards and one private care home in England, are presented as a narrative exploration of carers' general experience of powerlessness, their inversion of this marginalised subject positioning, and the related possibilities for action. The paper concludes with a discussion of how Foucault's understanding of power may help define and enhance efforts to empower direct-care staff to provide person-centred care in formal dementia care settings. |
| Starting Page | 227 |
| Ending Page | 243 |
| Page Count | 17 |
| File Format | PDF HTM / HTML |
| DOI | 10.1111/1467-9566.12524 |
| PubMed reference number | 27891628 |
| Journal | Medline |
| Volume Number | 39 |
| Issue Number | 2 |
| Alternate Webpage(s) | https://kar.kent.ac.uk/75379/1/Scales%20et%20al%202017%20power%20empowerment%20and%20person%20centred%20care%20SHI.pdf |
| Alternate Webpage(s) | https://doi.org/10.1111/1467-9566.12524 |
| Journal | Sociology of health & illness |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
