Empathetic Attuning: 'How Would I Feel If I Had to Expose Myself All the Time?'—Strategies for Managing Personal and Intimate Care in Swedish Formal Home Care.

Sweden, as a welfare state, has a long tradition of providing formal home care and support to their citizens in their own homes, either through home care services or personal assistance. A large percentage of frail elderly and persons with disability who receive formal home care require personal and...

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Published in:British Journal of Social Work Vol. 53; no. 2; pp. 921 - 939
Main Authors: Andersson, Katarina, Lövgren, Veronica, Ahnlund, Petra, Kalman, Hildur
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Mar2023
Online Access:View this record in EBSCOhost
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      dt: Mar2023
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      pub: Oxford University Press / USA
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        atl: Empathetic Attuning: 'How Would I Feel If I Had to Expose Myself All the Time?'—Strategies for Managing Personal and Intimate Care in Swedish Formal Home Care.
      aug:
        au:
          Andersson, Katarina
          Lövgren, Veronica
          Ahnlund, Petra
          Kalman, Hildur
        affil: Department of Social Work, Umeå University , 901 87 Umeå, Sweden
      sug:
        subj:
          Empathy
          Adaptation, Occupational
          Home Health Care Sweden
          Strategic Planning
          Intimacy
          Caregiver Attitudes
          Human
          Funding Source
          Sweden
          Semi-Structured Interview
          Frail Elderly
          Safety
          Conceptual Framework
          Male
          Female
          Adult
          Middle Age
          Qualitative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Sweden, as a welfare state, has a long tradition of providing formal home care and support to their citizens in their own homes, either through home care services or personal assistance. A large percentage of frail elderly and persons with disability who receive formal home care require personal and intimate care, such as help with eating, showering, getting dressed and personal hygiene. Managing intimacy and safeguarding the care recipient's integrity pose particular challenges for staff. The aim of this qualitative interview study is to describe and analyse care workers' (CWs) and personal assistants' (PAs) strategies for managing situations and challenges related to provision of personal and intimate care in the context of formal home care. Semi-structured interviews with eleven CWs and nine PAs were conducted. Our analysis reveals a complex repertoire of relational and communicative strategies, within an overall approach—which we labelled 'empathetic attuning'—of relating to the current situation and task at hand whilst safeguarding integrity. These strategies were intertwined with dimensions of time. The possibility to accomplish satisfactory personal and intimate care rests on structural and organisational conditions that promote sustainable working conditions, where relations characterised by continuity, integrity and respect can be realised.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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