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"Man håller ju lite koll" - en kvalitativ studie om hemtjänstpersonals arbete med äldre med alkoholproblem

Lybratt, Marie LU (2015) SOPA63 20142
School of Social Work
Abstract
The aim of this study was to examine how home care workers are reasoning about and using their discretion in their work with elder people with alcohol problems. The two concepts responsibility and respect was used to understand the difficulty and dilemmas they encounter in their work with elderly with alcohol problems. The study was based on semi-structured interviews, combined with two vignettes, with six home care workers in three different municipalities in southern Sweden. The difficulties identified during the interviews were lack of time, guidelines and education about abuse and dependency. The analysis was based on Michael Lipsky’s theory about discretion and Rosmari Eliasson’s perspective of balancing between omission and abuse,... (More)
The aim of this study was to examine how home care workers are reasoning about and using their discretion in their work with elder people with alcohol problems. The two concepts responsibility and respect was used to understand the difficulty and dilemmas they encounter in their work with elderly with alcohol problems. The study was based on semi-structured interviews, combined with two vignettes, with six home care workers in three different municipalities in southern Sweden. The difficulties identified during the interviews were lack of time, guidelines and education about abuse and dependency. The analysis was based on Michael Lipsky’s theory about discretion and Rosmari Eliasson’s perspective of balancing between omission and abuse, i.e. both looking at the individual as a subject and an object. The result of this study showed that the home care workers discretion are minimized through manual based instructions and that the lack of both time and knowledge about abuse and dependency makes their work with elder people with alcohol problems complex and physically and mentally demanding. Without any guidelines the care workers have developed their own approach and response to the problems they meet but due to the organizations inflexible demarcation there’s a risk that deviant user of home care work are marginalized and that a holistic view of the individual is overlooked. (Less)
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author
Lybratt, Marie LU
supervisor
organization
alternative title
“You keep an eye on it” - A qualitative study of home care workers and elderly with alcohol problems [translated title]
course
SOPA63 20142
year
type
M2 - Bachelor Degree
subject
keywords
home care workers, elderly, alcohol problems, organization, discretion
language
Swedish
id
5159334
date added to LUP
2015-03-23 11:31:23
date last changed
2015-03-23 11:31:23
@misc{5159334,
  abstract     = {The aim of this study was to examine how home care workers are reasoning about and using their discretion in their work with elder people with alcohol problems. The two concepts responsibility and respect was used to understand the difficulty and dilemmas they encounter in their work with elderly with alcohol problems. The study was based on semi-structured interviews, combined with two vignettes, with six home care workers in three different municipalities in southern Sweden. The difficulties identified during the interviews were lack of time, guidelines and education about abuse and dependency. The analysis was based on Michael Lipsky’s theory about discretion and Rosmari Eliasson’s perspective of balancing between omission and abuse, i.e. both looking at the individual as a subject and an object. The result of this study showed that the home care workers discretion are minimized through manual based instructions and that the lack of both time and knowledge about abuse and dependency makes their work with elder people with alcohol problems complex and physically and mentally demanding. Without any guidelines the care workers have developed their own approach and response to the problems they meet but due to the organizations inflexible demarcation there’s a risk that deviant user of home care work are marginalized and that a holistic view of the individual is overlooked.},
  author       = {Lybratt, Marie},
  keyword      = {home care workers,elderly,alcohol problems,organization,discretion},
  language     = {swe},
  note         = {Student Paper},
  title        = {"Man håller ju lite koll" - en kvalitativ studie om hemtjänstpersonals arbete med äldre med alkoholproblem},
  year         = {2015},
}