ABSTRACT

A growing number of older people in Norway receive care services at home. Public policy aims at promoting social safety, preventing social problems and providing recipients of care with the means to live an active and meaningful everyday life together with others. However, health-related services have long been prioritized at the expense of other care services. Our aims are to investigate how professional caregivers in Norwegian home care for older people relate their professional mandate to social care to assess what different professional positions regarding social care imply for realizing the ideal of integrated and person-centered care. Interviews with 16 professional caregivers are analyzed within the framework of positioning theory. A variety of discursive positions relating the own professional mandate to social care are identified. Findings suggest that the absence of common standards leaves it up to the individual caregiver if social care needs are met or not. Common standards for social care delivery and a more suitable skill mix among health and social care professionals are proposed.

摘要

越来越多的挪威老年人在家中接受护理服务。公共政策旨在促进​​社会安全、预防社会问题并为接受护理的人提供与他人一起过上积极而有意义的日常生活的手段。然而，长期以来，与健康相关的服务一直以牺牲其他护理服务为代价。我们的目标是调查挪威老年人家庭护理的专业护理人员如何将他们的专业职责与社会护理联系起来，以评估关于社会护理的不同专业职位对实现综合和以人为本护理的理想意味着什么。在定位理论的框架内分析了对 16 位专业护理人员的采访。确定了将自己的专业任务与社会关怀相关的各种话语立场。调查结果表明，如果社会护理需求得到满足，则缺乏共同标准将取决于个人护理人员。提出了社会护理提供的通用标准以及卫生和社会护理专业人员之间更合适的技能组合。