1 Health, Man and Society, Department of Public Health, Det Sundhedsvidenskabelige Fakultet, SDU2 Division of Nursing, Health Sciences Center, Lund University, Sweden3 unknown4 Department of Health Sciences, Health Sciences Center, Lund University, Sweden and Department of Research and Development, Metropolitan University college, Denmark5 Health, Man and Society, Department of Public Health, Det Sundhedsvidenskabelige Fakultet, SDU
A Sociological-Relational Perspective
‘Client involvement’ has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how ‘client involvement’ is practised in home-care services. The aim of this article is to analyse ‘client involvement’ in practise seen from the positions of healthcare professionals, an elderly person and his relative in a homecare setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a focus on the relational aspects of home care and the structural, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: ‘Structural conditions of providing and receiving home care’; ‘Client involvement inside the home: performing a professional task and living an everyday life’; ‘Client involvement outside the home: liberal business and mutual goal setting’; and ‘Converting a home to a working place: refurnishing a life’. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which involvement of the client in public home-care practice remains limited.
Nursing Inquiry, 2013, Vol 20, Issue 4, p. 329-340
case studies; Elderly; Homecare; involvement; neoliberalism; fieldstudy; sociology