Caring as sharing. Negotiating the moral boundaries of receiving care

被引:13
作者
Andersen, Rikke Sand [1 ,2 ]
McArtney, John [3 ]
Rasmussen, Birgit H. [4 ,5 ]
Bernhardson, Britt-Marie [6 ]
Hajdarevic, Senada [7 ]
Malmstrom, Marlene [8 ]
Ziebland, Sue [3 ]
机构
[1] Aarhus Univ, Res Unit Gen Practice, Aarhus, Denmark
[2] Aarhus Univ, Dept Anthropol, Aarhus, Denmark
[3] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England
[4] Lund Univ, Inst Palliat Care, Dept Hlth Sci, Reg Skaane, Lund, Sweden
[5] Lund Univ, Lund, Sweden
[6] Karolinska Inst, Dept Learning Informat Management & Eth, Stokholm, Sweden
[7] Umea Univ, Dept Nursing, Umea, Sweden
[8] Inst Palliat Care, Dept Clin Sci Lund, Lund, Sweden
关键词
Cancer; informal care-giving; sharing; illness experiences; INFORMAL CARE; ENGLAND; PEOPLE;
D O I
10.1080/09581596.2019.1623381
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Informal caregiving is increasingly considered a health care delivery-resource within the North European welfare states. While 'informal' often refers to non-professional, 'caregiving' connotes both affective concern (caring about) and practical action (caring for). This duality of meanings, however, often refers to the one direction in which care is given. Care, we suggest, is relational and also requires that people receiving care are able to or wanting to share their needs. Informal caregiving thus requires sharing. Based on 155 semi-structured, narrative interviews with people with lung or bowel cancer, living in Denmark, Sweden or England, this paper explores how and with whom people 'share' when they fall ill. We approach sharing as a heuristic for reflecting on informal-caregiving, and illustrate how being cared for or asking for care are entangled with the management of social risks and notions of selfhood. We conclude that informal caregiving should explicitly be recognised as morally and sympathetically committed practices, which attend to the diversity of local moral worlds of patients, their needs and experiences.
引用
收藏
页码:567 / 576
页数:10
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