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題名：正式與非正式照顧的協作：探討家庭外籍看護工進入護理之家的現象
書刊名：臺大社會工作學刊
作者：陳正芬 引用關係／王增勇 引用關係
作者(外文)：Chen, Cheng-fen／Wang, Tseng-yung
出版日期：2017
卷期：35
頁次：頁137-182
主題關鍵詞：外籍看護工；正式照顧；非正式照顧；建制民族誌；照顧機構；Foreign care worker；Formal care；Informal care；Institutional ethnography；Care institution
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:300
  • 點閱點閱:20
家庭外籍看護工的工作場域應在家庭，現有護理之家卻出現許多家庭外籍看護工。本研究採取建制民族誌，運用參與式觀察法勾勒護理之家照顧服務員與家屬自聘外籍看護工每日照顧工作，訪談家屬與相關服務者，探討家屬自聘外籍看護工背後的社會編派。研究發現，機構將部分照顧工作轉嫁家屬，無法承接的家屬再轉嫁給外籍看護工；家屬不同的協作雖是受限不同經濟能力，但這一來一回所產生的變化，卻又衍生自聘額外人力的照顧者並未獲得雙重照顧資源的奇特發展。本研究揭露治理代理人與家屬藉由自聘外籍看護工，以符合建制現實的自主行動固然是單一機構透過對規約性認可，進而透過重新編寫文本而來的在地特殊個案，不僅揭示特定的建制型態，也因此開展文本使用者，包括護家主管、醫療體制內各式服務提供者與家屬多方之間互相連結的真實性，唯有建制真實性與斷裂經驗被真正看見，制度與文本及人們日常生活的斷裂方可能被改變。
Family migrant care workers’ workplace must be the family home. However, their appearance in nursing homes is becoming common. Using institutional ethnography as my research approach, I observed the daily care schedule of care workers (both Taiwanese and foreign) and interviewed institutional managers and their care workers, as well as family members serving as caregivers with and without hired in-home foreign care workers. The texts for Taiwan’s nursing home system were also collected to discover how they make for the imbalance between space and care needs, and also why nursing homes, even those very near hospitals, require family caregivers to take clients to rehabilitation and other medical appointments. The truth is that from the hospital to the nursing home, the family has to assume all care responsibility, and when This study’s analysis shows multiple silhouettes of the ruling relations in a nursing home as well as their influences on the disjuncture experiences and institutional actions. One major finding of this study is how institutional managers distribute their care workers according to the number and placement of family-hired foreign care workers stationed in nursing homes, in effect balancing care needs and staff ratio. In addition, although it seems that a seamless care system is in place, the real issues behind the system have yet been illuminated.
期刊論文
1.陳正芬(20111200)。管理或剝削？家庭外籍看護工雇主的生存之道。臺灣社會研究，85，89-155。new window  延伸查詢new window
2.楊惠真、鄭讚源、林四海、方志琳、丁增輝(20110600)。不同照顧場所之中風失能老人復健照護利用及其長期照護政策意涵。健康管理學刊，9(1)，1-16。new window  延伸查詢new window
3.Bass, D. M.、Noelker, L. S.(1987)。The influence of family caregiving on elder's use of in-home services: An expanded conceptual framework。Journal of Health and Social Behavior，28(2)，194-196。  new window
4.Cong, Z.、Silverstein, M.(2008)。Intergenerational support and depression among elders in Rural China: Do daughter-in-law matter?。Journal of Marriage and Family，70(3)，599-612。  new window
5.曾淑芬、莊坤洋、陳正芬、葉乃禎、吳淑瓊(20040600)。給付標準的設定會引導民眾對社區式服務的利用嗎？--以居家服務為例。臺灣公共衛生雜誌，23(3)，221-234。new window  延伸查詢new window
6.Chappell, N. L.、Kusch, K.(2007)。The Gendered Nature of Filial Piety- A Study among Chinese Canadians。Journal of Cross Cultural Gerontology，22(1)，29-45。  new window
7.Keith, C.(1995)。Family Caregiving Systems: Models, Resources, and Values。Journal of Marriage and the Family，57(1)，179-189。  new window
8.Neufeld, A.、Harrison, M. J.、Hughes, K. D.、Spitzer, D.、Stewart, M. J.(2001)。Participation of immigrant women family caregivers in qualitative research。Western Journal of Nursing Research，23(6)，575-591。  new window
9.Ritter-Teitel, J.(2002)。The impact of restructuring on professional nursing practice。The Journal of Nursing Administration，32(1)，31-41。  new window
10.藍佩嘉(20061200)。合法的奴工，法外的自由：外籍勞工的控制與出走。臺灣社會研究，64，107-150。new window  延伸查詢new window
11.謝淑芬、梁蕙芳(20080900)。協助失能老人及其外籍看護工的護理經驗。長庚護理，19(3)=63，389-399。new window  延伸查詢new window
12.梁莉芳(20160300)。文本作為探究支配關係的中介：以外籍居家看護聘僱需求評估為例。臺灣社會研究季刊，102，115-141。new window  延伸查詢new window
13.許研鈺(20081000)。一位外籍看護工照顧臥床病人出院準備服務之經驗。長期照護雜誌，12(3)，301-311。  延伸查詢new window
14.陳正芬(20150300)。外籍媳婦照顧者與聘僱外籍看護工的本籍媳婦：二者之照顧經驗與因應對策的比較。中華心理衛生學刊，28(1)，101-134。new window  延伸查詢new window
15.Daly, T.、Armstrong, P.(2016)。Liminal and invisible long-term care labour: Precarity in the care of austerity。Journal of Industrial Relations，58(4)，473-490。  new window
16.Dwyer, J. W.、Henretta, J. C.、Coward, R. T.、Barton, A. J.(1992)。Changes in the helping behaviors of adult children as caregivers。Research in Aging，14(3)，351-375。  new window
17.Daly, T.、Szebehely, M.(2012)。Unheard voices, unmapped terrain: Care work in the long-term residential care for older people in Canada and Sweden。International Journal of Social Welfare，21(2)，139-148。  new window
18.Gaugler, J. E.、Anderson, K. A.、Zarit, S. H.、Pearlin, L. I.(2004)。Family involvement in nursing homes: Effects on stress and well-being。Aging & Mental Health，8(1)，65-75。  new window
19.Ingersoll-Dayton, B.、Neal, M. B.、Ha, J.-H.、Hammer, L. B.(2003)。Redressing inequity in parent care among siblings。Journal of Marriage and Family，65(1)，201-212。  new window
20.Kumamoto, Keigo、Arai, Yumiko、Zarit, Steven H.(2006)。Use of home care services effectively reduces feelings of burden among family caregivers of disabled elderly in Japan: Preliminary results。International Journal of Geriatric Psychiatry，21(2)，163-170。  new window
21.Paulus, A. T. G.、van Raak, A.、Keijzer, F.(2005)。Informal and formal caregivers' involvement in nursing home care activities: Impact of integrated care。Journal of Advanced Nursing，49(4)，354-366。  new window
22.Silverstein, M.、Angeles, J. J.(1998)。Older parents' expectations of moving closer to their children。The Journal of Gerontology，53B(3)，s153-s163。  new window
23.Silverstein, Merril、Litwak, E.(1993)。A task-specific typology of intergenerational family structure in later life。The Gerontologist，33(2)，258-264。  new window
24.Whitlatch, C. J.、Dorothy Schur, B. A.、Noelker, L. S.、Ejaz, F. K.、Looman, W. J.(2001)。The stress process of family caregiving in institutional settings。The Gerontologist，41(4)，462-473。  new window
25.Wu, Z.、Pollard, M. S.(1998)。Social support among unmarried childless elderly persons。The Journal of Gerontology，53B(6)，S324-S335。  new window
26.Yeoh, B. S. A.、Huang, S.(2010)。Foreign domestic workers and home-based care for elders in Singapore。Journal of Aging & Social Policy，22(1)，69-88。  new window
27.陳亮汝、吳淑瓊(20080200)。居家失能老人使用外籍監護工之相關因素分析。臺灣公共衛生雜誌，27(1)，32-43。new window  延伸查詢new window
28.陳正芬、官有垣(20110600)。臺灣機構式長期照顧服務組織屬性與政府相關政策演變之探討。社會政策與社會工作學刊，15(1)，91-135。new window  延伸查詢new window
29.陳正芬、官有垣(20151200)。可望而不可及的服務：臺北市長期照顧機構組織屬性與公費安置老人服務量之研究。臺大社會工作學刊，32，33-78。new window  延伸查詢new window
30.Shanas, Ethel(1979)。The family as a social support system in old age。The Gerontologist，19(2)，169-174。  new window
31.Cantor, Marjorie H.(1979)。Neighbors and Friends: An Overlooked Resource in the Informal Support System。Research on Aging，1(4)，434-463。  new window
研究報告
1.國家發展委員會(2015)。中華民國人口推計（103至150年）。台北：國家發展委員會。  延伸查詢new window
2.行政院主計總處(2017)。薪資及生產力統計。  延伸查詢new window
學位論文
1.謝玉玲(2007)。「道德媳婦」的當代生活實踐：女性代間照護處境之經驗研究(博士論文)。國立中正大學，嘉義。new window  延伸查詢new window
2.林詩晴(2008)。合理醫事人力配置之行動研究：以「醫人盟」爭取新制醫院評鑑人力配置為例(碩士論文)。國立陽明大學。  延伸查詢new window
3.曹毓珊(2002)。老人家庭照顧者僱用外籍家庭監護工對照顧關係影響之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
4.溫秀珠(1996)。家庭中婦女照顧者角色形成因素與照顧過程之探討--以失能老人之照顧為例(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Smith, Dorothy E.(1987)。The everyday world as problematic: A feminist sociology。University of Toronto Press。  new window
2.Smith, Dorothy E.(2005)。Institutional Ethnography: A Sociology for People。AltaMira Press。  new window
3.Finch, J.、Mason, J.(1993)。Negotiating family responsibilities。Routledge。  new window
4.Kane, R. A.、Kane, R. L.(1987)。Long-Term Care: Principles, Programs, and Policies。New York, NY：Springer。  new window
5.Smith, D. E.(1990)。The conceptual practices of power: A feminist sociology of knowledge。Toronto：University of Toronto Press。  new window
6.Zimmerman, M. K.、Litt, J. S.、Bose, C. E.(2006)。Global dimensions of gender and carework。Stanford, CA：Stanford University Press。  new window
7.Litwak, Eugene(1985)。Helping the Elderly: The Complementary Roles of Informal Networks and Formal Systems。Guilford Press。  new window
8.張苙雲(2005)。醫療與社會：醫療社會學的探索。巨流圖書股份有限公司。new window  延伸查詢new window
9.藍佩嘉(2008)。跨國灰姑娘：當東南亞幫傭遇上台灣新富家庭。行人。new window  延伸查詢new window
10.Smith, Dorothy E.(1990)。Texts, Facts, and Femininity: Exploring the relations of ruling。Routledge。  new window
其他
1.行政院經濟建設委員會，行政院衛生署，內政部(2009)。長期照護保險規劃報告，http://www.mohw.gov.tw/dl-2980-788e62f1-9852-42a1-870a-bc7d91959b5d.html。  延伸查詢new window
2.衛生福利部中央健康保險署(2015)。全民健康保險醫療服務給付項目及支付標準第二部第二章第四節復健治療，http://www.nhi.gov.tw/webdata/webdata.aspx?menu=20&menu_id=710&webdata_id=3633&WD_ID=900。  延伸查詢new window
圖書論文
1.Lee, G. R.(1992)。Gender Differences in Family Caregiving: A Fact in Search of a Theory。Gender, Families, and Elder Care。Newbury Park, CA：Sage。  new window
2.DeVault, L.、McCoy, L.(2006)。Institutional ethnography: Using interview to investigate ruling relations。Institutional ethnography as practice。New York, NY：Rowan & Littlefield。  new window
 
 
 
 
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