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This thoughtful book provides a refreshing, comparative perspective on the future of care homes in our post-pandemic world. Building on more than a decade of collaborative international and interdisciplinary research in Canada, Germany, Norway, Sweden, the UK and the US, it employs a feminist political economy framework to address the key challenges facing care homes in this turbulent era.With particular attention to lessons learned in Canada, Sweden, and Norway, the contributing authors argue that publicly-funded care homes remain critical to care arrangements but require policy and practice transformations to produce equitable and supportive conditions. Attentive to the specific contexts and tensions that shape care, chapters address key questions about care home quality and labour in relation to gender, race, ethnicity, religion and class. The book analyses the physical and social boundaries that set the conditions for quality of life and care, moving beyond the minimum to explain how nursing homes can provide joy.Offering alternative approaches to the complex challenges facing this vital public service, this book will be a key reference for students and scholars of health policy, comparative social policy and social work. Its integration of statistical, policy and practice analysis with ethnographic research will prove invaluable to those concerned with long-term care policy and practice.
Edited by Pat Armstrong, Distinguished Research Professor Emerita, Sociology, York University, Toronto and Susan Braedley, Professor, School of Social Work, Carleton University, Ottawa, Canada
Contents:1 Care homes in crisis: promising ways forward 1Pat Armstrong and Susan Braedley2 Piercing the corporate veil: nursing home ownership inturbulent times 19Hugh Armstrong3 What’s critical to care? 34Pat Armstrong, Jacqueline Choiniere, CharleneHarrington, and Marta Szebehely4 The crisis in the nursing home labour force: where is thepolitical will? 50Pat Armstrong, Frode F. Jacobsen, Monique Lanoix, andMarta Szebehely5 Negotiating internal and external boundaries of nursinghomes during Covid-19: a case study from Norway 67Gudmund Ågotnes and Frode F. Jacobsen6 Are safer, welcoming care homes possible? Consideringphysical environments 82Susan Braedley and Pat Armstrong7 Family members and nursing home care: lessons fromOntario and Sweden during Covid-19 99Ruth Lowndes, Jacqueline Choiniere, and Petra Ulmanen8 Equity and diversity in nursing home care: lessons fromCanada and Sweden 117Prince Owusu, Susan Braedley, and Palle Storm9 Regulation and accountability in the care home sector:expert commentaries 137Albert Banerjee, Hugh Armstrong, Pat Armstrong, FrodeF. Jacobsen, Charlene Harrington, and James Struthers10 Making joy possible in care home policies and practices 151Susan Braedley, Pat Armstrong, and Janna KlostermannIndex 169
‘This book is an essential resource for researchers, practitioners and policy makers involved in the nursing home sector. By advocating for systemic changes, inclusive practices and supportive environments, Care Homes in a Turbulent Era: Do They Have a Future? offers a valuable vision for the future of care homes.’