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Published on: February 8, 2019
Micro-citizenship, dementia and long-term care
Clive Baldwin1, Michelle Greason2
1St Thomas University, School of Social Work, New Brunswick, Canada baldwin@stu.ca.
This study introduces midi- and micro-citizenship to understand dementia care as a practice. It explores building alliances between people with dementia in long-term care and staff to enhance social inclusion and rights.
Area of Science:
- Gerontology
- Social Sciences
- Healthcare Studies
Background:
- Dementia care is shifting from individualistic to a group-based approach, addressing social and structural discrimination.
- This paradigm mirrors advancements in disability and mental health studies, aiming to politicize experiences and reconfigure power dynamics.
- Existing discussions focus on social inclusion and rights, viewing citizenship as a state-based relationship.
Purpose of the Study:
- To introduce and apply the concepts of midi- and micro-citizenship to dementia care practice.
- To bridge the personal and political by fostering citizenship alliances between individuals with dementia in long-term care (LTC) and care staff.
- To analyze the practical application of these citizenship concepts within LTC settings.
Main Methods:
- Utilized concepts from organization studies: midi- and micro-citizenship.
- Analyzed data from focus groups with LTC staff.
- Conducted interviews with family carers of residents in LTC facilities.
Main Results:
- Demonstrated the utility of midi- and micro-citizenship in understanding citizenship in practice within LTC.
- Provided insights into the relational and action-based aspects of citizenship for people with dementia and care staff.
- Highlighted the potential for building practical citizenship alliances in dementia care.
Conclusions:
- Midi- and micro-citizenship offer a valuable framework for analyzing and enhancing dementia care practice.
- These concepts facilitate the linkage of personal experiences with political realities in LTC settings.
- The study suggests new avenues for improving social inclusion and empowering individuals with dementia and their care providers.
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