南京医科大学学报（社会科学版）2026，Vol.26Issue(1)：14-23,10.DOI:10.7655/NYDXBSSS250364
权力缝隙与共照再构:照护政治学视角下失智老人机构照护研究
Power gaps and the reconstruction of shared care:institutional care for older adults with dementia from the perspective of the politics of care
摘要
Abstract
Taking the K nursing home institution in Fuzhou City as a case,this study employs the analysis framework of the politics of care to argue that care is not merely a technical service practice,but a social practice involving the distribution of responsibilities,negotiation of power,and ethical responses.From this perspective,the research re-examines the institutional care process for older adults with dementia and finds that although healthcare professionals,care workers,family members,and social workers each undertake distinct caring roles,the uneven distribution of power undermines the collaborative effectiveness among care providers and constrains improvements in overall care quality.Accordingly,this study highlights the crucial potential of social workers to reconstruct shared care practice by utilizing their unique strengths in communication coordination,emotional support,and ethical advocacy.Looking forward,it is vital to further clarify the professional functions of social work,enabling social workers to play an integrative and empowering role in interdisciplinary collaboration within nursing homes.It is imperative to enhance the professionalism and humanistic quality of institutional dementia care,thereby guiding institutional care toward a more coordinated,people-oriented,and sustainable development trajectory.关键词
失智老人/照护政治学/社会工作/共同照护Key words
older adults with dementia/politics of care/social work/shared care分类
社会科学引用本文复制引用
曾繁萍,林珊珊,黄翠萍..权力缝隙与共照再构:照护政治学视角下失智老人机构照护研究[J].南京医科大学学报（社会科学版）,2026,26(1):14-23,10.基金项目
福建省社会科学基金"主动健康视域下福建省老年癌症患者养老照护的人类学研究"(FJ2024C159) （FJ2024C159）
福建医科大学本科教育教学研究项目"新质生产力视角下人文社科类专业专创融合教育研究"(J24036) （J24036）
福建医科大学本科教育教学研究项目"社会工作专业'课程思政'示范引领创新实践"(J25040) （J25040）
