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Ethics in addictology practice
Švadlenová, Jana ; Hradcová, Dana (advisor) ; Mravčík, Viktor (referee) ; Šoltésová, Denisa (referee)
The presented work is an empirical study offering an insight into the providing of addictology care in the everyday practice. In a selected Organization, I ethnographically examine how the good addictology practice is done and what, according to the participants, makes it good. That means how the Organization comes to what is good and what is not, when and in which situation is it good. Through analyses of Organization's everyday life taking place in various facilities helping people at risk of dependents and their loved ones, through documents analyses and through the way the Organization presents itself, I offer proved a support for the good practice. These are the organization's spirit, that is cultivated from the long-term care for the organization's culture and also an awareness of the constant formation of one's own path towards good and even better care. However, neither the path nor the spirit has the same face and final form. Although it stands on solid foundations, which are the organizational values (respect, openness, responsibility, relationship and cooperation) and is based on a long history and traditions, it is shaped by what every day brings to the Organization. Despite its functional support, the Organization is not free from mistakes, errors. However, it seeks to ensure that its...
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Ethics and Power in Social Health Services
Hradcová, Dana ; Holmerová, Iva (advisor) ; Bittnerová, Dana (referee) ; Parry Martínková, Irena (referee)
The following text is an ethnographical study of relations in which care is shaped. On the example of care homes with special regime I describe how power is made and how different ideals are enacted in care of people with dementia. Through the analysis of daily activities' micro practice, I introduce two possible ways (modes of ordering) of care for frail elderly with cognitive impairment. The first of the modes is based on an enactment of ideals introduced into the practice by the Social Services Act and related system of quality standards: autonomy, individualisation, activation, and inclusion. It relies on standardisation of procedures, detailed specification of actions and management by objectives. The second mode of ordering, which could be located in the stories from care homes, is founded on an inevitable human dependency and vulnerability, and on general human need of giving and receiving care. In it, relationships and care improvisation here and now play the key role. My ethnographic fieldwork has shown that in everyday practice these two ways of doing good care co-exist - they complement each other, overlap and sometimes clash. People in care homes, striving for the better and the best care, either keep together, or hold apart these different and non-coherent ways of care. In discourse of...
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Ethics and Power in Social Health Services
Hradcová, Dana ; Holmerová, Iva (advisor) ; Bittnerová, Dana (referee) ; Parry Martínková, Irena (referee)
The following text is an ethnographical study of relations in which care is shaped. On the example of care homes with special regime I describe how power is made and how different ideals are enacted in care of people with dementia. Through the analysis of daily activities' micro practice, I introduce two possible ways (modes of ordering) of care for frail elderly with cognitive impairment. The first of the modes is based on an enactment of ideals introduced into the practice by the Social Services Act and related system of quality standards: autonomy, individualisation, activation, and inclusion. It relies on standardisation of procedures, detailed specification of actions and management by objectives. The second mode of ordering, which could be located in the stories from care homes, is founded on an inevitable human dependency and vulnerability, and on general human need of giving and receiving care. In it, relationships and care improvisation here and now play the key role. My ethnographic fieldwork has shown that in everyday practice these two ways of doing good care co-exist - they complement each other, overlap and sometimes clash. People in care homes, striving for the better and the best care, either keep together, or hold apart these different and non-coherent ways of care. In discourse of...
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