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Women of Color in a World Apart - An Ethnography of Care Workers and Dementia (Paperback)
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Women of Color in a World Apart - An Ethnography of Care Workers and Dementia (Paperback)
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Care, whether viewed as acts of civility, acts of compassion and
skill, or acts of close personal interaction, is the fundamental
process by which society perpetuates and recreates itself. Despite
social need and the undeniable benefit of occupations such as
Certified Nursing Assistants (CNAs), these workers-mostly female
and disproportionally from minority groups-face very low wages, a
notable lack of respect, and little public recognition of their
abilities. The United States is experiencing what experts call a
crisis of care with a current and growing shortage of nurses and
CNAs. In U.S. Nursing Centers, the demand for Certified Nursing
Assistants, the largest group of employees who operate on the front
line of health care, is expected to grow exponentially due to
dramatic increases in population aging. Over the course of a year
and a half, Anne K. Vittoria examined the meaning and social
construction of care work on an Alzheimer's Pavilion located in a
geriatric facility in the mid-western United States. Through
in-depth ethnographic research focused on the local culture and
logic of care, Vittoria documents that, when given autonomy in
their daily work in an institution, CNAs and the LPN Charge Nurse
constructed a systematic body of knowledge and created a language
of care-forging a "different" model of personal care in resistance
to the medical model of care. This book challenges the assumptions
of the outside world that low-level workers are alienated from
their work and have minimal skills. Paradoxically, the Pavilion is
both a refuge and a site of struggle for the CNAs; they desire to
create a world that is the antithesis of the world in which they
live on the outside. Women of Color in a World Apart provides a
public forum for the voices of women of color, the development of
concepts, and a practical as well as theoretical language of care
that could be transformational in connecting the meanings of care
with the organization of care.
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