TITLE

INJUSTICE AND CONFLICT IN NURSING HOMES: Toward Advocacy and Exchange

AUTHOR(S)
Nelson[a], H. Wayne
PUB. DATE
March 2000
SOURCE
Journal of Aging Studies;Mar2000, Vol. 14 Issue 1, p39
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
ABSTRACT: This article examines the relational dynamics and patterns of conflict exhibited in the two interdependent parties in America's nursing homes. In the framework of the social exchange theory of structural power, it explains how the asymmetrical structure of dependence and control in nursing homes eliminates the possibility o f fair bargaining--normal conflict--between staff and patients. In the absence of any opportunity for reciprocal rewards and punishment, patients tend to adopt submissive influence strategies, whereas staff members tend to neglect, exploit, or abuse difficult or resistant patients. The author examines the exchange dynamics of adversarial tactics and the prevalence of third-party conflict in the nursing home, and shows that a partisan, patient-directed ally could rebalance power and eliminate inequities in the nursing home environment.
ACCESSION #
3123135

 

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