|Published online: July 17, 2014||$US5.00|
This paper references Structural Ritualization Theory (SRT) to describe alternatives to bureaucratic practices in nursing homes. SRT examines ritualized symbolic practices considering factors of repetitiveness, homologousness, salience, and resources. Recent research using the theory implies that taken-for-granted work rituals which nursing home employees engage in unintentionally facilitate the abuse and neglect of residents (Ulsperger and Knottnerus 2011). Bureaucratic demands shape many of these rituals. This creates a situation where alternative rituals have the potential to lower the maltreatment of institutionalized elders. This paper discusses these divergent actions collectively as the Centralized Alternative Ritual Enactment (CARE) model. Complementing the culture change movement, the CARE model has the possibility of helping to elevate the quality of care provided to long-term care recipients.
|Keywords:||Cultural Perspectives, Long-term Care, Elder Abuse|
Associate Professor of Sociology, Behavioral Sciences, Arkansas Tech University, Russellville, Arkansas, USA
Regents Professor, Sociology, Oklahoma State University, Stillwater, Oklahoma, USA
Visiting Lecturer of Sociology, Behavioral Sciences, Arkansas Tech University, Russellville, Arkansas, USA