Abstract：
Long-term residential care (LTRC) should be a safe place to work and to live, but it can be a site of violent situations for older people and staff. In this article, we draw on critical geographies, aging, and violence research to analyze how staff perceive, manage, and control the risk of violence in LTRC. Specifically, we explore the role of space as an instrument of control in places of care; the language of risk and risk containment in these places; and how movement figures into management of the risk of violence. Data included telephone and web-based semi-structured interviews with 29 staff in two Canadian provinces from 2021 to 2023, which were analyzed inductively. LTRC staff described having access to and support from other staff as an important feature of safe places. They also emphasized visibility, opportunities to escape from violent or threatening situations, being cognizant of objects that may be used as weapons and moving some residents to other tables, rooms, or specialized units. Finally, some staff acknowledged tensions between person-centered care and protecting staff and resident safety. Our analysis raises concerns about whether the management of space, objects, and activities employed to promote safety contribute to the care and dignity of older people. By drawing attention to the role of space, place, and risk containment in managing violent situations, we illustrate the important contributions of critical geography in troubling institutional care for older people.
摘要：
长期住宿护理（LTRC）应该是一个安全的工作和生活场所，但对于老年人和工作人员来说，它可能是暴力局势的场所。在这篇文章中,我们利用关键的地理位置，老化，和暴力研究来分析员工如何看待，管理,并控制LTRC的暴力风险。具体来说,我们探索空间作为护理场所控制工具的作用；这些地方的风险和风险控制语言；以及运动如何融入暴力风险的管理。数据包括2021年至2023年对加拿大两个省的29名员工进行的电话和基于网络的半结构化访谈，并进行了归纳分析。LTRC工作人员将获得其他工作人员的支持描述为安全场所的重要特征。他们还强调能见度，逃离暴力或威胁局势的机会，认识到可能用作武器的物体，并将一些居民转移到其他桌子上，房间,或专业单位。最后,一些工作人员承认以人为本的护理与保护工作人员和居民安全之间的紧张关系。我们的分析引发了人们对空间管理的担忧，对象,为促进安全而开展的活动有助于老年人的护理和尊严。通过提请注意空间的作用，地点,和控制暴力局势的风险，我们说明了关键地理在困扰老年人机构护理方面的重要贡献。
