Privileges, and Permissions: Theorising Intersectionality and Cultures of Control in the Care of People Living With Dementia in Acute Hospital Settings
2025

Understanding Care for People with Dementia in Hospitals

publication Evidence: high

Author Information

Author(s): Shadreck Mwale, Andy Northcott, Kate Featherstone

Primary Institution: Geller Institute of Ageing and Memory, University of West London

Hypothesis

How do ethnicity, gender, and social class intersect to shape the care of people living with dementia in acute hospital settings?

Conclusion

The study reveals that institutional racism and biases related to gender and social class significantly affect the care experiences of people living with dementia in hospitals.

Supporting Evidence

  • People living with dementia experience systemic inequalities in hospital settings.
  • Ethnicity, gender, and social class intersect to influence care practices.
  • Patients of color are often subjected to stricter control measures compared to their white counterparts.

Takeaway

This study shows that people with dementia are treated differently in hospitals based on their race, gender, and social class, which can lead to unfair care practices.

Methodology

The study used a 3-year multi-sited ethnography in NHS acute hospital wards, focusing on the everyday cultures of care.

Potential Biases

Potential biases in care practices based on race, gender, and social class were identified.

Limitations

The study may not represent all hospital settings as it was conducted in specific wards across three hospitals.

Participant Demographics

The study focused on older adults living with dementia, particularly those from ethnic minority backgrounds.

Digital Object Identifier (DOI)

10.1111/shil.v47.1.e13869

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication