Proud but Powerless: A Qualitative Study of Homecare Workers´ Work Experiences and Their Suggestions for How Care for Homebound Older Adults Can Be Improved.

IF 1.5 4区 医学 Q3 GERONTOLOGY Journal of Gerontological Social Work Pub Date : 2024-05-16 DOI:10.1080/01634372.2024.2355154
Monica Bergqvist, Pia Bastholm-Rahmner, Karin Modig, Lars L Gustafsson, Katharina Schmidt-Mende
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Abstract

Many older adults with complex care needs live at home due to ageing-in-place policies. This study explored homecare workers' experiences and suggestions for improvements of care. Twelve semi-structured interviews were analyzed thematically, and revealed pride, capability, and satisfaction in their work, yet they feel undervalued and lack support. They advocate for integrated care models, recognition of their competence, flexible work approaches, and committed leadership. This would enhance patient care and address their own working conditions, addressing concerns from being relegated to the bottom of the hierarchy. They emphasize the need for comprehensive approaches, spanning from housekeeping to end-of-life palliative care.

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自豪却无能为力:关于家庭护理工作者工作经历的定性研究,以及他们对如何改善居家老年人护理工作的建议。
由于居家养老政策的实施,许多有复杂护理需求的老年人都住在家里。本研究探讨了居家护理工作者的经验和改善护理工作的建议。我们对 12 个半结构式访谈进行了专题分析,结果显示,他们对自己的工作感到自豪、有能力和满意,但他们感到价值被低估,缺乏支持。他们主张采用综合护理模式,承认他们的能力,采取灵活的工作方法,并配备尽职尽责的领导。这样既能加强对病人的护理,又能解决他们自身的工作条件问题,消除他们被降到最底层的担忧。她们强调需要采取全面的方法,从内务管理到临终姑息治疗。
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来源期刊
CiteScore
4.00
自引率
3.10%
发文量
65
期刊介绍: With over 30 years of consistent, quality articles devoted to social work practice, theory, administration, and consultation in the field of aging, the Journal of Gerontological Social Work offers you the information you need to stay abreast of the changing and controversial issues of today"s growing aging population. A valuable resource for social work administrators, practitioners, consultants, and supervisors in long-term care facilities, acute treatment and psychiatric hospitals, mental health centers, family service agencies, community and senior citizen centers, and public health and welfare agencies, JGSW provides a respected and stable forum for cutting-edge insights by experts in the field.
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