Home Care for Elders in China’s Rural-Urban Dualism: Care Workers’ Fractured Experiences

Author(s):  
Liu Hong
Keyword(s):  
Author(s):  
Marsha Love ◽  
Felipe Tendick-Matesanz ◽  
Jane Thomason ◽  
Davine Carter ◽  
Myra Glassman ◽  
...  

The home care workforce, already at 2.7 million caregivers, will become the nation’s fastest growing occupation by 2024 as the senior boom generation accelerates the demand for in home services to meet its long-term care needs. The physically challenging work of assisting clients with intimate, essential acts of daily living places home care workers (HCWs) at risk for musculoskeletal disorders (MSDs); yet, HCWs typically receive little formal job training and may lack appropriate assistive devices. In this qualitative pilot study, HCW focus groups described workplace MSD risk factors and identified problem-solving strategies to improve ergonomic conditions. The results revealed that HCWs rely on their behavioral insights, self-styled communications skills and caring demeanor to navigate MSD risks to themselves and increase clients’ physical independence of movement. We suggest changes in employer and government policies to acknowledge HCWs as valued team members in long-term care and to enhance their effectiveness as caregivers.


Author(s):  
Cristina Colonnesi ◽  
Carolien Konijn ◽  
Leoniek Kroneman ◽  
Ramón J. L. Lindauer ◽  
Geert Jan J. M. Stams

AbstractMost out-of-home placed children have experienced early adversities, including maltreatment and neglect. A challenge for caregivers is to adequately interpret their foster child’s internal mental states and behavior. We examined caregivers’ mind-mindedness in out-of-home care, and the association among caregivers’ mind-mindedness (and its positive, neutral, and negative valence), recognition of the child’s trauma symptoms, and behavior problems. Participants (N = 138) were foster parents, family-home parents, and residential care workers. Caregivers’ mind-mindedness was assessed with the describe-your-child measure. Caregivers’ recognition of the child’s trauma symptoms, their child’s emotional symptoms, conduct problems, prosocial behavior, and quality of the caregiver-child relationship were assessed using caregivers’ reports. Foster parents produced more mental-state descriptors than did residential care workers. General mind-mindedness, as well as neutral and positive mind-mindedness, related negatively to conduct problems. Besides, positive mind-mindedness was associated with prosocial behavior and neutral mind-mindedness with a better quality of the caregiver-child relationship and fewer child conduct problems. Negative mind-mindedness related positively to the caregiver’s recognition of the child’s trauma symptoms, and indirectly, to emotional symptoms. In conclusion, mind-mindedness seems to be an essential characteristic of out-of-home caregivers, connected to the understanding of their child’s behavior problems and trauma symptoms, as well as to the relationship with the child. The findings suggest a possible use of mind-mindedness in out-of-home care evaluation and intervention.


2021 ◽  
Vol 5 (CSCW2) ◽  
pp. 1-32
Author(s):  
Anthony Poon ◽  
Vaidehi Hussain ◽  
Julia Loughman ◽  
Ariel C. Avgar ◽  
Madeline Sterling ◽  
...  

2020 ◽  
Author(s):  
PHILIP EASOM ◽  
Ahmed Bouridane ◽  
Feiyu Qiang; ◽  
Li Zhang ◽  
Carolyn Downs ◽  
...  

<p>With an increasing amount of elderly people needing home care around the clock, care workers are not able to keep up with the demand of providing maximum support to those who require it. As medical costs of home care increase the quality is care suffering as a result of staff shortages, a solution is desperately needed to make the valuable care time of these workers more efficient. This paper proposes a system that is able to make use of the deep learning resources currently available to produce a base system that could provide a solution to many of the problems that care homes and staff face today. Transfer learning was conducted on a deep convolutional neural network to recognize common household objects was proposed. This system showed promising results with an accuracy, sensitivity and specificity of 90.6%, 0.90977 and 0.99668 respectively. Real-time applications were also considered, with the system achieving a maximum speed of 19.6 FPS on an MSI GTX 1060 GPU with 4GB of VRAM allocated.<i></i></p>


2018 ◽  
Vol Volume 11 ◽  
pp. 481-492 ◽  
Author(s):  
Madeline R Sterling ◽  
Amy L Shaw ◽  
Peggy BK Leung ◽  
Monika M Safford ◽  
Christine Jones ◽  
...  

2019 ◽  
pp. 203-238
Author(s):  
Cati Coe

This chapter examines how workplace conditions and benefits shape care workers’ national belonging. It discusses the home care field, including its historically unregulated character due to its categorization as domestic service. Agencies are currently responding to new regulations regarding overtime and health insurance, which have had contradictory effects on workers. It also discusses the amount of profit agencies are making from care workers. Care workers feel that they are denied reciprocities to which they are entitled through their labor. This is thus a complicated sense of belonging, in which they belong enough to feel entitled to reward, but not enough belonging to feel that they can work in unison against this system. Many, instead, decide that this state of affairs confirms that they belong in their home countries rather than in the United States. It is there that they imagine that they will reap the rewards of their labor and attain a dignity that is denied in the United States.


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