Hiring Live-in Migrant Care Workers: Motivations and Experiences of Older People and their Families

Author(s):  
Sylvia Hoens ◽  
An-Sofie Smetcoren
Keyword(s):  
2018 ◽  
Vol 39 (7) ◽  
pp. 1387-1408 ◽  
Author(s):  
KAREN TESHUVA ◽  
JISKA COHEN-MANSFIELD ◽  
ESTHER IECOVICH ◽  
HAVA GOLANDER

ABSTRACTFrail older people worldwide are increasingly being cared for in their own homes by migrant live-in care workers; however, extant literature on care relationships in this care context is sparse. The purpose of this mixed-methods study was to explore the quality and the nature of care relationships between full-time, live-in migrant care workers and older people in Israel. Quantitative and qualitative data were drawn from a 2014 survey of 116 migrant care workers and 73 older care recipients. Mean scores for four quantitative items relating to care relationships were examined and independent samples t-tests and Pearson correlations were performed, whereas qualitative data were examined using thematic analysis. Credibility of qualitative findings was checked by peer review. Most older people and migrant care workers gave high ratings to the four items. Significant correlations between the two groups were found for their responses on all four relationship items assessed, with only one item (‘get along well’) producing significant t-test differences. Qualitative data provided a deeper understanding of the quantitative ratings of care relationships. Four major qualitative themes emerged as inextricably tied with both groups’ perceptions of positive care relationships. These were: an emotional connection; reciprocity; effective communication; and meeting the older person's care needs. Study findings were interpreted through the theoretical lens of relationship-centred care. Implications of the findings for theory, practice and further research are discussed.


2007 ◽  
Vol 6 (2) ◽  
pp. 193-205 ◽  
Author(s):  
Julienne Hanson ◽  
John Percival ◽  
Hazel Aldred ◽  
Simon Brownsell ◽  
Mark Hawley

2019 ◽  
Vol 14 (2) ◽  
pp. 55-75
Author(s):  
Kjetil G. Lundberg

Forms and documents play significant roles in the context of care work for older people. One type of form that care workers use on a daily basis is individual care descriptions (ICDs). An ICD is a text that is written on a piece of paper or on a computer, and specifies the care tasks to be carried out. How do ICDs operate in local settings of care work for older people? Anchored in insights from institutional ethnography, I investigate care work practices from the standpoint of care workers in care settings in Norway. In the empirical analysis, I identify and pay attention to two particular ICDs and how they enter the everyday care work practices. The findings indicate that ICDs contribute to standardizing care work practices that are related to changes in the cultural and institutional foundations of the welfare state. Furthermore, ICDs coordinate practices in different ways, and promote several forms of coordination. Hence, when analysing care descriptions at work, awareness of contextual sensitivity is called for. This paper contributes to research on management and power relationships in home care and nursing care work by illustrating different dimensions of textually based coordination.


2019 ◽  
Vol 40 (12) ◽  
pp. 2711-2731 ◽  
Author(s):  
Eleanor K. Johnson ◽  
Ailsa Cameron ◽  
Liz Lloyd ◽  
Simon Evans ◽  
Robin Darton ◽  
...  

AbstractExtra-care housing (ECH) has been hailed as a potential solution to some of the problems associated with traditional forms of social care, since it allows older people to live independently, while also having access to care and support if required. However, little longitudinal research has focused on the experiences of residents living in ECH, particularly in recent years. This paper reports on a longitudinal study of four ECH schemes in the United Kingdom. Older residents living in ECH were interviewed four times over a two-year period to examine how changes in their care needs were encountered and negotiated by care workers, managers and residents themselves. This paper focuses on how residents managed their own changing care needs within the context of ECH. Drawing upon theories of the third and fourth age, the paper makes two arguments. First, that transitions across the boundary between the third and fourth age are not always straightforward or irreversible and, moreover, can sometimes be resisted, planned-for and managed by older people. Second, that operational practices within ECH schemes can function to facilitate or impede residents’ attempts to manage this boundary.


2021 ◽  
Vol 5 (3) ◽  
pp. 535-541
Author(s):  
Oscar Zanutto

We are facing the 2050 aging wave that is calling us to prepare several strands of interventions to be ready on time. There is a need to foster the digital transformation of the care sector by the improvement of the digital literacy among older people, carers and care workers also using codesign approaches for the ICT usability and adoption in the social and health care domains. Moreover we need to switch from a reactive care model based on chronicity towards the adoption of a new one where citizens will be the co-maker of their own health.


Author(s):  
Hanne Marlene Dahl

Regulated fragmentation organises care of the vulnerable older people into elements provided by the caring family, professionals, care workers from public/private providers and volunteers. In this exploratory article, I consider the role of the stranger in modern care management, a role that has up to now been neglected or been understood largely in terms of a migrant worker. Using literature, applying discourse analysis and drawing upon Simmel and Kristeva, I outline dimensions of the stranger and the unfamiliar that can further research and policy considerations.


2018 ◽  
Vol 19 (3) ◽  
pp. 180-190
Author(s):  
Gloria Likupe ◽  
Carol Baxter ◽  
Mohamed Jogi

Purpose There is a recognition in Europe and in the western world of a demographic shift in the ageing population. While the overall ageing of the general population is growing, the numbers of immigrants getting old in their host countries is also increasing, thereby increasing the racial and ethnic proportion of older people in these countries. This changing landscape calls for understanding of issues related to health care provision, policy and research regarding ethnic minorities. Communication is seen as a key factor in understanding the needs of ethnic minority elders (EMEs). The purpose of this paper is to explore health care workers’ (HCWs) perceptions and experiences of communication with EMEs. In this paper the term HCW includes qualified nurses and health care assistants. Design/methodology/approach A descriptive qualitative study design using semi-structured interviews was employed. Ten HCWs, who had ethnic minorities in their care were individually interviewed to explore their perceptions and experiences of communication when caring for EMEs. Findings Analysis of data revealed that in common with all older people, EMEs experience stereotyped attitudes and difficulties in communication. However, EMEs face particular challenges, including cultural differences, different language and stereotyping of care based on misunderstood needs of EMEs. Facilitators of communication included appropriate training of HCWs and appropriate use of interpreters. Research limitations/implications Only homes willing to take part in the study gave permission for their staff to be interviewed. In addition, the HCWs came from various settings. Therefore, views of staff in homes who did not give permission may not be represented. Practical implications The diversity of older people needing care in nursing homes and the community calls for training in culturally competent communication for effective provision care provision for EMEs. Originality/value Training of health care staff in culturally appropriate communication requires effective practice.


2017 ◽  
Vol 38 (8) ◽  
pp. 1624-1644 ◽  
Author(s):  
LIS BODIL KARLSSON ◽  
EVY GUNNARSSON

ABSTRACTOlder persons with alcohol problems have today become an all too common part of everyday elder care, but research in this area is still scarce. This article has a Swedish context with the aim of describing and analysing home care workers’ narratives about older people who can be characterised as heavy drinkers, i.e. people with severe alcohol problems who need considerable care for extended periods. Limited knowledge is available concerning this age group. This article therefore fills a knowledge gap about home care workers’ perspective about body work and the abject, and breaches the myth that older individuals should be able to drink as they prefer and/or notions of drinking alcohol as a last enjoyment in life. The care workers talked about how they got drawn into the daily lives of the care recipients and how they ended up in situations where they, on the one hand, removed the consequences of drinking, and on the other, felt that they sustained the drinking by cleaning out dirt and washing the care recipients’ bodies.


2019 ◽  
Vol 20 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Kyoka Yajima ◽  
Chifa Chiang ◽  
Atsuko Aoyama

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