Family and family-like interactions in households with round-the-clock paid foreign carers in Israel

2009 ◽  
Vol 29 (5) ◽  
pp. 671-686 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
System Of Care ◽  
Care Recipient ◽  
Social And Emotional ◽  
Care Givers ◽  
Care Workers ◽  
Home Care Workers

ABSTRACTThis paper reports a study of family and family-like interactions and transfers, or exchanges of goods and resources, between paid, round-the-clock, Filipino home carers and those they care for in a sample of households in Israel. Qualitative interviews about their experiences and attitudes concerning the care role were conducted with 22 family members and 29 Filipino home-care workers. A thematic analysis of the interview data identified three major themes: the structure and internal dynamics of the adapted family or family-like system of care; the role of family members; and the role of Filipino home-care workers in the new system of care. Sons and daughters tended to appropriate the care-management positions and to reduce their social and emotional support for the care recipient. In contrast, spouse care-givers continued to provide some of the personal and emotional care even when a Filipino home-care worker was employed. Filipino home-care workers were made responsible for daily care and domestic routines and provided emotional and social care. It was found that family members do not relinquish their role as care-givers when round-the-clock foreign carers are on hand, but the nature of their role changes. The results suggest that foreign home-care workers' job description needs to be redefined to acknowledge the substantial social and emotional care that they provide.

Fears come true: the experiences of older care recipients and their family members of live-in foreign home care workers

2009 ◽  
Vol 21 (4) ◽  
pp. 779-786 ◽  
Author(s):  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
Home Care Services ◽  
Care Recipient ◽  
Care Services ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Care Worker

ABSTRACTBackground: Foreign home care services provided to frail older adults by individuals from the developing world are a global phenomenon. This study evaluated the challenges associated with live-in foreign home care from the perspective of older care recipients and their family members.Methods: Qualitative interviews were conducted with 23 family members and seven older care recipients. Interviews were analyzed thematically.Results: Three main themes were identified: (i) the intense fears associated with witnessing the decline of the older care recipient and the subsequent employment of a foreign home care worker; (ii) actual negative experiences within this caregiving setting; and (iii) the ways in which family members and older care recipients coped with these challenging experiences.Conclusions: The key to this caregiving arrangement is the establishment of trust. Yet, many care recipients experienced violations of trust that resulted in abuse and neglect, which served to further intensify fears and concerns about this caregiving arrangement. The same coping methods used to maintain this arrangement, despite fears and concerns, are the ones responsible for maintaining the older care recipient in an abusive situation.

scholarly journals Get In and Get Out: The Impact of COVID-19 on the Emotional Health of Home Care Workers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 382-383
Author(s):  
Leah Janssen
Keyword(s):  
Home Care ◽  
Emotional Health ◽  
Qualitative Interviews ◽  
Term Care ◽  
Care Workers ◽  
Care Approach ◽  
Perception Of Time ◽  
Home Care Workers ◽  
Task Oriented ◽  
The Impact

Abstract This research explores the emotional health of home care workers (HCWs) during the coronavirus pandemic. In-depth, qualitative interviews were conducted with 17 home care workers in the fall of 2020. Thematic analysis revealed important connections between emotional health and success on the job. Perception of time and appreciation emerged as key elements that impacted emotional health. HCWs expressed the pressure to perform as usual while simultaneously taking on extra tasks as distracting from direct client care and reinforcing a task-oriented care approach. As a result of these tensions, HCWs experienced a loss of appreciation by the client, who prioritized personal safety and a “get in and get out” attitude, leaving the HCW feeling less fulfilled in their work. Implications of this research highlight the importance of HCW emotional health needs when retaining HCWs as valuable members of the long-term care workforce is paramount.

Between Home and State: Care Workers and Labor Strategy for the New Open-Shop Era of Trumplandia

2020 ◽  
pp. 206-225
Author(s):  
Jennifer Klein
Keyword(s):  
Home Care ◽  
Home Health Care ◽  
Political Action ◽  
Labor Laws ◽  
Training And Education ◽  
State Recognition ◽  
Care Workers ◽  
The Right ◽  
Home Care Workers

This chapter also tackles how to build power under challenging conditions. It analyzes the case of home health care, which stands outside New Deal labor laws and is one of the largest and fastest-growing low-wage occupations. Building on decades of organizing, persistent political action, and mobilization with clients, home-care workers' unions won legislative battles enabling states to take on the role of employer and winning the right to engage in collective bargaining. But anti-union groups are now aggressively encouraging union disaffiliation through door-to-door campaigns, though home-care unions are fighting back. A critical component is deep member training and education, including “leadership academies” to cultivate workers' political education and skills. This chapter is a reminder that members make the union—with or without state recognition.

Obscuring the costs of home care: restructuring at work

2006 ◽  
Vol 20 (1) ◽  
pp. 27-45 ◽  
Author(s):  
Jane Aronson ◽  
Sheila M. Neysmith
Keyword(s):  
Home Care ◽  
Work Force ◽  
Managed Competition ◽  
Role Of Government ◽  
Political Processes ◽  
Unfair Treatment ◽  
Care Workers ◽  
Local View ◽  
Home Care Workers

This study of displaced home care workers reveals how managed competition serves to produce a flexible and atomized work force. Laid off when their nonprofit employer could not compete in the local home care market, workers blamed their employer and their union for their jeopardy. Obscured from local view was the role of government policy in offloading services to the market, benefiting privileged participants in the hospital, professional and market health care sectors. Workers’ indignation at their own and their elderly clients’ unfair treatment dissipated: they had to attend to the practical imperatives in their lives, and were unable to locate a target for their protest. Resolving to be flexible and self-sufficient in the future, they struggled to rework identities as committed carers. The study illuminates how particular organizational and political processes render services more meagre and labour more flexible, and suggests particular possibilities for both accommodating and disrupting those trends.

Work Postures When Assisting People at the Toilet

2015 ◽  
Vol 23 (2) ◽  
pp. 16-22
Author(s):  
Jenny Hjalmarson ◽  
Stefan Lundberg
Keyword(s):  
High Risk ◽  
Home Care ◽  
Ambulatory Care ◽  
Movement Patterns ◽  
Care Recipient ◽  
Personal Hygiene ◽  
Care Workers ◽  
Home Care Worker ◽  
Home Care Workers ◽  
Care Worker

The aim of our study was to analyze home care workers’ movement patterns and back postures, relating them to risks while helping an ambulatory care recipient to and from the toilet in a homelike environment. We found that severe risks of unpredictable movements with exposed postures could explain many injuries. Because of high-risk injuries, we suggest decreasing the time when the care recipient stands and the home care worker helps with clothing and personal hygiene. We also suggest the development of support in front of the recipient to prevent her or him from falling forward.

Abuse is in the eyes of the beholder: using multiple perspectives to evaluate elder mistreatment under round-the-clock foreign home carers in Israel

2010 ◽  
Vol 31 (3) ◽  
pp. 499-520 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Elder Abuse ◽  
Family Members ◽  
Multiple Perspectives ◽  
Elder Abuse And Neglect ◽  
Care Recipients ◽  
Care Workers ◽  
Abuse And Neglect ◽  
Home Care Workers

ABSTRACTThe overall goal of the study reported in this paper was to examine differences in the perceived occurrence of abuse and neglect as between older care recipients, their family carers, and foreign home-care workers in Israel. Overall, 148 matched family members and foreign home-care workers and 75 care recipients completed a survey of abuse and neglect. Significant discrepancies in their reports of neglect were found, with the foreign home-care workers more likely to identify neglect (66%) than the older adults (27.7%) or their family members (29.5%). Although the rates of reported abuse ranged between 16.4 and 20.7 per cent and the differences were not statistically significant, the different parties assigned the responsibility for the abuse to different perpetrators. The independent variables that significantly associated with abuse and neglect also varied by the three groups of participants. The findings suggest that even with round-the-clock home care, the basic needs of many older adults are not met, and that many experience substantial abuse. The study emphasises the subjective nature of abuse and neglect, and suggests that more education about what constitutes elder abuse and neglect may lead to more accurate and consistent reports across reporting sources. Incorporating data from the various stakeholders may enhance the early identification of elder abuse and neglect.

Welcome to These Shores

2021 ◽  
pp. 124-149
Author(s):  
Richard Schweid
Keyword(s):  
Health Care ◽  
Home Care ◽  
Cultural Differences ◽  
Home Health ◽  
Care Recipient ◽  
Federally Funded ◽  
Cultural Attitudes ◽  
Care Workers ◽  
Software Engineers ◽  
Home Care Workers

This chapter explains that while immigrants play an important role across the health care spectrum, a federally funded 2004 report found that their numbers were greatest among home care workers. Sensitivity to cultural differences will likely need to be applied to various aspects of a home health aide's (HHA) daily tasks. In addition, aides need to leave their own cultural attitudes at the door and communicate plainly and directly with the care recipient. The chapter then looks at the effects of the Trump administration's immigration program on immigrant HHAs. It is important to acknowledge that these immigrants are as important to the economy as the immigrant physicists and software engineers. In addition to increasing wages and benefits for HHAs, efforts could be made to recruit immigrants by facilitating a visa process for those women willing to commit to working as HHAs for a certain length of time.

The contribution of working conditions and care recipient characteristics to work-related abuse and exploitation of migrant home care workers

2017 ◽  
Vol 39 (7) ◽  
pp. 1001-1014 ◽  
Author(s):  
Ohad Green ◽  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Working Conditions ◽  
Migrant Workers ◽  
Initial Period ◽  
Care Recipient ◽  
Snowball Sampling ◽  
Content Type ◽  
Work Related ◽  
Care Workers ◽  
Home Care Workers

Purpose Migrant home care workers constitute a vulnerable group in society, which is often exposed to work-related abuse. The purpose of this paper is to explore which characteristics are linked with their abuse. Design/methodology/approach Overall, 187 Filipino home care workers who work in Israel were recruited via snowball sampling and filled an anonymous questionnaire regarding work-related abuse incidents and working conditions. Findings More than half of the participants reported exposure to abuse (e.g. sexual, physical, or emotional) or exploitation (e.g. asking to do more than job requirements). Particularly vulnerable were migrant workers during their first year in the host country and those who were taking care of an older adult with cognitive impairment. Interestingly, men who served as care workers were more susceptible to abuse than women. Originality/value The findings point to specific characteristics which make home care workers more susceptible to abuse illustrate the need for a closer supervision on the working conditions of home care workers, especially during the initial period of their work. Training migrant home care workers in the area of dementia care is also important.

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