scholarly journals Like one of the family? Understanding relationships between migrant live-in care workers and older care recipients in Israel

2018 ◽  
Vol 39 (7) ◽  
pp. 1387-1408 ◽  
Author(s):  
KAREN TESHUVA ◽  
JISKA COHEN-MANSFIELD ◽  
ESTHER IECOVICH ◽  
HAVA GOLANDER
Keyword(s):  
Older People ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Full Time ◽  
Care Needs ◽  
Care Recipients ◽  
Care Workers ◽  
The Family ◽  
Care Relationships ◽  
Pearson Correlations

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.

scholarly journals Poised to advocate: The pedagogy of the lightning talk in child and youth care education

2022 ◽  
Author(s):  
Johanne Jean-Pierre ◽  
Sabrin Hassan ◽  
Asha Sturge ◽  
Kiaras Gharabaghi ◽  
Megan Lewis ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Qualitative Data ◽  
Youth Care ◽  
Mixed Methods Study ◽  
First Century ◽  
Metacognitive Skills ◽  
Online Questionnaire ◽  
Child And Youth Care ◽  
Care Workers ◽  
Purposive Sample

<div> <div> <div> <p>Advocacy is an integral part of child and youth care workers’ roles and a significant component of child and youth care politicized praxis and radical youth work. Drawing from the qualitative data of a mixed-methods study conducted in 2019 at a Canadian metropolitan university, this study seeks to unpack how the pedagogy of the lightning talk can foster advocacy skills to effectively and spontaneously speak out with and on behalf of children, youth, and families in everyday practice when an unforeseen systemic challenge or barrier arises. A purposive sample of 70 undergraduate students was recruited in two child and youth care courses, both of which required students to present a lightning talk. Participants completed an online questionnaire with closed-ended and open-ended questions in order to share their perspectives of the pedagogy of the lightning talk. The findings show that the lightning talk fosters twenty-first century and metacognitive skills and, most importantly, advocacy skills. </p> </div> </div> </div>

scholarly journals Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

2019 ◽  
Vol 16 (11) ◽  
pp. 1951 ◽  
Author(s):  
Phillippa Carnemolla ◽  
Catherine Bridge
Keyword(s):  
Older People ◽  
Community Care ◽  
Community Setting ◽  
Positive Association ◽  
Care Needs ◽  
Housing Design ◽  
Care Recipients ◽  
Home Modifications ◽  
Australian Community

The extent to which housing design can minimise levels of community caregiving has remained largely unmeasured. This paper reports the potential for home modifications to reduce caregiving in the peoples’ homes, particularly older people and people with a disability. It contributes to new knowledge in understanding how housing can play a role in community caregiving and acknowledges the role of the built environment in managing care levels in ageing societies. This paper analyses self-reported care data from 157 Australian community care recipients (average age: 72 years) who had received home modifications within the past 6 months. A before/after comparison of care provided revealed that home modifications reduced hours of care provided by 42% per week. More detailed analysis revealed that the positive association of home modifications with care reduction is stronger with informal care (46% reduction) followed by formal care (16% reduction). These results suggest the role that home modifications, and housing design in general, play in reducing care needs in a community setting.

scholarly journals Ageing in extra-care housing: preparation, persistence and self-management at the boundary between the third and fourth age

2019 ◽  
Vol 40 (12) ◽  
pp. 2711-2731 ◽  
Author(s):  
Eleanor K. Johnson ◽  
Ailsa Cameron ◽  
Liz Lloyd ◽  
Simon Evans ◽  
Robin Darton ◽  
...  
Keyword(s):  
Older People ◽  
Longitudinal Research ◽  
Self Management ◽  
Care Needs ◽  
The Third ◽  
The United Kingdom ◽  
Care And Support ◽  
Care Workers ◽  
Operational Practices ◽  
Extra Care Housing

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.

scholarly journals Squalor, chaos and feelings of disgust: care workers talk about older people with alcohol problems

2017 ◽  
Vol 38 (8) ◽  
pp. 1624-1644 ◽  
Author(s):  
LIS BODIL KARLSSON ◽  
EVY GUNNARSSON
Keyword(s):  
Home Care ◽  
Older People ◽  
Older Persons ◽  
Alcohol Problems ◽  
Older Individuals ◽  
Daily Lives ◽  
Care Recipients ◽  
Care Workers ◽  
The One ◽  
Home Care Workers

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.

scholarly journals Remote care technologies, older people and the social care crisis in the United Kingdom: a Multiple Streams Approach to understanding the ‘silver bullet’ of telecare policy

2020 ◽  
pp. 1-22
Author(s):  
Andrew Eccles
Keyword(s):  
Older People ◽  
Information And Communication Technologies ◽  
Social Care ◽  
Multiple Streams ◽  
Care Needs ◽  
Multiple Streams Approach ◽  
Health And Social Care ◽  
Care Relationships ◽  
Remote Care ◽  
Silver Bullet

Abstract The policy announcement in November 2018 by the Secretary of State for Health and Social Care that: ‘from today, let this be clear: tech transformation is coming’ indicates that confidence in care technologies, so apparent over the past decade in policy circles, remains unabated. This article suggests, based on evidence of significant limitations in technological solutions to care needs, that this confidence is misplaced. The focus is on remote care technologies – primarily telecare – which involve the passive or real-time monitoring of recipients, the majority of whom will be older people. These information and communication technologies (ICT) have been heralded by politicians, policy makers and industry interests alike as a solution to the challenges of demographic change and social care demand. While the research evidence suggests telecare works well for some people, in some circumstances, there are also significant complexities in its use, challenges presented to care relationships, and conflicting interpretations around its efficacy and cost-effectiveness. These critical issues have been marginalised in the mainstream discourse around telecare policy. This article explores the dissonance between this policy and the available evidence, drawing on a Multiple Streams Approach to analyse the emergence of, and continued confidence in, telecare policy based on a congruence of views across policy interests. To the extent that social care for older people is now in crisis, the article argues that the discourse around telecare represents an example of ‘silver bullet’ thinking: that is, too much focus on a single policy solution to address complex problems. Accordingly, the crisis in social care has deepened, without alternative policy proposals being available to address it. The renewed push for ICT-based solutions to this crisis in social care ought therefore to be viewed with some concern.

scholarly journals EXPERIENCES OF OLDER PEOPLE AND INFORMAL CAREGIVERS WITH LIVE-IN MIGRANT CARE WORKERS IN BELGIUM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S578-S578
Author(s):  
Sylvia Hoens ◽  
An-Sofie Smetcoren ◽  
Liesbeth De Donder
Keyword(s):  
Older People ◽  
Informal Caregivers ◽  
Well Being ◽  
Care Needs ◽  
Care Services ◽  
Organization Of Care ◽  
Care Workers ◽  
Informal Carers ◽  
Depth Interviews ◽  
Recent Tendency

Abstract The increasing number of older people has a significant impact on the organization of care in European countries. Despite the availability of formal care services, adequate solutions are still missing and older people themselves search for alternative strategies to meet their care needs. For example, a recent tendency is to call upon help of migrant care workers. In Belgium, research concerning this often invisible care solution remains absent. Therefore, the study at hand explores the experiences of the older care users and their informal caregivers and examines how this care can increase their well-being. Eight in-depth interviews with older people who rely on live-in migrant care workers, five interviews with professionals and one focus group with experts have been conducted. This study found that live-in caregivers relieve the informal carers, guarantee the presence of permanent care 24/7 and enable older people to live longer at home.

scholarly journals Home Alone or Not? A Mixed Methods Study of Different Perceptions of Social Isolation between Care Managers and Older Housebound Adults

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Social Isolation ◽  
Well Being ◽  
Mixed Methods Study ◽  
Assessment Process ◽  
Older Person ◽  
Care Needs ◽  
Care Manager ◽  
Care Managers

Purpose: This paper aims to discuss whether the level of social isolation and loneliness as assessed by care managers corresponds to the level of social isolation and loneliness as perceived by the older persons whose care needs are being assessed. Design/methodology/approach: This mixed methods study followed up the assessment of 40 older people by 20 care managers with a focus on the accuracy of the care manager’s assessment on the level of social isolation experienced by the service user. In order for this to be achieved structured interviews were conducted with both the older person and the care manager assessing their needs, with a specific focus on the assessment of loneliness and social isolation. Following these initial interviews two focus groups were then undertaken with the care manager to discuss the findings and unpack the assessment process. Findings: The key issues were that the true level of social isolation and loneliness was under assessed by the care manager completing the assessment. That the care manager’s assessment was predominantly focused on the physical well-being of the older person and heavily influenced by the assessment paperwork. Originality/value: This provides lessons for professionals about the lack of effectiveness of their assessment of social isolation and loneliness in older people, and the potential impact this has on the older person’s quality of life.

Older people as victims and perpetrators of crime

2020 ◽  
pp. 871-892
Author(s):  
Claudio Di Lorito ◽  
Birgit Vӧllm
Keyword(s):  
Intensive Care ◽  
Older People ◽  
Psychiatric Services ◽  
Care Needs ◽  
Institutional Settings ◽  
Older Offenders ◽  
The Family ◽  
Victims Of Crime ◽  
Forensic Psychiatric ◽  
Growing Population

Older people are at a higher risk of becoming the victims of crime than of being the perpetrators of it, given the added vulnerability that comes with aging. This chapter examines crime in relation to old age. The first section presents data around older people as victims of crime, and further discusses different types of abuse against older people, which, in the presence of intensive care needs and carer burden, may be perpetrated within the family or in residential and institutional settings. The second section of the chapter examines older people as the perpetrators of crime. In particular, it describes how older offenders are dealt within the justice system. It presents data on the growing population of older offenders in prisons and in forensic psychiatric services and reports on whether the unique needs of older offenders are being met in these settings.

From Migration to Palliation: Uncharted Waters

1991 ◽  
Vol 7 (4) ◽  
pp. 26-30 ◽  
Author(s):  
Carmelita Mcneil
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Special Role ◽  
Health Care Needs ◽  
Care Needs ◽  
Palliative Home Care ◽  
Family Ties ◽  
The Past ◽  
Care Workers ◽  
The Family

Attention to the unique health care needs of people who have immigrated to Canada should not wait until they are dying. The culture of the past and the reasons for migration are blended into their understanding of health care values and affect their response to interventions. Health professionals should understand that the family and the cultural community play a special role in the integration and acceptance of Canadian methods of care. Palliative home care nurses are participant-observers of the family ties to the past. They can share these observations with other health care workers.

scholarly journals Older people's perspectives on living in integrated housing and care settings: the case of extra care housing

2020 ◽  
Vol 28 (3) ◽  
pp. 281-290
Author(s):  
Ailsa Cameron ◽  
Eleanor K Johnson ◽  
Simon Evans
Keyword(s):  
Qualitative Data ◽  
Care Needs ◽  
Housing Service ◽  
Content Type ◽  
Levels Of Care ◽  
Care And Support ◽  
Care Workers ◽  
Practical Implications ◽  
Extra Care Housing

PurposeThis paper explores residents' perceptions and experiences of extra care housing as an integrated model of housing with care.Design/methodology/approachData were collected in a longitudinal qualitative study based on four extra care housing schemes. Data from interviews with residents, care workers, managers and local commissioners were analysed thematically.FindingsThe integration of housing with care enabled many older people to manage their care proactively. However, the increasing number of residents with complex health and care needs, including chronic illness, led some residents to question the ability of the model to support residents to live independently.Research limitations/implicationsThe study struggled to recruit sufficient residents from the specialist dementia setting who were able to communicate their consent to take part in the research. In addition, the quality of qualitative data collected in interviews with participants at this setting reduced over successive rounds of interviews.Practical implicationsThe study suggests the need to ensure that residents are fully informed about levels of care and support is available when considering a move into extra care housing.Originality/valueThis paper provides a timely opportunity to consider extra care housing as an example of an integrated housing service, particularly in light of the current challenges facing the sector.

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