Managing Work and Care: Does Employing a Live-in Migrant Care Worker Fill the Gap? The Example of Taiwan

2021 ◽  
pp. 1-13
Author(s):  
Li-Fang Liang
Keyword(s):  
Migrant Workers ◽  
Family Care ◽  
Work And Family ◽  
Care Quality ◽  
Public Care ◽  
Care Services ◽  
Care Workers ◽  
Limited Support ◽  
The Government ◽  
Care Worker

This article uses Taiwan as an example to examine how families manage work and care when the government and workplace provide limited support. Many Taiwanese households employ live-in migrant care workers to negotiate care responsibilities and adults’ paid jobs. Based on interviews with employers of live-in migrant care workers and workers, the findings demonstrate that daughters-in-law and occasionally daughters and sons become employers of live-in migrant care workers because of the limitation of public care services and lack of support they receive in seeking to combine paid work and family care responsibility. Even after employing migrant workers, women retain greater care responsibility in daily practices than their husbands. Hiring live-in migrant care workers also imposes risks to all parties involved in the processes of organising, coordinating, and providing care due to the uncertainty of care quality and the nature of care work.

scholarly journals Caring Values and the Value of Care: Women, Maternalism and Caring Work in the Czech Republic

2019 ◽  
Vol 28 (4) ◽  
pp. 500-511
Author(s):  
Rosie Read
Keyword(s):  
Czech Republic ◽  
Family Care ◽  
Work And Family ◽  
Day Hospital ◽  
The Czech Republic ◽  
Institutional Settings ◽  
Care Workers ◽  
Late Twentieth ◽  
Hospital Wards ◽  
Late Twentieth Century

AbstractThis article examines maternalism in the Czech Republic by exploring how waged and unwaged forms of caring work were framed through discourses of women's innately caring nature in the late twentieth century. Present-day hospital volunteering programmes, which bring female, lay volunteers onto hospital wards to provide unwaged care to patients, are inscribed by maternalist tropes historically associated with domestic work and family care, rather than the neutral expertise associated with female waged care workers in public, institutional settings. The article assesses the contemporary reinvention of maternalist discourses and their capacity to mobilise unwaged caring labour.

scholarly journals Dementia and Migration: Family Care Patterns Merging With Public Care Services

2017 ◽  
Vol 28 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Mette Sagbakken ◽  
Ragnhild Storstein Spilker ◽  
Reidun Ingebretsen
Keyword(s):  
Family Care ◽  
Public Care ◽  
Care Services ◽  
Care Patterns ◽  
And Migration

Advancing the Big Five of user-oriented care and accounting for its variations

2016 ◽  
Vol 29 (2) ◽  
pp. 162-176 ◽  
Author(s):  
Petri Kajonius ◽  
Ali Kazemi
Keyword(s):  
Big Five ◽  
Elderly Care ◽  
Process Quality ◽  
Care Process ◽  
Content Type ◽  
Care Services ◽  
Care Workers ◽  
Wide Range ◽  
Care Worker ◽  
Quality Variation

Purpose – Care process quality (i.e. how care is enacted by a care worker toward a client at the interpersonal level) is a strong predictor of satisfaction in a wide range of health care services. The purpose of this paper is to describe the basic elements of care process quality as user-oriented care. Specifically, the questions of how and why quality in user-oriented care varies were investigated in the context of elderly care. Design/methodology/approach – Two municipalities were selected for in-depth field studies. First, in each municipality, the authors interviewed and observed care workers’ interactions with the older persons in both home care and nursing homes during two weeks (Study 1). Second, in an attempt to gain a deeper understanding of why process quality in terms of user-oriented care varies, the authors conducted interviews with care workers and care unit managers (Study 2). Findings – A new taxonomy for categorizing process quality variation, the Big Five of user-oriented care (task-focus, person-focus, affect, cooperation, and time-use), is proposed. In addition, the perceived reasons for process quality variation are reported in our own developed Quality Agents Model, suggesting that variations in care process evaluations may be explained from different perspectives at multiple levels (i.e., older person, care worker-, unit-, department-, and municipality level). Originality/value – The proposed taxonomy and model are useful for describing user-oriented care quality and the reasons for its variations. These findings are of relevance for future quality developments of elderly care services, but also may be adapted to applications in any other enterprise employing a user-oriented approach.

scholarly journals Variations in user-oriented elderly care: a multilevel approach

2017 ◽  
Vol 9 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Ali Kazemi ◽  
Petri Kajonius
Keyword(s):  
Elderly Care ◽  
Care Quality ◽  
Satisfaction With Care ◽  
Content Type ◽  
National Board ◽  
Care Services ◽  
Care Workers ◽  
Interpersonal Care ◽  
Sources Of Variation

Purpose National Board of Health and Welfare claims that the quality of elderly care services differ considerably between municipalities in Sweden. This study aims to analyze to what extent these variations can be accounted for by the older person’s municipality affiliation (i.e. receiving elderly care in a certain municipality). Design/methodology/approach Addressing this issue, national survey data from 78,538 older respondents receiving elderly care services in Sweden were analyzed using multilevel modeling (MLM). Findings The results showed that municipality affiliation only marginally explained the variance in satisfaction with care, i.e. its variations were larger within than between municipalities. Instead, user-oriented care accounted for the variation in satisfaction with care. Specifically, the way the care workers behave toward the older person proved to be much more crucial for satisfaction with care than municipality affiliation. Moreover, random effects analyses revealed that the effects of user-oriented care on satisfaction with care varied across municipalities. Care setting (i.e. home care or nursing home) only marginally accounted for its variance. Practical implications Developing care quality should start and primarily be discussed at the interpersonal care level, and not, as is customary, at the municipality level. Originality/value The present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish elderly care using MLM.

scholarly journals ‘When the saints go marching in’: constructions of senior volunteering in Norwegian government white papers, and in Norwegian senior volunteers’ and health-care professionals’ stories

2017 ◽  
Vol 38 (7) ◽  
pp. 1399-1428 ◽  
Author(s):  
BODIL HANSEN BLIX ◽  
TORUNN HAMRAN
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Ageing Population ◽  
Adult Care ◽  
Public Care ◽  
Political Actors ◽  
Care Services ◽  
Senior Volunteers ◽  
The Government ◽  
Group Interviews

ABSTRACTThis study explores policy makers’, health-care professionals’ and senior volunteers’ perceptions of senior volunteers. Two Norwegian government white papers regarding older adult care and welfare services, which were published over a period of 19 years, were selected for close examination. Furthermore, focus group interviews with a purposeful sample of five senior volunteers and 15 health-care professionals were conducted. The study explores the discursive formations of senior volunteers in the government white papers and how they are negotiated in the senior volunteers’ and the health-care professionals’ narratives. Two dominant discourses were presented in the white papers: a prevention discourse (in which volunteering was presented primarily as a means to prevent volunteers’ loneliness and need for care services) and a sustainability discourse (in which the volunteers were presented as instrumental in future sustainable care services). Both discourses echo a common overarching discourse about a capacity crisis due to the ageing population. The senior volunteers were positioned as partners and active agents in both their own narratives and the health-care professionals’ narratives. Their position as independent and as spokespersons for the less empowered were evident only in the senior volunteers’ own narratives. Only the health-care professionals referenced the prevention discourse and capacity issues. The senior volunteers presented themselves as competent, efficient political actors, and they resisted both the prevention and sustainability discourses. In the senior volunteers’ narratives, social and political participation were interrelated. The study demonstrates that new discursive landscapes must be created to capture the diversity among senior volunteers and their efforts. While senior volunteers must be meaningfully involved in decision making, planning and design, their positions as independent and active agents must also be ensured. Authentic partnerships between senior volunteers and public care services involve a balance between involvement and independence.

scholarly journals Care Worker Perceptions of Recruitment and Retention in Adult Social Care Settings

2020 ◽  
Author(s):  
◽  
Elisha Pitarella
Keyword(s):  
Social Care ◽  
Quality Care ◽  
Care Quality ◽  
Care Providers ◽  
Structured Interviews ◽  
High Turnover ◽  
Recruitment And Retention ◽  
Care Workers ◽  
Care Worker ◽  
Vulnerable Adults

In England, the Adult Social Care (ASC) sector continues to grow and is faced with repeated scrutiny regarding the availability and effectiveness of care workers. This results in difficult challenges for organisations, such as funding demands, recruitment costs, and job satisfaction. These challenges are combined with the increasing demand to meet the needs of vulnerable adults and provide high-quality care. Some organisations have improved their delivery of care, whilst others have declined in quality as providers have struggled with the challenges they face (Care Quality Commission (CQC), 2019). These challenges are exacerbated by the high turnover in staffing levels. Although organisations have processes in place, such as exit interviews, there appears to be a lack of clear identification of the causes of turnover in ASC settings. This research study contributes to the debate on how to improve recruitment and retention in ASC settings. This research takes a qualitative approach and seeks to highlight key factors affecting recruitment and retention issues through the views and experiences of care workers to consider strategies to improve the workforce and quality of care for vulnerable adults. This thesis presents findings from semi-structured interviews with present care workers and managers from 2019-2020 working in residential care homes, domiciliary care providers and supported accommodation. The research identified that individual personalities, pay, training, management, and organisational practices are all influential to care worker satisfaction.

scholarly journals Eldercare policies in Scandinavia between 1993 and 2014: increased facilitation of family caregiving?

2018 ◽  
Vol 9 ◽  
pp. 48-67 ◽  
Author(s):  
Christine Thokle Martens
Keyword(s):  
Family Caregiving ◽  
Family Care ◽  
Legal Rights ◽  
Care Needs ◽  
Public Care ◽  
Care Services ◽  
Formal Economy ◽  
Work Family ◽  
The Right ◽  
Provision Of Care

Abstract This article asks whether legal rights provided through national legislation on services provision in Scandinavia have become, over time, more accommodating to the role of family caregiving to elderly relatives. The study is based on a comparison and analysis of changes in legislation between 1993 and 2014 in the three Scandinavian countries. It is limited to legislation on the right to eldercare services and on work-family facilitating policies in relation to the provision of care to an elderly relative. Work-family facilitating policies are those policies that enable the combining of employment in the formal economy with caring for family members without large prohibitive costs for the caregiver. The main findings in this article are that the Scandinavian countries strengthened the legal right to public care services between 1993 and 2014, but that there are few, if any, truly work-family facilitating policies. The existing schemes do not facilitate a combination of employment and care, but rather force the family caregiver to choose between them. The dilemma is whether to continue passively with a high, but declining, level of public service provision of eldercare, leaving unmet care needs to unpaid family carers, or to introduce work-family facilitating policies enabling remunerated family care in addition to extensive public services provision.

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.

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