scholarly journals Changes in commissioning home care: an English survey

2020 ◽  
Vol 21 (1) ◽  
pp. 3-14
Author(s):  
Sue Davies ◽  
Jane Hughes ◽  
Karen Davies ◽  
Elizabeth Dalgarno ◽  
Rowan Elaine Jasper ◽  
...  
Keyword(s):  
Home Care ◽  
National Policy ◽  
Free Text ◽  
Local Authorities ◽  
Data Set ◽  
Systematic Analysis ◽  
Content Type ◽  
Care Workers ◽  
Home Care Workers ◽  
Combined Data

Purpose The purpose of this study is to examine changes in the nature, form and range of commissioning arrangements for home care. Design/methodology/approach Data from two discrete national surveys of English local authorities with social service responsibilities were used. In the first, undertaken in 2007, responses from 111 of the 151 local authorities (74%) were received; in the second, undertaken in 2017, responses from 109 local authorities (72%) were received. A combined data set of 79 complete cases, 52% of local authorities, was created. Percentage point differences across the two time periods were calculated and tested to identify significant changes and a systematic analysis of the free-text responses regarding intended changes to the commissioning process in each data set was undertaken. Findings Findings identified substantial changes in some aspects of the commissioning of home care in the 2007-2017 decade. Collaboration between stakeholders had increased, particularly regarding the identification of future needs. Improved conditions of service and remuneration for home care workers were evident within the commissioning process. Standardised charges for home care (regardless of time and day) had also become more widespread. Initiatives to prompt providers to deliver more personalised care were more evident. Originality/value This paper describes the evolution of commissioning arrangements for home care in localities in response to national policy initiatives. It provides guidance to commissioners in meeting the needs of current service users and emphasises the importance of collaboration with stakeholders, particularly providers, in securing future capacity.

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.

“Then They Trust You …”

2017 ◽  
Vol 27 (2) ◽  
pp. 225-245 ◽  
Author(s):  
Marsha Love ◽  
Felipe Tendick-Matesanz ◽  
Jane Thomason ◽  
Davine Carter ◽  
Myra Glassman ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Team Members ◽  
Physical Independence ◽  
Care Workers ◽  
Communications Skills ◽  
Home Care Workers

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.

Computer-Mediated Peer Support Needs of Home Care Workers: Emotional Labor & the Politics of Professionalism

2021 ◽  
Vol 5 (CSCW2) ◽  
pp. 1-32
Author(s):  
Anthony Poon ◽  
Vaidehi Hussain ◽  
Julia Loughman ◽  
Ariel C. Avgar ◽  
Madeline Sterling ◽  
...  
Keyword(s):  
Home Care ◽  
Peer Support ◽  
Emotional Labor ◽  
Support Needs ◽  
Computer Mediated ◽  
Care Workers ◽  
Home Care Workers

scholarly journals Home care workers in heart failure: a systematic review

2018 ◽  
Vol Volume 11 ◽  
pp. 481-492 ◽  
Author(s):  
Madeline R Sterling ◽  
Amy L Shaw ◽  
Peggy BK Leung ◽  
Monika M Safford ◽  
Christine Jones ◽  
...  
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Home Care ◽  
Care Workers ◽  
Home Care Workers

scholarly journals Historical Mismatch Between Home-Based Care Policies And Laws Governing Home Care Workers

2019 ◽  
Vol 38 (6) ◽  
pp. 973-980 ◽  
Author(s):  
Lisa I. Iezzoni ◽  
Naomi Gallopyn ◽  
Kezia Scales
Keyword(s):  
Home Care ◽  
Home Based ◽  
Care Workers ◽  
Care Policies ◽  
Home Care Workers ◽  
Home Based Care

scholarly journals Impacts of a Care Robotics Project on Finnish Home Care Workers’ Attitudes towards Robots

2020 ◽  
Vol 17 (19) ◽  
pp. 7176
Author(s):  
Teemu Rantanen ◽  
Teppo Leppälahti ◽  
Jaakko Porokuokka ◽  
Sari Heikkinen
Keyword(s):  
Home Care ◽  
Elderly Care ◽  
Test Group ◽  
Home Care Services ◽  
Two Dimensions ◽  
Control Group ◽  
Care Services ◽  
Care Robots ◽  
Care Workers ◽  
Home Care Workers

Technological advances in elderly care have been rapid, and the introduction of robots in care will be a topical issue in the near future. There has been little research into the possibility of influencing care workers’ attitudes towards robots by project activities, and how to make the change easier for work communities. This study focuses on a robotics project that took place in elderly and home care services in one municipality in Finland (total of 45 care workers). During the project, four robotics workshops and one extended pilot session were implemented. The study follows quasi-experimental settings, and it included two measurements (before and after project activities) and a control group, but no randomization. The data were collected by questionnaires and were analyzed statistically. The project under study brought about minor positive changes in home care workers’ attitudes towards the usefulness of care robots. In the final measurement, the difference between the test group and the control group was significant in the two dimensions of positive attitudes. The research supports the hypothesis that project activities can be used to influence home care workers’ attitudes towards robots. This can also facilitate the introduction of care robots in home care services. However, the construction of a technology-positive care culture is a long-term process, which requires training and development, technological development and strong strategic management at various levels.

scholarly journals Challenging Aggressive Behaviors Experienced by Personal Support Workers in Comparison to Home Care Workers: Relationships between Caregiver Experiences and Psychological Health

2020 ◽  
Vol 17 (15) ◽  
pp. 5486
Author(s):  
Kelsey N. Womack ◽  
Teala W. Alvord ◽  
Caitlyn F. Trullinger-Dwyer ◽  
Sean P. M. Rice ◽  
Ryan Olson
Keyword(s):  
Home Care ◽  
Psychological Health ◽  
Safety Concern ◽  
Challenging Behaviors ◽  
Injury Rate ◽  
Personal Support ◽  
Care Workers ◽  
Personal Support Workers ◽  
Lost Work Time ◽  
Home Care Workers

Personal support workers (PSW) are caregivers for children and adults with intellectual and developmental disabilities (IDDs) or adults experiencing mental illness or other behavioral health conditions. The work can be very meaningful, but many PSWs must prepare for, monitor, and manage challenging behaviors, including aggression. This study was designed to estimate the prevalence of aggression experienced by PSWs in Oregon, and compare it to a previous sample of Oregon home care workers (HCWs). This comparison included an analysis of relationships between exposures to aggression and psychological health factors. PSWs in Oregon (N = 240) were surveyed electronically at a single time point. PSWs generally reported higher rates of exposure to aggression compared to HCWs. Experiences with aggression were positively associated with fatigue and weakly associated with depression, but not stress. PSWs’ self-reported lost work time injury rate was elevated compared to the US average, but it was comparable to previous self-reported injury rates from HCWs. Physical demands of work were the most prevalent reported primary safety concern, followed by challenging behaviors (including aggression). Developing tailored training to help PSWs understand, plan for, minimize, and manage challenging behaviors is a social priority.

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