“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.

scholarly journals Developing an Assessment Scale for Long-term Care Reablement Literacy in Home Care Workers in Taiwan Using a Modified Delphi Method

2020 ◽  
Author(s):  
Hsiao-Wei Yu ◽  
Tzu-Ying Chiu ◽  
Pin-Yuan Chen ◽  
Tai-Hsiang Liao ◽  
Wen-Hui Chang ◽  
...  
Keyword(s):  
Home Care ◽  
Language Proficiency ◽  
Delphi Technique ◽  
Long Term Care ◽  
Term Care ◽  
Modified Delphi ◽  
Care Workers ◽  
Modified Delphi Technique ◽  
Home Care Workers

Abstract Background Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in an LTC research. This study aimed to develop the Scale for Assessment of Long-Term Care Reablement Literacy (LTCRL) and employ this scale in assessing the performance of home care workers. Methods To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from the north, middle, and south of Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire, which included items related to basic demographics and questions to test LTCRL. Results Based on the experts’ consensus on the procedure of the modified Delphi technique, the Scale for Assessment of LTCRL consists of 29 questions on four aspects of knowledge acquisition, namely, the abilities to access/obtain, understand, process and appraise, and apply/use. Results revealed that higher educational levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions The Scale for Assessment of LTCRL based on a modified Delphi technique is a useful and feasible tool for evaluating the LTCRL of home care workers who provide reablement services in Taiwan.

scholarly journals Developing an Assessment Scale for Long-term Care Reablement Literacy in Home Care Workers in Taiwan Using a Modified Delphi Method

2020 ◽  
Author(s):  
Hsiao-Wei Yu ◽  
Tzu-Ying Chiu ◽  
Pin-Yuan Chen ◽  
Tai-Hsiang Liao ◽  
Wen-Hui Chang ◽  
...  
Keyword(s):  
Home Care ◽  
Delphi Technique ◽  
Long Term Care ◽  
Assessment Scale ◽  
Term Care ◽  
Modified Delphi ◽  
Care Workers ◽  
Modified Delphi Technique ◽  
Home Care Workers

Abstract Background: Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan. Methods: To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL. Results: Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions: The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan.

The Effect of Ageist Behaviors on Home Care Workers’ Job Satisfaction and Retention in Long-Term Care

2020 ◽  
pp. 073346482097559
Author(s):  
Chien-Chih Liu ◽  
Li-Fan Liu ◽  
Shuang-Shii Chuang
Keyword(s):  
Job Satisfaction ◽  
Home Care ◽  
Long Term Care ◽  
Intention To Stay ◽  
Extrinsic Factors ◽  
Term Care ◽  
Intrinsic Nature ◽  
Care Workers ◽  
Home Care Workers

Objectives: This study aimed to examine how intrinsic and extrinsic factors of job satisfaction affect home care workers’ intention to stay and determine whether ageist behaviors moderate the relation between job satisfaction and intention to stay. Method: We recruited 380 participants to complete measures of job satisfaction, ageist behaviors, and intention to stay. Results: Monthly wages, extrinsic and intrinsic factors, and positive and negative ageist behaviors were significantly related to home care workers’ retention. Both positive and negative ageist behaviors negatively moderated the relation between job satisfaction and retention. Conclusion: Home care workers’ retention may be increased by providing reasonable extrinsic rewards and enhancing the intrinsic nature of the job itself. Reducing negative ageist behaviors and increasing positive ones for those with low job satisfaction could be related to higher retention. The harmful effects of positive behaviors should be addressed. These findings could contribute to workforce retention in long-term care.

scholarly journals Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hsiao-Wei Yu ◽  
Tzu-Ying Chiu ◽  
Pin-Yuan Chen ◽  
Tai-Hsiang Liao ◽  
Wen-Hui Chang ◽  
...  
Keyword(s):  
Home Care ◽  
Delphi Technique ◽  
Long Term Care ◽  
Assessment Scale ◽  
Term Care ◽  
Modified Delphi ◽  
Care Workers ◽  
Modified Delphi Technique ◽  
Home Care Workers

Abstract Background Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan. Methods To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL. Results Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan.

An exploratory qualitative study on relationships between older people and home care workers in South Korea: the view from family carers and service providers

2013 ◽  
Vol 35 (3) ◽  
pp. 629-652 ◽  
Author(s):  
YONGHO CHON
Keyword(s):  
Home Care ◽  
Older People ◽  
Long Term Care ◽  
Service Providers ◽  
East Asian ◽  
Family Carers ◽  
Term Care ◽  
Care Workers ◽  
Home Care Workers

ABSTRACTAlthough the proportion of older people using home care services has significantly increased in East Asian countries, the issue of the relationships between older people and home care workers in the East Asian context has received scant attention from scholars. This exploratory qualitative study aims to explore these relationships under the new Korean long-term care insurance system. Semi-structured in-depth interviews were conducted with 22 family carers and private-sector home care service providers (home care workers and provider managers). The findings show that while the majority of family carers interviewed reported that their relationships were good, the majority of service providers' responses were more negative. Service providers stated that they experienced a number of difficulties that affected their relationships with older clients, including excessive demands or sexual harassment by the older people in their care, exposure to unsafe working environments, and poor treatment in terms of pay and conditions. The findings suggest that stable and good relationships between home care workers and their clients have not been secured in Korea's long-term care system.

scholarly journals Developing an Assessment Scale for Long-term Care Reablement Literacy in Home Care Workers in Taiwan Using a Modified Delphi Method

2020 ◽  
Author(s):  
Hsiao-Wei Yu ◽  
Tzu-Ying Chiu ◽  
Pin-Yuan Chen ◽  
Tai-Hsiang Liao ◽  
Wen-Hui Chang ◽  
...  
Keyword(s):  
Home Care ◽  
Delphi Technique ◽  
Long Term Care ◽  
Assessment Scale ◽  
Term Care ◽  
Modified Delphi ◽  
Care Workers ◽  
Modified Delphi Technique ◽  
Home Care Workers

Abstract Background: Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan. Methods: To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL. Results: Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions: The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan.

Impact of a New Home-Care Payment Mechanism on Growth of the Home Care Workforce in Taiwan

2021 ◽  
Author(s):  
Shih-Cyuan Wu ◽  
Mei-Chi Peng ◽  
Jui-Yuan Hsueh ◽  
Tung-Liang Chiang ◽  
Yu-Kang Tu ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Institutional Care ◽  
Term Care ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Rates Of Growth ◽  
Payment Mechanisms

Abstract Background and Objectives Taiwan implemented its first National 10-Year Long-Term Care Plan in 2008 and its second in 2017. Over the first 10 years, the number of home care workers grew too slowly to meet demand. To increase the home care workforce, the government introduced two new payment mechanisms in 2018. This study assesses these mechanisms’ impact on growth in numbers of home care workers and use of home care services in Taiwan. Research Design and Methods Data was collected from the Ministry of Health and Welfare (2014–2019) and the Division of Long-Term Care (2017–2019). Generalized estimating equations compared rates of growth in the number of home care, institutional care, and foreign care workers and the number of care recipients receiving care from each group before and after 2018. Results Before 2018, rates of growth in all three groups of care workers increased slowly. After 2018, the rate of growth for home care workers increased to 31.8% from 9%, while growth in the other two groups remained stable. While there was greater workforce growth among home care than institutional care workers post implementation of the payment mechanisms (p < .05), the number of home care recipients (p < .05) and monthly home care visits (p < .05) also increased. Discussion and Implications The new payment mechanisms improved home care workers’ autonomy and salaries and appear to have contributed to immediate increased recruitment and retention. Whether this increase continues over the long run will need to be determined.

scholarly journals Developing an Assessment Scale for Long-term Care Reablement Literacy in Home Care Workers in Taiwan Using a Modified Delphi Method

2020 ◽  
Author(s):  
Hsiao-Wei Yu ◽  
Tzu-Ying Chiu ◽  
Pin-Yuan Chen ◽  
Tai-Hsiang Liao ◽  
Wen-Hui Chang ◽  
...  
Keyword(s):  
Home Care ◽  
Delphi Technique ◽  
Long Term Care ◽  
Assessment Scale ◽  
Term Care ◽  
Modified Delphi ◽  
Care Workers ◽  
Modified Delphi Technique ◽  
Home Care Workers

Abstract Background: Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan.Methods: To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL.Results: Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers.Conclusions: The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan.

A Comparative Analysis of Costs to Government for Home Care and Long-term Residential Care Services, Standardized for Client Care Needs

2007 ◽  
Vol 26 (S1) ◽  
pp. 149-161 ◽  
Author(s):  
Marcus J. Hollander ◽  
Neena L. Chappell
Keyword(s):  
Home Care ◽  
Residential Care ◽  
Long Term Care ◽  
Lower Cost ◽  
Level Of Care ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Residential Long Term Care

ABSTRACTThis paper reports on the results of analyses using administrative data from British Columbia for 10 years from fiscal 1987/1988 to 1996/1997, inclusive, to examine the comparative costs to government of long-term home care and residential care services. The analyses used administrative data for hospital care, physician care, drugs, and home care and residential long-term care. Direct comparisons for cost and utilization data were possible, as the same care-level classification system is used in BC for home care and residential care clients. Given significant changes in the type and/or level of care of clients over time, a full-time equivalent client strategy was used to maximize the accuracy of comparisons. The findings suggest that, in general, home care can be a lower-cost alternative to residential care for clients with similar care needs. The difference in costs between home care and residential care services narrows considerably for those who change their type and/or level of care, and home care was found to be more costly than long-term institutional care for home care clients who died. The findings from this study indicate that with the appropriate substitution for residential care services, in a planned and targeted manner, home care services can be a lower-cost alternative to residential long-term care in integrated systems of care delivery that include both sets of services.

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