scholarly journals The adoption of market-based practices within care for older people: is the work satisfaction of Nordic care workers at risk?

2011 ◽  
Vol 2 (0) ◽  
Author(s):  
Teppo Kröger
Keyword(s):  
At Risk ◽  
Older People ◽  
Work Satisfaction ◽  
Care Workers ◽  
Care For Older People

scholarly journals The adoption of market-based practices within care for older people: is the work satisfaction of Nordic care workers at risk?

2011 ◽  
Vol 2 ◽  
Author(s):  
Teppo Kröger
Keyword(s):  
Older People ◽  
Elderly People ◽  
Health Care Systems ◽  
Work Satisfaction ◽  
Postal Survey ◽  
Nordic Countries ◽  
For Profit ◽  
Care Workers ◽  
Care Systems ◽  
Care For Older People

Market-based practices, including privatization and the increased emphasis on managerialism, have entered Nordic social- and health-care systems for elderly people. This article examines whether the adoption of these practices has affected the work satisfaction of care workers in Denmark, Finland, Norway, and Sweden. The data used comes from a postal survey conducted in spring 2005 among Nordic care workers, covering 2716 respondents who provided care for older people. The items analysed include background questions, Likert-scale questions on working conditions, and questions on the presence of different market-based practices in the workplace. The results indicate that there are many variations between the four Nordic countries concerning the adoption of market-inspired practices in the care for elderly people, with Denmark having been the most eager and Norway the least to introduce them. Employees of for-profit employers report a lower level of work satisfaction than public employees. On the other hand, the adoption of most market-based instruments correlates with higher and not lower levels of work satisfaction among care workers working with elderly people.The results do not show a simple connection between the adoption of market-based practices and lower levels of work satisfaction, which might have been expected on the basis of earlier research discussions. However, due to some weaknesses of the data and the many variations between individual market-based models as well as between different Nordic countries, there is cause for caution in the interpretation of the results. It is particularly necessary for policymakers to remain sensitive to the national context.

Digital transformation of care for older people

2021 ◽  
Vol 5 (3) ◽  
pp. 535-541
Author(s):  
Oscar Zanutto
Keyword(s):  
Health Care ◽  
Older People ◽  
Digital Literacy ◽  
Digital Transformation ◽  
Care Model ◽  
Model Based ◽  
Care Workers ◽  
The Social ◽  
Care For Older People

We are facing the 2050 aging wave that is calling us to prepare several strands of interventions to be ready on time. There is a need to foster the digital transformation of the care sector by the improvement of the digital literacy among older people, carers and care workers also using codesign approaches for the ICT usability and adoption in the social and health care domains. Moreover we need to switch from a reactive care model based on chronicity towards the adoption of a new one where citizens will be the co-maker of their own health.

Meaning and practices of spiritual care for older people with dementia: experiences of nurses and care workers

2019 ◽  
Vol 20 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Kyoka Yajima ◽  
Chifa Chiang ◽  
Atsuko Aoyama
Keyword(s):  
Older People ◽  
Spiritual Care ◽  
People With Dementia ◽  
Care Workers ◽  
Care For Older People

Commissioning social care for older people: influencing the quality of direct care

2013 ◽  
Vol 34 (6) ◽  
pp. 930-950 ◽  
Author(s):  
HELEN CHESTER ◽  
JANE HUGHES ◽  
DAVID CHALLIS
Keyword(s):  
Older People ◽  
Quality Care ◽  
Care Home ◽  
Secondary Data ◽  
Standard Of Care ◽  
Direct Care ◽  
Recruitment And Retention ◽  
Complex Needs ◽  
Care Workers ◽  
Care For Older People

ABSTRACTThe delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people.

scholarly journals Standardised functional assessment in long-term care for older people: perspective of Finnish care workers

2021 ◽  
Vol 12 (1) ◽  
pp. 27-47
Author(s):  
Vilhelmiina Lehto-Niskala ◽  
Outi Jolanki ◽  
Jaakko Valvanne ◽  
Marja Jylhä
Keyword(s):  
Older People ◽  
Functional Assessment ◽  
Long Term Care ◽  
Care Delivery ◽  
Care Practice ◽  
Process Of Care ◽  
Term Care ◽  
Care Workers ◽  
Care For Older People

Objective measures and documentation are increasingly used in the care for older people to promote efficiency and productivity. A standardised assessment of functional capacity is one such measure. In this study, we examined the meanings given to standardised functional assessment by care workers who provide long-term care for older people. Gathered from eight Finnish long-term care facilities, the data consisted of one-on-one interviews with practical and registered nurses (n = 24). In the data analysis, we employed the discursive approach. We identified three discourses in the care workers’ talks that differed in the meaning given to standardised functional assessment in the process of care: part of the bureaucracy, a missed opportunity and a threat to person-centred care. Care workers described these assessments as constituting a routine part of their job but expressed uncertainty about their role and the practicalbenefits in actual care work. They even called into question these assessments’ relevance to quality care delivery. To be a meaningful part of care practice, it is essential that there be a shared understanding of the rationale behind functional assessments in the care organisation and that care workers themselves can see the outcomes of these assessments in their daily work.

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