scholarly journals "I don't know if I can talk about that": An Exploratory Study on the Experiences of Care Workers Regarding the Sexuality of People with Intellectual Disabilities

2019 ◽  
Vol 39 (3) ◽  
Author(s):  
Alan Santinele Martino ◽  
Jordyn Perreault-Laird
Keyword(s):  
Intellectual Disabilities ◽  
Exploratory Study ◽  
Small Sample ◽  
Direct Care ◽  
Direct Care Workers ◽  
Sexual Expression ◽  
Organizational Policies ◽  
Care Workers ◽  
People With Intellectual Disabilities ◽  
Depth Interviews

This exploratory study examined the attitudes and experiences of a small sample of direct care workers' experiences of addressing the sexual expression and practices of their clients with intellectual disabilities. Drawing on in-depth interviews with direct care workers in Alberta, Canada, we use Foucault's work to examine the way power is exercised through organizational policies, personal values, and employment contexts. Altogether, the accounts of direct care workers seem to illuminate a culture that commonly sees disability and sexuality as antithetical and a topic to be avoided for fear of reprisal.

scholarly journals Turnover Intention Among Direct Care Workers of Older Adults in Chinese Hospitals and Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 86-86
Author(s):  
Zhenzhen Zhang ◽  
Shuangshuang Wang ◽  
Nengliang (Aaron) Yao ◽  
Zhang Zhenzhen
Keyword(s):  
Job Satisfaction ◽  
Nursing Homes ◽  
Turnover Intention ◽  
Aged Care ◽  
Identity Transformation ◽  
Direct Care ◽  
Retention Rates ◽  
Direct Care Workers ◽  
Care Workers ◽  
The Government

Abstract High retention rates among direct care workers (DCWs) affect the quality of aged care. However, limited research has explored factors associated with retention in the Chinese aged care industry. This study compared turnover intention and job satisfaction among DCWs in Chinese hospitals and nursing homes. A total 370 DCWs from 7 hospitals (297 contractual, 73 non-contractual) and 311 DCWs from 7 nursing homes (27 contractual, 284 non-contractual) located in Fujian, China were recruited to fill out a questionnaire. Overall, DCWs from hospitals reported lower turnover intention (20.5 % vs 37.0%) and higher levels of job satisfaction (31.1% vs 16.4%) than DCWs from nursing homes. Specifically, contractual DCWs from hospitals indicated lower turnover intention (14.8%) than non-contractual DCWs from hospitals (43.8%) and both types of DCWs from nursing homes (36.3% and 44.4%). Higher job satisfaction was associated with lower turnover intention, but did not mediate the association between DCW types and turnover intention. Findings suggested that the government and institutions should help DCWs complete the identity transformation from non-contractual DCWs to contractual DCWs to enhance job security and benefits. For nursing home DCWs, licensing and registration requirements shall meet the standards for hospital DCWs. Attention is also to be paid to working conditions and staff welfare of DCWs, including social insurance, pensions, and trainings, to improve job satisfaction and reduce turnover intention.

Exploring the Factor Structure of the Job Demands-Resources Measure With Patient Violence on Direct Care Workers in the Home Setting

2017 ◽  
Vol 25 (2) ◽  
pp. 257-274 ◽  
Author(s):  
Ha Do Byon ◽  
Donna Harrington ◽  
Carla L. Storr ◽  
Jane Lipscomb
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Factor Model ◽  
Job Demands ◽  
Direct Care ◽  
Direct Care Workers ◽  
Home Setting ◽  
Patient Violence ◽  
Measurement Framework ◽  
Care Workers

Background and Purpose: Workplace violence research in health care settings using the Job Demands-Resources (JD-R) framework is hindered by the lack of comprehensive examination of the factor structure of the JD-R measure when it includes patient violence. Is patient violence a component of job demands or its own factor as an occupational outcome? Method: Exploratory factor analysis and confirmatory factor analysis were conducted using a sample of direct care workers in the home setting (n = 961). Results: The overall 2-construct JD-R structure persisted. Patient violence was not identified as a separate factor from job demands; rather, two demand factors emerged: violence/emotional and workload/physical demands. Conclusions: Although the three-factor model fits the data, the two-factor model with patient violence being a component of job demands is a parsimonious and effective measurement framework.

Pregnancy warning labels on alcohol packaging: results of an exploratory study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Millot ◽  
K Gallopel-Morvan
Keyword(s):  
Content Analysis ◽  
Alcohol Consumption ◽  
Intellectual Disabilities ◽  
Exploratory Study ◽  
Drinking Alcohol ◽  
Thematic Content Analysis ◽  
French Government ◽  
The Impact ◽  
Depth Interviews ◽  
In Pregnancy

Abstract Background In 2017, approximately 11% of pregnant women in France consumed alcohol despite its harmful consequences on the fetus (Andler, 2018). Our research aims at exploring the impact of warnings displayed on alcohol packaging: the current pictogram and alternative possible messages that differ regarding content and design will be explored. Methods In-depth interviews were conducted with 20 French women, including women who did not drink alcohol during their pregnancy, women who drank alcohol, women in pregnancy planning and breastfeeding mothers. Questions were asked about the participants perception of drinking alcohol during pregnancy, alcohol warnings: the current pictogram, new contents (negative and positive) for warnings and new designs (different pictograms combined with or without text). A thematic content analysis was carried out. Results The current pictogram lacks visibility and has no impact on the behaviour of the women. New suggested contents were on the whole welcomed. It can be noted that some participants felt that specific messages (e.g. intellectual disabilities, facial malformations etc.) were a more effective way of preventing alcohol consumption during pregnancy than general ones. On the contrary, other participants felt that a general message such as ’Zero alcohol during pregnancy’, or positive messages such as a cessation service message, was more effective. The majority of participants believed that pictograms with a better visibility; more eye-catching; vivid images of fetuses, etc., would have a greater impact on alcohol consumption. Conclusions This study highlights the need for changes to pictogram currently used on alcohol packaging in France. Our results show that recent changes proposed by the French government (a slight increase in the size of the current pictogram) will most likely have little effect on preventing alcohol consumption during pregnancy. Key messages The current pictogram on alcohol bottles in France has little or no effect. The French government should implement new warnings both in terms of content and design.

scholarly journals It Is Time to Resolve the Direct Care Workforce Crisis in Long-Term Care

2020 ◽  
Author(s):  
Kezia Scales
Keyword(s):  
Long Term Care ◽  
The United States ◽  
Direct Care ◽  
Direct Care Workers ◽  
Term Care ◽  
Home Health Aides ◽  
Emerging Trends ◽  
Care Workers ◽  
Direct Care Workforce

Abstract Nearly 4.6 million direct care workers—including personal care aides, home health aides, and nursing assistants—provide daily support to older adults and people with disabilities across a range of settings in the United States, predominantly in long-term care (LTC). Even as the population grows older and drives up demand for LTC, the sector continues its decades-long struggle to fill direct care positions and stabilize this essential workforce. Recent events and emerging trends have converged, however, to produce new opportunities to address this longstanding workforce crisis, including the unprecedented attention generated by the coronavirus disease 2019 (COVID-19) pandemic and the systemic shifts to managed care and value-based payment in LTC. This Forum article outlines the pressing direct care workforce challenges in LTC before describing these potential levers of change, emphasizing the importance of not just expanding the workforce but also maximizing direct care workers’ contributions to the delivery of high-quality services for a growing and evolving population of LTC consumers.

scholarly journals DIRECT CARE WORKERS EMPLOYED BY PRIVATE HOUSEHOLDS: A DISTINCT LABOR FORCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S702-S702
Author(s):  
Christopher M Kelly ◽  
Jerome Deichert ◽  
Lyn Holley
Keyword(s):  
Health Insurance ◽  
Labor Force ◽  
Home Health Care ◽  
Direct Care ◽  
Direct Care Workers ◽  
Full Time ◽  
Term Care ◽  
Private Households ◽  
Care Workers ◽  
The U.S

Abstract Purpose: This study tracks the growing number of direct care workers (DCWs) employed by private households and describes the differences between this often ignored labor force and DCWs employed by agencies. Design and Methods: Data were from the 1% Public Use Microdata Sample (PUMS) of the 2000 and 2017 American Community Survey (ACS). Logistic regression was used to compare demographic and employment characteristics of DCWs employed by private households and DCWs employed by agencies, which include outpatient care centers, home health care services, and individual and family services. Results: Between 2000 and 2017, the number of DCWs employed by private households in the U.S. increased 32% and the majority of this growth was since 2007. Compared to DCWs employed by agencies, DCWs employed by private households were more likely to be over age 65, white, unmarried, have higher educational attainment, be more likely to be in poverty, receive health insurance from Medicare or direct-pay. DCWs employed by private households were less likely to be under age 25, nonwhite, Hispanic, speak a language other than English, work year-round and full-time, receive health insurance from an employer or through Medicaid, and have a disability. Implications: DCWs employed by private households represent a small, but growing proportion of the long-term care (LTC) workforce in the U.S. Further, these workers are distinct within the LTC workforce. This has important implications both for DCWs and for families, particularly those with limited LTC options due to location, financial resources, family support, or other factors.

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