Proud but Powerless: A Qualitative Study of Homecare Workers´ Work Experiences and Their Suggestions for How Care for Homebound Older Adults Can Be Improved.

Autor: Bergqvist M; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.; Academic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden., Bastholm-Rahmner P; Academic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden.; Department of Laboratory Medicine, Karolinska Institutet, Division of Clinical Pharmacology, Karolinska Institutet, Stockholm, Sweden., Modig K; Institute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden., Gustafsson LL; Department of Laboratory Medicine, Karolinska Institutet, Division of Clinical Pharmacology, Karolinska Institutet, Stockholm, Sweden., Schmidt-Mende K; Academic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden.; Department of Neurobiology and Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Journal of gerontological social work [J Gerontol Soc Work] 2024 Aug-Sep; Vol. 67 (6), pp. 841-860. Date of Electronic Publication: 2024 May 16.
DOI: 10.1080/01634372.2024.2355154
Abstrakt: Many older adults with complex care needs live at home due to ageing-in-place policies. This study explored homecare workers' experiences and suggestions for improvements of care. Twelve semi-structured interviews were analyzed thematically, and revealed pride, capability, and satisfaction in their work, yet they feel undervalued and lack support. They advocate for integrated care models, recognition of their competence, flexible work approaches, and committed leadership. This would enhance patient care and address their own working conditions, addressing concerns from being relegated to the bottom of the hierarchy. They emphasize the need for comprehensive approaches, spanning from housekeeping to end-of-life palliative care.
Databáze: MEDLINE