"Who's Caring for Us?": Understanding and Addressing the Effects of Emotional Labor on Home Health Aides' Well-being

"Who's Caring for Us?": Understanding and Addressing the Effects of Emotional Labor on Home Health Aides' Well-being
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DOI:
10.1093/geront/gny099
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发表时间:
2019-12-01
期刊:
影响因子:
5.7
通讯作者:
Baron, Sherry
Baron, Sherry
中科院分区:
医学1区
文献类型:
--
作者:
Franzosa, Emily;Tsui, Emma K.;Baron, Sherry

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背景和目标:加强家庭护理劳动力的干预措施侧重于工人的经济和身体健康,而不承认护理劳动影响情感健康。我们的研究探讨了工人的看法的情感影响的照顾工作,应对机制,和所需的support.Research设计和方法:我们进行了4个工人的焦点小组(n = 27)。主持人交叉检查代码和主题,和助手通过report-backs.Results提供输入:与客户建立密切,信任的关系是中央助手的情感福祉。幸福感还受到与客户家庭和机构主管的关系,工作与生活的平衡以及助手认为他们的工作受到重视的程度的影响。助手们在很大程度上是单独管理工作压力源,并希望更多的沟通,连接,并从主管和peer.Discussion和影响:认识到和支持的情感需求的关怀工作是至关重要的,以加强劳动力。政策制定者和机构必须重新调整报销制度、工作描述和护理计划,以包括情绪劳动的措施,改善工人和主管之间的沟通,并提供培训、心理健康福利和同伴支持。
Background and Objectives: Interventions to strengthen the home care workforce focus on workers' economic and physical well-being, without acknowledging the caring labor affecting emotional well-being. Our study examined workers' perceptions of the emotional effects of caring work, coping mechanisms, and desired support.Research Design and Methods: We conducted 4 worker focus groups (n = 27). Moderators cross-checked codes and themes, and aides provided input through report-backs.Results: Building close, trusting relationships with clients was central to aides' emotional well-being. Well-being was also influenced by relationships with client families and agency supervisors, work-life balance, and the level to which aides felt their work was valued. Aides were largely alone in managing job stressors and desired more communication, connection, and support from supervisors and peers.Discussion and Implications: Recognizing and supporting the emotional demands of caring work is crucial to strengthening the workforce. Policy makers and agencies must realign reimbursement systems, job descriptions, and care plans to include measures of emotional labor, improve communication between workers and supervisors, and provide training, mental health benefits, and peer support.