Home Health Aides' Experience With Client Death: The Role of Employer Policy.
Home Health Aides' Experience With Client Death: The Role of Employer Policy.
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家庭健康助手对客户死亡的经历：雇主政策的作用。
DOI：
10.1097/nhh.0000000000000360
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发表时间：
2016
影响因子：
--
通讯作者：
Barooah,Adrita
中科院分区：
文献类型：
--
作者：
Boerner,Kathrin;Gleason,Hayley;Barooah,Adrita
家庭保健助理 (HHA) 是一个快速发展的职业。他们经常与患者及其家人建立密切的联系，当患者去世时，他们会经历巨大的悲伤。然而，各机构通常很少提供支持或结构来帮助员工应对这段时间的情况。例如，家庭护理机构并不总是将客户死亡通知其工作人员，有些机构还制定了政策来防止与已故客户的家人进行任何后续联系。人们对这些机构因素如何影响 HHA 的工作经验知之甚少。这项混合方法研究探讨了 78 名 HHA 的经验，他们要么在对客户去世后与客户家人联系有限制性政策的机构工作，要么在没有此类政策的机构工作。数据是通过半结构化面对面访谈收集的。就业结果包括工作满意度和换工作意愿的各个方面。 HHA 对客户死亡的反应通过悲伤和悲伤处理的测量以及探索他们在这方面经历的开放式问题进行评估。调查结果表明，来自限制性机构的 HHA 更有可能考虑其他工作选择。他们还报告说，对接受的监督的满意度显着降低，悲伤处理活动显着减少。调查结果表明，没有接触限制政策的机构的 HHA 在工作中拥有更积极的体验，并且有更多的机会处理客户的死亡。
Home health aides (HHAs) are members of a rapidly growing occupation. They often develop close ties to patients and their family and can experience significant grief when a patient dies. Yet agencies often provide little support or structure to help staff cope during this time. For instance, home care agencies do not always notify their staff of client death and some have policies in place to prevent any follow-up contact with a deceased client's family. Little is known about how these agency factors affect HHAs' work experience. This mixed-method study explored the experiences of 78 HHAs working either at an agency with a restrictive policy regarding contact with a client's family after client death or an agency without such a policy in place. Data were collected through semistructured in-person interviews. Employment outcomes included various aspects of job satisfaction and intention to change jobs. HHAs' responses to client death were assessed with measures of grief and grief processing, and with open-ended questions exploring their experiences in this context. Findings indicated that HHAs from the restrictive agency were significantly more likely to be considering other job options. They also reported significantly lower satisfaction with received supervision, and significantly less grief processing activity. Findings suggest that HHAs from the agency without a contact-restrictive policy had a more positive experience at work and more opportunity to process the client's death.