Expanding the Conceptualization of Support in Low-Wage Carework: The Case of Home Care Aides and Client Death.
Expanding the Conceptualization of Support in Low-Wage Carework: The Case of Home Care Aides and Client Death.
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DOI：
10.3390/ijerph19010367
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发表时间：
2021-12-30
影响因子：
--
通讯作者：
Baron S
中科院分区：
文献类型：
--
作者：
Tsui EK;LaMonica M;Hyder M;Landsbergis P;Zelnick J;Baron S
家庭护理助理是一个快速增长的非标准劳动力，他们在工作中面临许多健康风险和压力。虽然研究表明，助手从他们的机构雇主那里得到的支持有限，但很少有研究探讨助手在应对工作压力时使用的更广泛的支持，并考虑这些安排的影响。为了调查这个问题，我们对纽约市的29名家庭护理助理进行了47次深入访谈，特别关注助理在客户死亡后使用支持的情况。工作压力理论，社会生态框架，以及女性主义理论的照顾通知我们的研究。我们的分析表明，助手广泛依赖个人来源的支持，并探讨了这可能在他们的生活和工作中，并可能为他们的社区带来的挑战。我们还记录了助手们为培养来自家庭工作环境的支持所做的努力。因此，家庭护理助理的工作压力既是一个职业健康问题，也是一个社区健康问题。虽然雇主应该承担预防和减轻工作压力的责任，但要实现边缘化护理人员的健康公平，需要投资于政策层面和社区层面的支持，以支持雇主的努力，特别是随着家庭护理行业变得越来越分散和不标准。
Home care aides are a rapidly growing, non-standard workforce who face numerous health risks and stressors on the job. While research shows that aides receive limited support from their agency employers, few studies have explored the wider range of support that aides use when navigating work stress and considered the implications of these arrangements. To investigate this question, we conducted 47 in-depth interviews with 29 home care aides in New York City, focused specifically on aides’ use of support after client death. Theories of work stress, the social ecological framework, and feminist theories of care informed our research. Our analysis demonstrates aides’ extensive reliance on personal sources of support and explores the challenges this can create in their lives and work, and, potentially, for their communities. We also document aides’ efforts to cultivate support stemming from their home-based work environments. Home care aides’ work stress thus emerges as both an occupational health and a community health issue. While employers should carry responsibility for preventing and mitigating work stress, moving toward health equity for marginalized careworkers requires investing in policy-level and community-level supports to bolster employer efforts, particularly as the home care industry becomes increasingly fragmented and non-standard.
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