There's no place like home: A qualitative study of the working conditions of home health care providers
There's no place like home: A qualitative study of the working conditions of home health care providers
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DOI：
10.1097/jom.0b013e3180326552
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发表时间：
2007-03-01
影响因子：
3.2
通讯作者：
Laramie, Angela
中科院分区：
文献类型：
--
作者：
Markkanen, Pia;Quinn, Margaret;Laramie, Angela
目的：家庭医疗保健（HHC）是美国增长最快的行业之一。其工作条件一直难以评估，因为工作环境变化很大，地理位置分散。本研究旨在定性描述HHC临床医生的工作经验和危害，重点是血源性病原体暴露的风险因素。研究方法：研究人员与HHC临床医生进行了五次焦点小组讨论，并与马萨诸塞州的HHC机构经理和工会代表进行了十次深入访谈。结果如下：HHC临床医生面临着严重的职业危害，包括社区和家庭暴力，缺乏工作站，沉重的病人升降，敷料或尖锐医疗器械的不当处置，以及高生产力要求。结论：家庭工作环境的社会背景对实施预防性干预措施以减少HHC的职业危害提出了挑战。
Objective: Home health care (HHC) is one of the fastest growing US industries. Its working conditions have been challenging to evaluate, because the work environments are highly variable and geographically dispersed. This study aims to characterize qualitatively the work experience and hazards of HHC clinicians, with a focus on risk factors for bloodborne pathogen exposures. Methods: The researchers conducted five focus group discussions with HHC clinicians and ten in-depth interviews with HHC agency managers and trade union representatives in Massachusetts. Results: HHC clinicians face serious occupational hazards, including violence in neighborhoods and homes, lack of workstations, heavy patient lifting, improper disposal of dressings or sharp medical devices, and high productivity demands. Conclusions: The social context of the home-work environment challenges the implementation of preventive interventions to reduce occupational hazards in HHC.