Relatives as paid care-givers: how family carers experience payments for care
Relatives as paid care-givers: how family carers experience payments for care
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亲属作为有偿看护者：家庭看护者如何体验看护付费
DOI：
10.1017/s0144686x09990456
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发表时间：
2009
影响因子：
2.5
通讯作者：
B. D. Roit
中科院分区：
文献类型：
--
作者：
Ellen Grootegoed;T. Knijn;B. D. Roit
许多欧洲国家已经引入了护理付费，即需要长期护理的人直接雇用护理人员。在荷兰，允许受照料者使用这些款项雇用亲属从事照料工作。由亲属雇用的照顾者处于一种混合的地位，因为他们是在家庭住宅及其情感照顾关系的非正式环境中作为雇员签订合同的。本文报告了一项定性研究的亲属的经验支付照顾，以及如何影响他们的照顾。深入采访了17名有偿护理人员：他们被要求回应三个虚构的小插曲对比护理轨迹。研究发现，现金关系对有偿护理人员产生了复杂的、部分相互矛盾的影响。一方面，照顾者对有关安排感到满意，因为有关款项确认及提升了他们作为照顾者的地位，并被视为对他们照顾工作的回报及回报。一些照顾者发现，合同有助于管理紧张的关系，使照顾任务从感情更清楚地区分。另一方面，有些人认为自己是雇员，认为自己的角色相当于正式的照顾者，他们感到有更大的义务提供高质量的照顾，并发现他们得到感谢的次数较少，收到的感激之情也较少。
ABSTRACT Payments for care, by which people in need of long-term care directly employ care workers, have been introduced in many European countries. In The Netherlands, care dependants are allowed to use these payments to hire relatives to perform care tasks. Care-givers who are employed by their relatives are in a hybrid position, because they are contracted as employees in the informal setting of a family home and its affective care relationships. This paper reports a qualitative study of relatives' experiences of payments for care and how these affect their care-giving. In-depth interviews were undertaken with 17 paid carers: they were asked to respond to three fictional vignettes of contrasting care trajectories. It was found that the cash nexus had mixed and partly contradictory implications for the paid care-givers. On the one hand, the care-givers were satisfied with the arrangement, as the payments recognised and raised their status as carers, and were seen as reward and reciprocation for their care work. Some carers had found that the contract helped manage strained relationships, by enabling a clearer differentiation of care tasks from affection. On the other hand, some who regarded themselves as employees and saw their role as equivalent to formal carers felt a greater obligation to provide high-quality care, and found that they were thanked less often and received fewer tokens of gratitude.