Home support workers perceptions of family members of their older clients: a qualitative study
Home support workers perceptions of family members of their older clients: a qualitative study
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DOI：
10.1186/s12877-015-0163-4
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发表时间：
2015-12-12
期刊：
影响因子：
4.1
通讯作者：
Martin-Matthews, Anne
中科院分区：
文献类型：
--
作者：
Sims-Gould, Joanie;Byrne, Kerry;Martin-Matthews, Anne
背景：卫生保健论述中充斥着在正式和非正式保健支持系统之间建立伙伴关系的提法，特别是在社区和家庭保健方面。在研究家庭保健工作者和老年客户的家庭照顾者之间的关系方面，几乎没有做什么工作。本研究旨在探讨家庭支援工作者(HSWs)对其与受助人家庭成员互动的看法。本研究的目的是改善服务对象的照顾，更好地连接正式和非正式的照顾系统。方法：采用深入访谈的方法，对加拿大不列颠哥伦比亚省118名家庭支持工作者进行了定性研究。采用了框架分析，并采用了一些战略以确保严谨，其中包括：编写备忘录和召开分析会。采访被逐字转录，并被发送到专业转录机构。结果：暗娼与家庭成员之间的互动表现为互补性劳动(家庭成员为暗娼提供信息和工具性支持)和中断劳动(家庭成员为暗娼创造情绪工作和额外的工具工作)。护理计划和共情意识两个因素进一步影响暗娼和家庭照顾者之间的关系。结论：暗娼和家庭成员通过相互依赖的互动和共情意识在工具和情感上相互支持。过于僵化或范围受限的组织关怀计划是制约互动的关键因素。
Background: Health care discourse is replete with references to building partnerships between formal and informal care systems of support, particularly in community and home based health care. Little work has been done to examine the relationship between home health care workers and family caregivers of older clients. The purpose of this study is to examine home support workers' (HSWs) perceptions of their interactions with their clients' family members. The goal of this research is to improve client care and better connect formal and informal care systems.Methods: A qualitative study, using in-depth interviews was conducted with 118 home support workers in British Columbia, Canada. Framework analysis was used and a number of strategies were employed to ensure rigor including: memo writing and analysis meetings. Interviews were transcribed verbatim and sent to a professional transcription agency. Nvivo 10 software was used to manage the data.Results: Interactions between HSWs and family members are characterized in terms both of complementary labour (family members providing informational and instrumental support to HSWs), and disrupted labour (family members creating emotion work and additional instrumental work for HSWs). Two factors, the care plan and empathic awareness, further impact the relationship between HSWs and family caregivers.Conclusions: HSWs and family members work to support one another instrumentally and emotionally through interdependent interactions and empathic awareness. Organizational Care Plans that are too rigid or limited in their scope are key factors constraining interactions.