To care for them, we need to take care of ourselves: A qualitative study on the health of home health aides.
To care for them, we need to take care of ourselves: A qualitative study on the health of home health aides.
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为了照顾他们，我们需要照顾自己：一项关于家庭保健助手健康的定性研究。
DOI：
10.1111/1475-6773.14147
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发表时间：
2023
影响因子：
3.4
通讯作者：
Sterling,MadelineR
中科院分区：
文献类型：
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作者：
Cho,Jacklyn;Toffey,Brittany;Silva,ArielF;Shalev,Ariel;Safford,MonikaM;Phillips,Erica;Lee,Ann;Wiggins,Faith;Kozlov,Elissa;Tsui,EmmaK;Dell,Nicola;Avgar,ArielC;Andreae,SusanJ;Sterling,MadelineR
目的了解家庭保健员(HHA)对自身健康和健康行为的看法，以及他们的工作对健康和健康行为的影响。数据来源和研究背景从2021年8月到2022年1月，对16家不同的家庭护理机构的28名HHA进行了访谈。这项研究是与1199SEIU培训和就业基金合作进行的，1199SEIU培训和就业基金是美国最大的医疗保健工会的劳工管理基金。研究设计一项针对英语和西班牙语HHA的定性研究。访谈采用半结构化的主题指南，参考彭德的健康促进模型和国家职业安全与健康研究所的全员健康模型。为了符合资格，他目前必须受雇于纽约的一家家庭护理机构。数据收集/提取方法采访被记录下来，专业转录，并进行主题分析。主要发现28小时的平均年龄为47.6SD11.1，39%是非西班牙裔黑人，43%是西班牙裔，他们平均有14.1HAS年( )的工作经验(SD7.8)。他提出了五个主题；他是：(1)足够健康，但在工作中管理自己的慢性疾病；(2)健康的动机，部分是出于关心他人的愿望；(3)与患病患者密切合作，这影响了他们的健康观念；(4)经历了职业和患者层面的障碍，实践健康的行为；(5)寻求支持和资源，以改善他们的健康和幸福感。结论Has面临着许多健康挑战，其中许多受到工作的影响。在文化和职业上量身定做的干预措施可能会减轻他在实现最佳健康方面所经历的障碍。
ObjectiveTo understand the perspectives of home health aides (HHAs) toward their own health and health behaviors, and how their job impacts both.Data Sources and Study SettingInterviews were conducted with 28 HHAs from 16 unique home care agencies from August 2021 to January 2022. The study was conducted in partnership with the 1199SEIU Training and Employment Fund, a labor‐management fund of the largest health care union in the US.Study DesignA qualitative study with English and Spanish‐speaking HHAs. Interviews were conducted using a semi‐structured topic guide, informed by Pender's Health Promotion Model and the National Institute for Occupational Safety and Health's Total Worker Health Model. To be eligible, HHAs had to be currently employed by a home care agency in New York, NY.Data Collection/Extraction MethodsInterviews were recorded, professionally transcribed, and analyzed thematically.Principal FindingsThe 28 HHAs had a mean age of 47.6 years (SD 11.1), 39% were non‐Hispanic Black, 43% were Hispanic, and they had a mean of 14.1 years (SD 7.8) of job experience. Five themes emerged; HHAs were: (1) Healthy enough to work, but were managing their own chronic conditions while working; (2) Motivated to be healthy, in part driven by their desire to care for others; (3) Worked closely with sick patients, which influenced their perceptions of health; (4) Experienced occupational and patient‐level barriers to practicing healthy behaviors; (5) Sought support and resources to improve their health and wellbeing.ConclusionsHHAs have numerous health challenges, many of which are influenced by their job. Culturally and occupationally tailored interventions may mitigate the barriers that HHAs experience to achieve optimal health.