Exploring the Role of Client Death Support in Home Care Workers' Grief, Stress, and Job Satisfaction

这个导师研究科学家发展奖(K01)的目的是帮助我成为一名 独立的职业健康研究员，使用多学科的社会科学方法进行 使低收入工人受益的干预研究；在这种情况下，是指家庭护理人员(HCW)。保护和 促进数量庞大且迅速增长的卫生工作者的健康对我们的卫生系统至关重要 提供所需护理的能力。对于这一人群来说，一个持续的、不可避免的、未得到解决的压力来源是 客户死亡。拟议的研究将使用深入的、多方法的研究设计来描述卫生工作者的来源 以及客户死亡后使用的支持类型；以检验客户死亡支持与以下假设相关 减少悲伤，减少压力，提高工作满意度；并制定可行的 以工作场所为基础的干预，以增加对病人死亡的支持。分析将集中在不同的样本上 从纽约市两家大型家庭护理机构招募的讲英语的卫生工作者采取不同的方式 客户死亡支持的方法。这项研究将为客户死亡支持的哪些方面提供洞察 减少悲伤和压力，提高工作满意度，因此是重要的一步 朝着减少卫生工作者职业压力和流动率的长期目标迈进。从这次K01开始的训练 将允许我1)发展职业压力理论方面的专业知识，2)获得职业紧张方面的技能 流行病学和生物统计学，3)深入理解悲伤理论，4)掌握以下技能 心理测量学和因素分析。我的职业发展计划包括具体的课程、会议、 指导阅读、研讨会、实践练习和由以下领域的专家组成的团队提供量身定制的指导 家庭护理劳动，悲伤，工作压力，职业流行病学，因素分析，回归。这个项目是 与NIOSH在保健和社会援助部门的优先事项保持高度一致，这鼓励 提案侧重于家庭环境，以及跨部门的健康工作设计和福祉(具体地说， 工作组织和压力相关障碍的战略目标1)。该项目也与NIOSH的项目一致 R2P倡议，因为它与家庭护理机构合作，并积极寻求将研究成果转化为 在关键利益相关者的参与下，提出可行的干预方案。我这项研究的主要目标是为 为未来的R01开发和评估多方面的客户死亡支持干预措施奠定基础，以减少 减少悲伤和压力，提高工作满意度。产出将包括至少5篇同行评审的文章， 至少3次会议演示，以及客户死亡支持的新措施。中期成果将 包括文献中的引用，以及支持雇主机构、工会和 研究人员制定了实施干预的思路。通过以下途径获得的新技能和经验 这个K01将帮助我实现成为一名独立的职业健康研究人员的职业目标 世卫组织开展以干预为导向的创新混合方法研究。

The purpose of this Mentored Research Scientist Development Award (K01) is to help me become an independent occupational health researcher who uses multidisciplinary social science methods to conduct intervention research benefitting low-income workers; in this case, home care workers (HCWs). Protecting and promoting the health of the large and rapidly expanding population of HCWs is essential to our health system's ability to provide needed care. One persistent, unavoidable, and unaddressed stressor for this population is client death. The proposed study will use an in-depth, multimethod study design to describe HCWs' sources and types of support used after client death; to test the hypotheses that client death support is associated with reduced grief distress, reduced perceived stress, and increased job satisfaction; and to develop feasible workplace-based intervention to increase client death support. Analyses will focus on a diverse sample of English-speaking HCWs recruited from two large home care agencies in New York City taking different approaches to client death support. This research will provide insight into which aspects of client death support are associated with reduced grief and stress, and increased job satisfaction, and thus is an important step toward a long-term goal of reducing occupational stress and turnover among HCWs. The training from this K01 will allow me to 1) develop expertise in theories of occupational stress, 2) acquire skills in occupational epidemiology and biostatistics, 3) develop an in-depth understanding of grief theories, and 4) acquire skills in psychometrics and factor analysis. My career development plan includes specific coursework, conferences, directed readings, seminars, hands-on practica, and tailored mentoring with a team comprised of experts in home care labor, grief, work stress, occupational epidemiology, factor analysis, and regression. This project is strongly aligned with NIOSH's priorities in the Healthcare and Social Assistance sector, which encourages proposals focused on home settings, and the Healthy Work Design and Well-Being cross-sector (specifically, Strategic Goal 1 for Work Organization and Stress Related Disorders). This project also aligns with NIOSH's R2P Initiative in that it partners with home care agencies and actively seeks to translate research findings into feasible intervention ideas, with input from key stakeholders. My primary goal for this research is to lay a solid foundation for a future R01 to develop and evaluate a multifaceted client death support intervention to reduce HCW grief and stress and increase job satisfaction. Outputs will include at least 5 peer-reviewed articles, at least 3 conference presentations, and new measures of client death support. Intermediate outcomes will include citations in the literature, as well as supporting the efforts of employer agencies, unions, and researchers to implement the intervention ideas developed. The new skills and experience acquired through this K01 will help me to achieve my career goal of becoming an independent occupational health researcher who conducts innovative intervention-oriented mixed methods research.