Family caregiving transitions and sleep among double- and triple-duty caregivers

双重和三重护理人员的家庭护理转变和睡眠

基本信息

批准号：
9086104
负责人：
Nicole DePasquale
金额：
$ 3.24万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-01 至 2017-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9086104
关键词：
Accounting Address Adult Advocate Affect American Analysis of Variance Area Award Blood Caregivers Caring Child Child Care Data Data Analytics Dementia Diabetes Mellitus Disease Elderly Emotional Employee Employment Equation Equilibrium Equipment Excessive Daytime Sleepiness Exposure to Family Family Caregiver Family health status Fatigue Formal caregiving Foundations Future Goals Growth Health Health Personnel Healthcare Healthcare Industry Heart Diseases Home environment Hospital Nursing Staff Hour Intervention Investigation Knowledge Life Link Literature Long-Term Care Long-Term Care for Elderly Longitudinal Surveys Malignant Neoplasms Measurement Measures Medical Mental Health Modeling Needlestick Injuries Nurses Nursing Homes Obesity Occupational Accidents Occupations Outcome Participant Patient Self-Report Pharmaceutical Preparations Physiological Population Psyche structure Public Domains Public Health Quality of Care Quality of life Reporting Research Research Design Research Personnel Research Training Risk Role Sampling Services Sleep Sleep Deprivation Sleep disturbances Source Stroke Subgroup Surveys Techniques Time Training United States Variant Wakefulness Woman Women&apos s Role Work Working Women Wrist actigraphy base burnout care recipients career caregiving diaries exhaustion experience family caregiving indexing informal caregiving innovation insight longitudinal design multilevel analysis operation patient safety physical conditioning programs prospective psychologic public health relevance stressor therapy development time use

项目摘要

DESCRIPTION (provided by applicant): Family Caregiving Transitions and Sleep among Double- and Triple-Duty Caregivers PROJECT SUMMARY/ABSTRACT Sleep is increasingly recognized as a significant public health issue.1 An estimated 50 to 70 million adults in the US chronically suffer from sleep or wakefulness disorders linked to a rising number of health problems, including heart disease, stroke, diabetes, obesity, cancer, and high blood pressure.1,2 Sleep-related problems can affect all areas of life, one of which is employment. A national survey of American workers found that employed Americans get less sleep than they need to function adequately at work; when they do sleep, workers indicate poor sleep quality.3 Although the implications of sleep disturbances are detrimental for any employee, they are particularly important for healthcare employees given their responsibilities of providing quality care and maintaining patient safety. Yet, healthcare employees commonly experience fatigue and poor sleep quality due to long work hours and exposure to physically and psychologically demanding work tasks.4-6 Additionally, healthcare employees may have caregiving responsibilities at home that interfere with sleep.4,7 In the literature, healthcare workers who provide elder care at home are referred to as double-duty caregivers, an understudied population projected to become more prevalent in the healthcare industry.8-13 Double-duty caregivers are at risk for emotional burnout,12 extreme physical and mental exhaustion,7,10-13 sleep deprivation,7 and work-family conflict.8 Double-duty care studies, however, comprise a small and limited body of research. Conceptually, double-duty care overlooks other family care roles women may be balancing at home, especially the provision of both child care and elder care, or 'sandwiched' care.14 Further, prior research has only been cross-sectional and primarily based on qualitative data, women working outside of the US, and relatively small samples.8-13 The proposed training plan addresses these critical barriers to progress in the field and extends scientific knowledge by using an innovative study design to examine a large, unique sample of women working in nursing homes in the US from the Work, Family and Health Study.15-18 Specifically, this work will draw on existing data to answer new empirical questions and strengthen double-duty care research with the following aims: (1) Conduct a longitudinal examination of how family caregiving role continuity and transitions affect subjective and wrist actigraphic indices of sleep among healthcare employees with child (double-duty child care), elder (double-duty elder care), and sandwiched (triple-duty care) care roles at home, and (2) Perform an in-depth examination of stressful experiences and time use among double- and triple-duty caregivers at the daily level to enhance understanding of how each relates to sleep duration, latency, disturbances, and quality. This work will serve as a strong foundation for a research program committed to the study of double- and triple-duty care and pave the way for future investigation into women who combine formal and informal caregiving roles. Findings from this research will also inform the development of interventions for this specific subgroup of working caregivers as well as optimize interventions for working caregivers more generally.

DESCRIPTION (provided by applicable): Family Caregiving Transitions and Sleep among Double- and Triple-Duty Caregivers PROJECT SUMMARY/ABSTRACT Sleep is increasingly recognized as a significant public health issue.1 An estimated 50 to 70 million adults in the US chronically suffer from sleep or wakefulness disorders linked to a rising number of health problems, including heart disease, stroke, diabetes, Obesity, cancer, and high blood pressure.1,2 Sleep-related problems can affect生活的所有领域，其中之一就是就业。全国对美国工人的调查发现，雇用的美国人的睡眠少于他们在工作中充分运作所需的工作。当他们睡觉时，工人表明睡眠质量较差。3尽管睡眠障碍的影响对任何员工有害，但由于他们提供优质护理和维持患者安全的责任，他们对医疗保健员工尤为重要。然而，医疗保健员工通常会因长时间的工作时间和身体和心理上要求的工作任务而导致的疲劳和睡眠质量差。4-6此外，医疗保健员工可能在家庭中承担护理责任，这会干扰睡眠。4,7在文献中，医疗保健工人在家中提供的老年护理人员在家里提供了3个医疗服务，该责任是在家中提供的3次医疗服务。双重护理人员面临情绪倦怠，12个极端的身体和精神疲惫，7,10-13的睡眠剥夺，7和工作家庭冲突的风险。8双层护理研究包括一项小的且有限的研究体系。从概念上讲，双重护理忽略其他家庭护理角色，女性可能会在家里保持平衡，尤其是提供育儿和老年护理，或“夹杂的”护理，或“夹杂”护理。14此外，先前的研究仅是基于定性数据的横断面和主要的，基于定性数据，在美国以外的妇女，通过相对较小的样本进行了研究。8-13培训计划的研究和扩展了一定的领域，并扩展了一定的领域，并扩展了一定的领域。从工作，家庭和健康研究中，在美国在美国护士家庭工作的大量妇女样本。15-18特别是，这项工作将利用现有数据来回答新的经验问题并加强双重护理研究，以下目的是：（1）对家庭护理的连续性和过渡的纵向检查，以影响主体和腕部的童年，对家庭护理的培训（童年）如何影响，而童恋者在童年中的培训（（双层老年护理），并在家中夹杂（三重护理）护理角色，（2）对每天的双重和三人护理人员之间的压力经历和时间使用进行深入研究，以增强对每种与睡眠持续时间，延迟，延迟，疾病，疾病，质量和质量的关系的了解。这项工作将成为致力于研究双重和三重护理研究的研究计划的强大基础，并为将未来的投资铺平了为结合正式和非正式护理角色的妇女的投资。这项研究的结果还将为这项特定的工作护理人员的干预措施的发展提供信息，并更广泛地为工作护理人员优化干预措施。