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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.