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Relations between Immigrant Care Workers and Older Persons in Home and Long-Term Care*

Published online by Cambridge University Press:  04 March 2010

Ivy Lynn Bourgeault*
Affiliation:
Interdisciplinary School of Health Sciences, University of Ottawa
Jelena Atanackovic
Affiliation:
Department of Sociology, McMaster University
Ahmed Rashid
Affiliation:
Department of Sociology, University of Ottawa
Rishma Parpia
Affiliation:
Department of Sociology, McMaster University
*
Correspondence concerning this article should be addressed to / La correspondance concernant cet article doit être adressées à: Ivy Lynn Bourgeault, Department of Health Sciences, University of Ottawa, 43 Templeton Street, Ottawa Ontario K1N 6X1. ([email protected])

Abstract

Immigrant care workers play an increasingly important role in home and long-term care in Canada, yet the full extent of their relations with older persons in those settings is relatively unknown. This article examines the role of immigrant care workers in both home and long-term care sectors, with a focus on relations with older clients and implications for quality of care. The data are derived from interviews with workers, employers, and older clients conducted in various home and long-term care services for older adults across three Canadian provinces: Ontario, British Columbia, and Quebec. Factors stemming from immigrant care workers’ ethnic/racial background, language barriers, and contextual factors such as staff shortage in different care settings for older adults complicate the relationship between immigrant care workers and their clients. In some cases, these factors diminish the quality of care. We point to some policy alternatives that our findings suggest should be considered.

Résumé

Les aidants immigrés jouent un rôle de plus en plus important dans les soins de domicile et les soins de longue durée au Canada, mais l’ampleur totale de leurs relations avec les personnes âgées dans ces cadres est relativement inconnue. Cet article examine le rôle des aidants immigrés dans les deux secteurs de domicile et de soins de longue durée, mettant l’accent sur les relations avec les anciens et les implications pour la qualité des soins. Les données proviennent des entrevues avec les travailleurs, les employeurs et les clients anciens menées dans divers services d’accueil et de soins de longue durée pour personnes âgées dans trois provinces canadiennes: l’Ontario, la Colombie-Britannique et le Québec. Les facteurs qui découlent des origines ethniques ou raciales des aidants immigrés, barrières linguistiques et facteurs contextuels tels que la pénurie de personnel en soins de différents paramètres pour les personnes âgées compliquent la relation entre les aidants immigrés et leurs clients. Dans certains cas, ces facteurs diminuent la qualité des soins. Nous indiquons quelques politiques alternatives que nos conclusions suggèrent devraient être considérées.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2010

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Footnotes

*

Financial support for this research was provided through a grant of the International Opportunities Programme of the Social Sciences and Humanities Research Council of Canada. The research design and protocols were developed in conjunction with a broader international team based in the U.K. with colleagues Sarah Spencer, Alessio Cangiano, and Isabel Shutes; in the U.S. with colleagues Susan Martin, Lindsay Lowell, and Elzbieta Godziak, and in Ireland with colleagues Eamon O’Shea and Kieran Walsh. Data from British Columbia were collected by Christine Davis and in Quebec by Jane LeBrun. Judi Winkup provided adept coordination of the overall research project.

References

Allen, P.D., & Cherry, K. (2006). Race relations in the nursing home setting. Race, Gender & Class, 13(1/2), 3646.Google Scholar
Armstrong, P., & Armstrong, H. (2002). Wasting away: The undermining of the Canadian health care by (2nd ed.). Toronto, Ontario: Oxford University Press.Google Scholar
Armstrong, P., Armstrong, H., & Scott-Dixon, K. (2008). Critical to care: The invisible women in health services. Toronto, Ontario, Canada: University of Toronto Press.CrossRefGoogle Scholar
Aronson, J. (2004). “Just fed and watered”: Women’s experiences of the gutting of home care in Ontario. In Grant, K.R., Amaratunga, C., Armstrong, P., Boscoe, M., Pederson, A., & Willson, K. (Eds.), Caring for/caring about: Women, home care and unpaid caregiving (pp. 167183). Aurora, Ontario, Canada: Garamond Press.Google Scholar
Banerjee, A., Daly, T., Armstrong, H., Armstrong, P., Lafrance, S., & Szebehely, M. (2008). “Out of control”: Violence against personal support workers in longterm care. Toronto, Ontario: York University. Retrieved July 16, 2009, from http://www.yorku.ca/mediar/special/out_of_control_english.pdfGoogle Scholar
Barker, J.C. (1994). Recognizing cultural differences: Health-care providers and elderly patients. Gerontology & Geriatrics Education, 15(1), 921.CrossRefGoogle Scholar
Bates, M.S., Rankil-Hill, L., & Sanchez-Ayendez, M. (1997). The effects of cultural context of healthcare on treatment of and response to chronic pain and illness. Social Science and Medicine, 45, 14331447.CrossRefGoogle ScholarPubMed
Berdes, C., & Eckert, J.M. (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurse’s aides in three nursing homes. Research on Aging, 23, 109126.CrossRefGoogle Scholar
Brach, C., & Fraserirector, I. (2000). Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review, 57, 181217.CrossRefGoogle ScholarPubMed
Bourgeault, I.L. (2008). On the move: The migration of health care providers into and out of Canada. In Singh Bolaria, B. & Dickenson, H. (Eds.), Health, illness & health care in Canada (pp. 7698). Toronto, Ontario, Canada: Nelson Education.Google Scholar
Browne, C.T. (1986). An anguished relationship: The white aged institutionalized client and the non-white paraprofessional worker. Journal of Gerontological Social Work Special Issue: Ethnicity and Gerontological Social Work, 9, 312.CrossRefGoogle Scholar
Canadian Institute for Health Information. (2007). Canada’s health care providers. Ottawa, Ontario, Canada: Author.Google Scholar
Cooper, L.A., & Roter, D.L. (2003). Patient-provider communication: The effect of race and ethnicity on the process and outcomes of healthcare. In Smedley, B.D., Smith, A.Y., & Nelson, A.R. (Eds.), Unequal treatment: Confronting racial and ethnic disparities in healthcare (pp. 552593). Washington, DC: National Academies Press.Google Scholar
Cooper-Patrick, L. (1999). Race, gender, and partnership in the patient-physician relationship. Journal of the American Medical Association, 282, 583589.CrossRefGoogle ScholarPubMed
Datta, K., Mcllwaine, C., Evans, Y., Herbert, J., May, J., & Wills, J. (2006). Work, care and life among low paid migrant workers in London: Towards a migrant ethic of care. London, Ontario: Queen Mary, University of London. Retrieved November 4, 2008, from www.geog.qmul.ac.uk/globalcities/reports/docs/workingpaper6.pdfGoogle Scholar
Denton, M., Zeytinoglu, I., & Davies, S. (2002). Job stress and job dissatisfaction of homecare workers in the context of healthcare restructuring. International Journal of Healthcare Services, 32, 327357.CrossRefGoogle Scholar
De-Ortiz, C.M. (1993). The politics of home care for the elderly poor: New York city’s medicaid-funded home attendant program. Medical Anthropology Quarterly, 7, 429.CrossRefGoogle Scholar
Duff, P.A., Wong, P., & Early, M. (2000). Learning language for work and life: The linguistic socialization of immigrant Canadians seeking careers in healthcare. Canadian Modern Language Review, 57, 1057.CrossRefGoogle Scholar
Fineman, N. (1991). The social construction of noncompliance: Implications for cross-cultural geriatric practice. Journal of Cross-Cultural Gerontology, 6, 219228.CrossRefGoogle ScholarPubMed
Frank, R.A. (2000). Medical communication: Non-native English speaking patients and native English speaking professionals. English for Specific Purposes Journal, 19, 3162.CrossRefGoogle Scholar
Gerrish, K. (2001). The nature and effect of communication difficulties arising from interactions between district nurses and South Asian patients and their carers. Journal of Advanced Nursing, 33, 566574.CrossRefGoogle ScholarPubMed
Gupta, T.D. (1996). Anti-black racism in nursing in Ontario. Studies in Political Economy, 51, 97116.CrossRefGoogle Scholar
Haug, M., & Ory, M. (1987). Issues in elderly patient-provider interactions. Research on Aging, 9, 344.CrossRefGoogle ScholarPubMed
Hasselkus, B.R. (1992). Physician and family care giver in the medical setting: Negotiation of care? Journal of Aging Studies, 6, 6780.CrossRefGoogle Scholar
Iecovich, E. (2000). Sources of stress and conflicts between elderly patients, their family members and personnel in care settings. Journal of Gerontological Social Work, 34, 7388.CrossRefGoogle Scholar
Institute of Medicine. (2004) In the nation’s compelling interest: Ensuring diversity in the health-care workforce. Washington, DC: The National Academies Press.Google Scholar
Jacelon, C.S. (1995). The effect of living in a nursing home on socialization in elderly people. Journal of Advanced Nursing, 22, 539546.CrossRefGoogle Scholar
Jönson, H. (2007). Is it racism? Skepticism and resistance towards ethnic minority care workers among older care recipients. Journal of Gerontological Social Work, 49, 7996.CrossRefGoogle ScholarPubMed
Josipovic, P. (2000). Recommendations for culturally sensitive nursing care. International Journal of Nursing Practice, 6, 146152.CrossRefGoogle ScholarPubMed
Kapur, D., & McHale, J. (2005). Give us your best and your brightest: The global hunt for talent and its impact on the developing world. Washington, DC: Centre for Global Development.Google Scholar
Kaufman, S.R. (1988). Toward a phenomenology of boundaries in medicine: Chronic illness experience in the case of stroke. Medical Anthropology Quarterly, 2, 338354.CrossRefGoogle Scholar
Lyons, S.M., O’Keeffe, F.M., Clarke, A.T., & Staines, A. (2008). Cultural diversity in the Dublin maternity services: The experiences of maternity service providers when caring for ethnic minority women. Ethnicity & Health, 13, 261276.CrossRefGoogle ScholarPubMed
Martin-Matthews, A. (2007). Situating ‘home’ at the nexus of the public and private spheres: Ageing, gender and home support work in Canada. Current Sociology, 55, 229249.CrossRefGoogle Scholar
Neysmith, S., & Aronson, J. (1997). Working conditions in home care: Negotiating race and class boundaries in gendered work. International Journal of Health Services, 27, 479499.CrossRefGoogle ScholarPubMed
Nolan, M., Grant, G., & Nolan, J. (1995). Busy doing nothing: Activity and interaction levels amongst differing populations of elderly patient. Journal of Advanced Nursing, 22, 528538.CrossRefGoogle Scholar
Pauwels, A. (1995). Cross-cultural communication in the health sciences: Communicating with migrant patients. Hong Kong, China: MacMillan Education Australia.Google Scholar
Shaw, S. (2005). The politics of recognition in culturally appropriate care. Medical Anthropology Quarterly, 19, 290309.CrossRefGoogle ScholarPubMed
Spitzer, D.L. (2004). In visible bodies: Minority women, nurses, time, and the new economy of Care. Medical Anthropology Quarterly, 18(4), 490508.CrossRefGoogle ScholarPubMed
Spitzer, D., Neufeld, A., Harrison, M., Hughes, K., & Stewart, M. (2006). Caregiving in transnational context: “My wings have been cut; where can i fly?” In Zimmerman, M.K., Litt, J.S., & Bose, C.E. (Eds.), Global dimension of gender and care work (pp. 176192). Stanford, CA: Stanford University Press.CrossRefGoogle Scholar
Statistics Canada. (2007). Residential care facilities 2005/06. Ottawa, Ontario, Canada: Ministry of Industry Catalogue number 8-237-X.Google Scholar
Wish Garrett, P., Roberto-Forero, H., & Klinken Whelan, A. (2008). Communication and healthcare complexity in people with little or no English: The communication complexity score. Ethnicity & Health, 13, 203217.CrossRefGoogle Scholar