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Strategies Used by Home Support Workers in the Delivery of Care to Elderly Clients

Published online by Cambridge University Press:  04 March 2010

Joanie Sims-Gould  and
Anne Martin-Matthews
Joanie Sims-Gould*
Affiliation:
University of British Columbia
Anne Martin-Matthews
Affiliation:
University of British Columbia
*
*Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Joanie Sims-Gould Ph.D., RSW, Department of Sociology, 6303 NW Marine Drive, The University of British Columbia, Vancouver, BC, V6T 1Z1 ([email protected])
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Abstract

An estimated 36,000 home support workers assist older Canadians annually with daily activities, such as bathing, dressing, grooming, and light housework, yet home support workers’ day-to-day experiences are not well understood. Mahmood and Martin-Matthews (2008) have developed a model that locates the home support worker, elderly client, and family member at the intersection of the public and private spheres framed by their social, spatial, temporal, and organizational features. This study, funded by the Canadian Institutes of Health Research, examines and refines that model through an analysis of in-depth interviews with home support workers in British Columbia. Home support workers identify key issues in service delivery and discuss a range of creative solutions to complete their daily tasks efficiently, effectively, and respectfully. The study’s findings inform our understanding of home support workers’ job experiences; they also highlight those qualities that characterize exceptional workers in navigating the various domains of home support.

Résumé

On estime que 36,000 travailleurs de soutien à domicile aident les anciens canadiens chaque année avec les activités quotidiennes, comme la baignade, l’habillement, le nettoyage et les travaux ménagers légers, mais les expériences quotidiennes des travailleurs qui donnent soutien à domicile ne sont pas bien encore compris. Mahmood et Martin-Matthews (2008) ont développé un modèle qui localise le travailleur de soutien à domicile, le client âgée et la membre de la famille à l’intersection des sphères privées et publiques encadré par leur traits sociaux, spatials et temporels, et par la structure organisationnelle de l’entreprise. Cette étude, financée par Les Instituts de recherche en santé du Canada, examine et affine ce modèle grâce à une analyse des entrevues approfondies avec les travailleurs de soutien à domicile en la Colombie-Britannique. Travailleurs de soutien à domicile identifient les questions clés dans la prestation des services et discutent une gamme de solutions créatives pour effectuer leurs tâches quoti-diennes et avec de la déférence. Les conclusions de l’étude informent notre compréhension des expériences de travail des travailleurs de soutien à domicile; également ils mettent en évidence les qualités qui caractérisent les travailleurs exceptionnelles en naviguant parmi les différents domaines de soutien à domicile.

Keywords

soutien à domiciletravailleurs de soutien à domicileanciens clients de soutien à domicilesoins de santé à domicilehome supporthome support workersolder home support clientshome health care delivery
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 29 , Issue 1: Special Issue from the Social and Economic Dimensions of an Aging Population Project (SEDAP) – Caring for an Aging Population: Context, Practice & Policy , March 2010 , pp. 97 - 107
Copyright
Copyright © Canadian Association on Gerontology 2010

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References

Angus, J., Kontos, P., Dyck, I., McKeever, P., & Poland, B. (2005). The personal significance of home: Habitus and the experience of receiving long-term home care. Sociol. Health Illn., 27(2), 161–187.CrossRefGoogle ScholarPubMed
Ardener, S. (1993). Ground rules and social maps for women: An introduction. In Ardener, S. (Ed.), Women and space: Ground rules and social maps, (pp. 1–30) New York: St. Martin’s.Google Scholar
Aronson, J., & Neysmith, S.M. (1996). ‘You’re not just in there to do the work’: Depersonalizing policies and the exploitation of home. Gender & Society, 10, 59–77.CrossRefGoogle Scholar
Aronson, J., Denton, M., & Zeytinoglu, I. (2004). Market-modelled home care in Ontario: Deteriorating working conditions and dwindling community capacity. Canadian Public Policy / Analyse De Politiques, 30(1), 111–125. http://www.jstor.org/stable/3552583CrossRefGoogle Scholar
BC Ministry of Health. (2001). Retrieved April 23, 2008, from http://www.healthservices.gov.bc.ca/socsec/restruct.htmlGoogle Scholar
Canadian Institute for Health Information. (2007). The Yukon: Pioneers of home care information. Retrieved August 11, 2008, from http://secure.cihi.ca/cihiweb/en/downloads/HCRS_Yukon_AiB_ENG.pdfGoogle Scholar
Carrière, G. (2006). Seniors’ use of home care. Health Reports, 17(4), 43–47.Google ScholarPubMed
Corbin, J.M., & Strauss, A. (1990). Making arrangements: The key to home care. In Gubrium, J.F. & Sankar, A. (Eds.), The home care experience: Ethnography and policy (pp. 59–73). Newbury Park, CA: Sage Publications.Google Scholar
Dalley, G. (2000). Defining difference: Health and social care for older people. In Warnes, A., Warren, L. & Nolan, M. (Eds.), Care services for later life: Transformations and critiques (pp. 103–118). London: Jessica Kingsley.Google Scholar
Delp, L. (2006). Job stressors among home care workers in California’s consumer directed model of care: The impact on job satisfaction and health outcomes. Ph.D., University of California, Los Angeles. Retrieved June 15, 2008, from http://proquest.umi.com/pqdweb?did=1264614651&Fmt=7clientId=65345&RQT=309&VName=PQDGoogle Scholar
Denton, M., Zeytinoglu, I.U., Davies, S., & Hunter, D. (2006). The impact of implementing managed competition on home care workers’ turnover decisions. Healthcare Policy, 1(4), 106–123.Google ScholarPubMed
Denton, M., Zeytinoglu, I., Kusch, K., & Davies, S. (2007). Market-modelled home care: Impact on job satisfaction and propensity to leave. Canadian Public Policy, 33, 81–99.CrossRefGoogle Scholar
Denton, M., Zeytinoglu, I.U., Davies, S., & Lian, J. (2002). Job stress and job dissatisfaction of home care workers in the context of health care restructuring. International Journal of Health Services, 32, 327–357.CrossRefGoogle ScholarPubMed
Dill, A.E.P. (1990). Transformations of home: The formal and informal process of home care planning. In Gubrium, J.F. & Sankar, A. (Eds.), The home care experience: Ethnography and policy (pp. 227–251). Newbury Park, CA: Sage Publications.Google Scholar
Feldman, P.H. (1993). Work life improvements for home care workers: Impact and feasibility. The Gerontologist, 33, 47–54.CrossRefGoogle ScholarPubMed
Feldman, P.H., Sapienza, A.M., & Kane, N.M. (1990). Who cares for them?: Workers in the home care industry. New York: Greenwood Press.Google Scholar
Fleming, G., & Taylor, B.J. (2007). Battle on the home care front: Perceptions of home care workers of factors influencing staff retention in Northern Ireland. Health & Social Care in the Community, 15, 67–76.Google ScholarPubMed
Giddens, A. (1984). The constitution of society. Cambridge, England: Polity.Google Scholar
Hollander, M.J., & Prince, M.J. (2008). Organizing healthcare delivery systems for persons with ongoing care needs and their families: A best practices framework. Healthcare Quarterly, 11(1), 44–54.CrossRefGoogle Scholar
Khouri, D. (2003). The changing face of regionalization in Canada: Recent changes and what to watch (Editorial). CCARH Newsletter. Accessed August 11, 2008www.regionalization.org/Publications.htmlGoogle Scholar
Konkin, J., Howe, D., & Soles, T.L. (2004). Society of rural physicians of Canada policy paper on regionalization. Canadian Journal of Rural Medicine, 9, 257–259.Google ScholarPubMed
Mahmood, A. (2002). Managing the blurring of boundaries: A conceptual framework for social, spatial and temporal analysis of live-work settings. Seniors Housing Update, 11(2), 1–3.Google Scholar
Mahmood, A., & Martin-Matthews, A. (2008). Dynamics of carework: Boundary management and relationship issues for home support workers and elderly clients. In Martin-Matthews, A. & Phillips, J. (Eds.), Aging and caring at the intersection of work and home life: Blurring the boundaries (pp. 21–42). New York: Taylor & Francis.Google Scholar
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, 229–249.CrossRefGoogle Scholar
Martin-Matthews, A., & Sims-Gould, J. (2008). Employers, home support workers, and elderly clients: Identifying key issues in delivery and receipt of home support. HealthCare Quarterly, 11(4), 71–77.CrossRefGoogle ScholarPubMed
Martin-Matthews, A., & Wakefield, S. (1992). Final report of the homemaker services to the elderly: Provider characteristics and client benefit. Ontario, Canada: Ontario Ministry of Community and Social Services.Google Scholar
Nugent, L.S. (2007). Can’t they get anything better? Home support workers call for change. Home Health Care Services Quarterly, 26(2), 21–39.CrossRefGoogle ScholarPubMed
Phillips, J. (2007). Care. Cambridge, England: Polity Press.Google ScholarPubMed
Sharman, Z., Tigar McLaren, A., Cohen, M., & Ostry, A. (2008). “We only own the hours”: Discontinuity of care in the British Columbia home support system. Canadian Journal on Aging, 27, 89–100.CrossRefGoogle ScholarPubMed
Stacey, C.L. (2005). Finding dignity in dirty work: The constraints and rewards of low-wage home care labour. Sociology of Health & Illness, 27, 831–854.CrossRefGoogle ScholarPubMed
Statistics Canada. (2006). Government subsidized Home Care. Health Reports, 17(4), 39–42.Google Scholar
Stone, R.I., & Dawson, S.L. (2008). The origins of better jobs better care. The Gerontologist, 48, 5–13.CrossRefGoogle ScholarPubMed
Tashakkori, A., & Teddlie, C.. (2003). Handbook of mixed methods in social & behavioral research. Thousand Oaks, CA: Sage.Google Scholar
The Home Care Sector Study Corporation. (2003). Canadian home care resources study: Synthesis report. Retrieved August 23, 2007, from www.homearestudy.comGoogle Scholar
Twigg, J. (2000). The medical–social boundary and the location of personal care. In Warnes, A., Warren, L. & Nolan, M. (Eds.), Care services for later life: Transformations and critiques (pp. 119–134). London: Jessica Kingsley.Google Scholar
Yamada, Y. (2002). Recruitment and retention of direct care workers in home care settings. Ph.D. of Philosophy, State University of New York at Albany. Retrieved June 15, 2008 from http://proquest.umi.com/pqdweb?did=764702151&Fmt=7&clientId=65345&RQT=309&VName=PQDGoogle Scholar
Zeytinoglu, I.U., Denton, M.A., Webb, S., & Lian, J. (2000). Self-reported musculoskeletal disorders among visiting and office home care workers. Women Health, 31(2/3), 1–35.CrossRefGoogle ScholarPubMed