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Family caregiving at the intersection of private care by migrant home care workers and public care by nursing staff

Published online by Cambridge University Press:  16 May 2013

Liat Ayalon ,
Sara Halevy-Levin ,
Zvi Ben-Yizhak  and
Gideon Friedman
Liat Ayalon*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan 52900, Israel
Sara Halevy-Levin
Affiliation:
Hebrew University–Hadassah Medical Center, Jerusalem, Israel
Zvi Ben-Yizhak
Affiliation:
Hebrew University–Hadassah Medical Center, Jerusalem, Israel
Gideon Friedman
Affiliation:
Hebrew University–Hadassah Medical Center, Jerusalem, Israel
*
Correspondence should be addressed to: Liat Ayalon, School of Social Work, Bar Ilan University, Ramat-Gan 52900, Israel. Phone: +972-35317910; Fax: +972-39342056. Email: [email protected].
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Abstract

Background: This study evaluated private family caregiving at the intersection of private migrant home care and public nursing care on the hospitalization of an older patient.

Methods: Seventy-three individuals were interviewed, including older hospitalized patients, their family members, accompanying migrant home care workers, and nursing personnel.

Results: There was no clear consensus concerning the role of family members. Although family members emphasized care management as their main role, the other three groups emphasized that the family members’ mere physical presence was their main role. All four groups identified potential barriers to family caregiving, rather than motives for family caregiving, hence pointing to a potential discrepancy between expected and performed family caregiving roles.

Conclusions: An indication of the lack of clarity concerning family caregiving roles stems from the finding that family members were frequently viewed as unengaged and neglectful, yet at times they were criticized for being overly involved in patient care. Implications for the care of hospitalized older adults are discussed.

Keywords

hospitalizationadmissionforeign workersnursingolder adultsdiffusion of responsibilityrole diffusion
Type
Research Article
Information
International Psychogeriatrics , Volume 25 , Issue 9 , September 2013 , pp. 1463 - 1473
Copyright
Copyright © International Psychogeriatric Association 2013 

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