'I wouldn't choose this work again': Perspectives and experiences of care aides in long-term residential care.
care aides
dementia
healthcare aides
long-term residential care
moral distress
nursing
older adults
qualitative research
work satisfaction
working conditions
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
revised:
17
05
2021
received:
30
01
2021
accepted:
28
05
2021
pubmed:
9
7
2021
medline:
18
8
2021
entrez:
8
7
2021
Statut:
ppublish
Résumé
To provide insight into the everyday realities facing care aides working in long-term residential care (LTRC), and how they perceive their role in society. A qualitative ethnographic case study. Data were collected over. 10 months of fieldwork at one LTRC setting [September 2015 to June 2016] in Western Canada; semi-structured interviews (70 h) with 31 care aides; and naturalistic observation (170 h). Data were analysed using reflexive thematic analysis. The findings in this work highlight the underpinned ageism of society, the gendered work of body care, and the tension between the need for relational connections - which requires time and economic profit. Four themes were identified, each relating to the lack of training, support, and appreciation care aides felt about their role in LTRC. Care aides remain an unsupported workforce that is essential to the provision of high-quality care in LTRC. To support the care aide role, suggestions include: (i) regulate and improve care aide training; (ii) strengthen care aides autonomy of their care delivery; and (iii) reduce stigma by increasing awareness of the care aide role. What problem did the study address? The unsupportive working conditions care aides experience in LTRC and the subsequent poor quality of care often seen delivered in LTRC settings. What were the main findings? Although care aides express strong affection for the residents they care for, they experience insurmountable systemic and institutional barriers preventing them from delivering care. Where and on whom will the research have impact? Care aides, care aide educators, care aide supervisors and managers in LTRC, retirement communities, and home care settings.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3842-3852Subventions
Organisme : Canadian Frailty Network
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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