Aide and Client Safety “Should Go Hand-In-Hand”: Qualitative Findings From Home Care Aides, Clients, and Agency Leaders
Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting thi...
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| Published in: | Journal of applied gerontology Vol. 42; no. 4; pp. 571 - 580 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-04-2023
SAGE PUBLICATIONS, INC |
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| Abstract | Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting this care relationship. Data consisted of audio-recorded, verbatim responses to open-ended questions of two focus groups with aides (n = 10), two in-person interviews with HC agency managers, and 37 phone interviews with those working in (aides, n = 16; managers, n = 12) and receiving (clients, n = 9) HC. Clients reported home layout and accessibility as safety concerns. Aides and managers reported that client family members can make the care job more challenging. The aide-client connection was affected by communication style, family and HC agency support, allotted care time, and job task boundaries. Interventions that address the safety of both clients and aides can influence HC job satisfaction and retention. |
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| AbstractList | Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting this care relationship. Data consisted of audio-recorded,
responses to open-ended questions of two focus groups with aides (
= 10), two in-person interviews with HC agency managers, and 37 phone interviews with those working in (aides,
= 16; managers,
= 12) and receiving (clients,
= 9) HC. Clients reported home layout and accessibility as safety concerns. Aides and managers reported that client family members can make the care job more challenging. The aide-client connection was affected by communication style, family and HC agency support, allotted care time, and job task boundaries. Interventions that address the safety of both clients and aides can influence HC job satisfaction and retention. Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting this care relationship. Data consisted of audio-recorded, verbatim responses to open-ended questions of two focus groups with aides ( n = 10), two in-person interviews with HC agency managers, and 37 phone interviews with those working in (aides, n = 16; managers, n = 12) and receiving (clients, n = 9) HC. Clients reported home layout and accessibility as safety concerns. Aides and managers reported that client family members can make the care job more challenging. The aide-client connection was affected by communication style, family and HC agency support, allotted care time, and job task boundaries. Interventions that address the safety of both clients and aides can influence HC job satisfaction and retention. Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could increase job retention. This study objective was to explore qualitatively the connection between aide and client safety and factors impacting this care relationship. Data consisted of audio-recorded, verbatim responses to open-ended questions of two focus groups with aides (n = 10), two in-person interviews with HC agency managers, and 37 phone interviews with those working in (aides, n = 16; managers, n = 12) and receiving (clients, n = 9) HC. Clients reported home layout and accessibility as safety concerns. Aides and managers reported that client family members can make the care job more challenging. The aide-client connection was affected by communication style, family and HC agency support, allotted care time, and job task boundaries. Interventions that address the safety of both clients and aides can influence HC job satisfaction and retention. |
| Author | Markkanen, Pia K. Galligan, Catherine J. Sama, Susan R. Brouillette, Natalie M. Lindberg, John E. Quinn, Margaret M. Karlsson, Nicole D. |
| Author_xml | – sequence: 1 givenname: Natalie M. surname: Brouillette fullname: Brouillette, Natalie M. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 2 givenname: Pia K. orcidid: 0000-0003-2887-8635 surname: Markkanen fullname: Markkanen, Pia K. email: Pia_Markkanen@uml.edu organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 3 givenname: Margaret M. surname: Quinn fullname: Quinn, Margaret M. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 4 givenname: Catherine J. surname: Galligan fullname: Galligan, Catherine J. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 5 givenname: Susan R. surname: Sama fullname: Sama, Susan R. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 6 givenname: John E. surname: Lindberg fullname: Lindberg, John E. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA – sequence: 7 givenname: Nicole D. surname: Karlsson fullname: Karlsson, Nicole D. organization: Environmental Public Health Tracking Program, Division of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA |
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| Cites_doi | 10.33940/infection/2021.9.1 10.1186/s12913-021-06941-z 10.1136/oemed-2015-103031 10.1093/intqhc/mzm042 10.1097/JOM.0b013e31818a388e 10.2105/AJPH.2021.306582 10.1097/JOM.0000000000001160 10.1111/hsc.13010 10.1002/ajim.23082 10.1177/1084822320980415 10.1136/oemed-2018-105604 10.1353/hpu.2019.0052 10.1016/j.ajic.2016.11.018 10.1186/s12913-021-07076-x 10.1016/S0140-6736(20)31949-8 10.1097/NHH.0000000000000509 10.1097/NCQ.0b013e3182849f4a 10.1080/00140139.2017.1420826 10.1080/15459624.2021.1910280 10.1002/ajim.23095 10.1007/s40572-021-00315-7 10.1002/ajim.22287 10.1016/j.jamda.2021.12.005 10.1177/0733464815586059 10.1093/geront/gnab003 10.2105/AJPH.2021.306512 10.12968/hmed.2021.0606 10.1080/01634372.2020.1779162 |
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| Keywords | home care client home care aide home- and community-based care and services home care safety in home care qualitative methods |
| Language | English |
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New data offer clues year: 2021 ident: bibr21-07334648221146769 contributor: fullname: McCall S. – ident: bibr31-07334648221146769 doi: 10.1007/s40572-021-00315-7 – start-page: 199 volume-title: Retooling for an aging America: Building the health care workforce year: 2008 ident: bibr14-07334648221146769 contributor: fullname: Institute of Medicine (US) Committee on the future health care workforce for older Americans – ident: bibr20-07334648221146769 doi: 10.1002/ajim.22287 – volume: 32 start-page: 104829112110669 issue: 1 year: 2021 ident: bibr40-07334648221146769 publication-title: NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy contributor: fullname: Tsui E. K. – ident: bibr34-07334648221146769 doi: 10.1016/j.jamda.2021.12.005 – ident: bibr15-07334648221146769 doi: 10.1177/0733464815586059 – ident: bibr10-07334648221146769 doi: 10.1093/geront/gnab003 – ident: bibr37-07334648221146769 doi: 10.2105/AJPH.2021.306512 – ident: bibr12-07334648221146769 doi: 10.12968/hmed.2021.0606 – ident: bibr25-07334648221146769 – ident: bibr13-07334648221146769 doi: 10.1080/01634372.2020.1779162 |
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| Snippet | Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could... Retention of the home care (HC) aide workforce is essential to meet the needs of our aging population. Some studies suggest that improving HC safety could... |
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| SubjectTerms | Aged Aging Attrition Boundaries Care Experiences of Older Adults Client satisfaction Families & family life Focus Groups Home Care Services Home Health Aides Home health care Humans Interpersonal communication Job satisfaction Managers Population growth Safety |
| Title | Aide and Client Safety “Should Go Hand-In-Hand”: Qualitative Findings From Home Care Aides, Clients, and Agency Leaders |
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