In this study, we focused on the long-term care literacy of care recipients (older adults currently receiving formal care services) and examined its relationship with satisfaction with their care managers by using a unique individual dataset of Japanese people aged 65 years and older. To address the problem of non-respondent bias, we applied inverse probability weighting and the Heckman probit model for estimation. We found that the probability of older adults evaluating their satisfaction regarding the six aspects of care manager measurement increased with an increasing level of care literacy. However, concerning the level of satisfaction with their care managers, we only observed significant increases in the aspects of “Explanation power” and “Attitude and manners” as the level of care literacy increased. Covariates, such as age, gender, family structure, level of certification for long-term care, reasons for choosing the care manager, utilization of long-term care services, and the manner in which older respondents answered the survey questions, also mattered regarding the evaluation process of satisfaction of older adults. In Japan, utilizing formal care services based on the long-term care insurance system is complicated and sometimes difficult for older adults to understand. In this survey, 35% of older care recipients had inadequate care literacy. Improving the care literacy of older adults is important for better use of formal care services and increased satisfaction.
We developed a mentor functional system combined with an e-learning training program to support nurses who have not been employed. Subsequently, to evaluate it, we conducted a survey using a constitutive questionnaire and a group interview of 14 monitors who had used it for a month. In the mentor functional system, the questions they asked were related exclusively to nursing techniques and new information, showing that their concern for reemployment had been reduced by taking counseling from the mentor. From these observations, it follows that the mentor functional system is effective.
Aim: This study was conducted to clarify relations of work -family conflicts of working caregivers to assessment of care manager support for continued employment and to the working caregiver characteristics.Method: Study participants were 3,000 working caregivers nationwide who administer home care services, and their 3,000 care managers. An anonymous self-administered survey conducted by mail elicited data from 696 respondents (23.2% valid response rate). Survey questions for working caregivers included inquiries related to their sociodemographic characteristics and workfamily conflicts as measured by the Work-Family Conflict Scales Japanese version. Regarding care managers, their sociodemographic characteristics and judgment of support for the caregiver to continue working were obtained.Results: The mean age of these working caregivers, 79.3% of whom were women, was 57.2 years ± 8.8 years. Logistic regression analysis results indicated that working caregivers who were having psychological care needs assessed by their care managers tended to report worse living, longer working hours, worse subjective health, and a higher degree of conflict in working interference family issues (WIF).Conclusions: Results indicated that working caregivers have psychological care needs and employment-related conflicts associated with fulfillment of their domestic roles.
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