An Ethical Glimpse into Nursing Home Care Work in China:<i>Mei banfa</i>

Yan, Zhe

doi:10.1080/17496535.2020.1839182

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…However, the results of another study suggest that care workers in LTC facilities do not rate their jobs highly due to low wages and intense job content [ 37 ]. Long-term care workers in Chinese NHs tend to be middle-aged and older women who have retired, been laid off, or migrated to cities to work, it is not easy to find a suitable job [ 38 ]. In the 1990s, many workers in state-owned factories were laid off in the course of market reforms and were left in a precarious situation due to the lack of re-employment programs.…”

Section: Discussionmentioning

confidence: 99%

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

Qi,

Dong,

Xie

et al. 2024

BMC Health Serv Res

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Background The population aging trend and the shortage of elderly care workers require the long-term care profession to become more attractive. However, the professional attractiveness among long-term care workers has yet to be extensively studied. This study aims to identify the factors that influence the attractiveness of the long-term care profession for nursing home (NH) care workers.. Methods A cross-sectional study was conducted in more than 50 NHs. Perception of professional attractiveness among long-term care workers and potential associated factors were measured using the Attractive Work Questionnaire (AWQ) and structural instruments including the Fraboni Scale of Ageism (FSA) and the Maslach Burnout Inventory (MBI). A multiple linear regression method was employed to explore the influence of potential independent variables on professional attractiveness. Results The overall response rate was 99%. The results showed the score of professional attractiveness (185.37 ± 20.034), as well as the scores of each component (99.26 ± 11.258 for work condition, 30.13 ± 3.583 for work content, and 55.99 ± 7.074 for job satisfaction). Findings of multiple linear regression analysis indicated that age(β = 0.129, p<.05), years of work(β = 0.156, p<.05), 12-hour shifts(β = 0.185, p<.05), and training times per year(β = 0.148, p<.05) positively associated with long-term care workers perceived professional attractiveness. Whereas only ageism(β=-0.267, p<.05) significantly and negatively influenced professional attractiveness. Conclusions The perceived professional attractiveness of long-term care workers in NHs was acceptable. Age, years of work, shifts, training opportunities, and ageism contributed to the professional attractiveness of nursing home care workers in China. Target intervention measures should be taken to enhance the attractiveness of long-term care careers so as to avoid the shortage of long-term care workers.

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Section: Discussionmentioning

confidence: 99%

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

Qi,

Dong,

Xie

et al. 2024

BMC Health Serv Res

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“…This resonates with Yu's opinion that DCWs won't work long if only for a paycheck. Though a caring self is found among both institutional and home care workers (Stacey, 2005;Brown & Korczynski, 2017;Johnson, 2015;Ball et al, 2009;Yan, 2020), the emotional labor it takes to both downplay the employment aspects of their role and simultaneously forge caring identities reinforces an unspoken assumption that payment for care is worth less than altruistic forms of care (Funk & Outcalt, 2020); contributing to DCWs' trapped image of 'prisoner of love' (England, 2005). Nonetheless, sustaining a caring self provides meaning to DCWs through both the satisfaction inherent in relationships and through the effect of relationships on care outcomes (Ball et al, 2009), such as ensuring a good death spoken of by Fang.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, in Shanghai's community LTC services the frontline workforce is composed almost entirely of either local laid-off workers or migrant workers entering the city from the countryside (Wu et al, 2005). Similarly, nursing home DCWs in urban areas are largely laid-off workers and rural migrants (Yan, 2020). The composition of DCWs in China derives from a confluence of two socio-historical contexts.…”

Section: China's Changing Long-term Care Landscapementioning

confidence: 99%

“I tried to control my emotions”: Nursing Home Care Workers’ Experiences of Emotional Labor in China

Yan

2022

J Cross Cult Gerontol

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Despite dramatic expansions in the Chinese nursing home sector in meeting the increasing care needs of a rapidly aging population, direct care work in China remains largely devalued and socially unrecognized. Consequently, scant attention has been given to the caregiving experiences of direct care workers (DCWs) in Chinese nursing homes. In particular, given the relational nature of care work, there is little knowledge as to how Chinese DCWs manage emotions and inner feelings through their emotional labor. This article examines the emotional labor of Chinese DCWs through ethnographic data collected with 20 DCWs in one nursing home located in an urban setting in central China. Data were analyzed using conventional content analysis and constant comparison. Participants’ accounts of sustaining a caring self, preserving professional identity, and hoping for reciprocity revealed implicit meanings about the often-conflicting nature of emotional labor and the nonreciprocal elements of care work under constrained working conditions. Importantly, the moral-cultural notion of bao (报 norm of reciprocity) was found to be central among DCWs in navigating strained resources and suggested their agency in meaning-construction. However, their constructed moral buffers may be insufficient if emotional labor continues to be made invisible by care organizations.

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Boundary Work in Marketized Chinese Nursing Home Care

Yan

2022

Handbook of Aging, Health and Public Policy

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An Ethical Glimpse into Nursing Home Care Work in China:Mei banfa

Cited by 4 publications

References 29 publications

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

“I tried to control my emotions”: Nursing Home Care Workers’ Experiences of Emotional Labor in China

Boundary Work in Marketized Chinese Nursing Home Care

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