Characteristics and Work Life Quality of Nursing Home Care Aides in Canada

Song, Yuting; Iaconi, Alba; Chamberlain, Stephanie; Cummings, Greta G.; Hoben, Matthias; Norton, Peter; Estabrooks, Carole A.

doi:10.1001/jamanetworkopen.2020.29121

Cited by 15 publications

(22 citation statements)

References 4 publications

(17 reference statements)

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“…Those occupying the lower end of the occupational hierarchy, moreover, described experiencing distress and burnout in relation to insufficient time to practice good treatment. These health problems have been identifed in other research on care aides (Song et al, 2020;Tremblay, 2017) and demonstrate that the provision of sustainable good treatment in residential care settings is dependent on what Casagrande (2016) describes as 'double good treatment:' good treatment of both older adults and care staff.…”

Section: Discussionmentioning

confidence: 90%

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‘Good Treatment’ in Residential Care Settings in Quebec: Meanings, Practices and Conditions

Éthier

Smele²,

Andrianova

et al. 2022

J Appl Gerontol

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The concept of ‘bientraitance’(good treatment) of older adults was introduced in Quebec policy a few years prior to the pandemic, and its significance from the perspectives of those directly involved in care remains underexplored. Centring these perspectives, this article presents findings from a study of the meanings, practices and conditions of good treatment. Data was collected at three different residential care settings through world cafés with residents, staff, management, volunteers and family members ( n = 61) and through interviews with care aides ( n = 13). The study results indicate that those directly involved in care identify good treatment as fundamentally oriented towards developing and maintaining good relationships with residents; as contingent upon interpersonal, material, and organizational factors; and as requiring (more) time. Given the need for radical reform within Quebec’s residential care settings revealed by the pandemic, it is imperative that these perspectives inform the changes introduced.

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Section: Discussionmentioning

confidence: 90%

“…8.The term ‘care aide’ is used as the English translation of ‘préposé.es aux bénéficiaires’ because it is one of the more common terms used to describe the work of assisting residents in activities of daily living (ADL), ensuring their safety and comfort, and maintaining their hygiene (see Estabrooks, et al, 2020; Song et al, 2020). …”

mentioning

confidence: 99%

‘Good Treatment’ in Residential Care Settings in Quebec: Meanings, Practices and Conditions

Éthier

Smele²,

Andrianova

et al. 2022

J Appl Gerontol

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“…On one hand stand residents’ and relatives’ acute care needs and, on the other hand, care providers missing out on tasks fulfilling these needs. Missed care has been associated not only with high workload and inadequate teamwork but also with care workers’ perception of inadequate staffing ( Nelson & Flynn, 2015 ; Song et al, 2020 ; Zúñiga et al, 2015a ). Indeed, findings of studies in the United States ( Nelson & Flynn, 2015 ) and Canada ( Song et al, 2020 ) indicate that tasks our participants considered acute such as taking residents for walks, talking to them, toileting, bathing, feeding, and dressing them, are reported by up to 57.4% of registered nurses as missed during their last shift worked, with up to 65.4% reporting rushing at least one such task ( Nelson & Flynn, 2015 ; Song et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Missed care has been associated not only with high workload and inadequate teamwork but also with care workers’ perception of inadequate staffing ( Nelson & Flynn, 2015 ; Song et al, 2020 ; Zúñiga et al, 2015a ). Indeed, findings of studies in the United States ( Nelson & Flynn, 2015 ) and Canada ( Song et al, 2020 ) indicate that tasks our participants considered acute such as taking residents for walks, talking to them, toileting, bathing, feeding, and dressing them, are reported by up to 57.4% of registered nurses as missed during their last shift worked, with up to 65.4% reporting rushing at least one such task ( Nelson & Flynn, 2015 ; Song et al, 2020 ). In contrast to the above-cited studies, Zúñiga and colleagues (2015a , 2015b ) found that up to 76% of Swiss NH care workers rarely or never miss care related to activities of daily living; however, if necessary, care workers sacrifice attention to residents’ and their families’ social needs ( Zúñiga et al, 2015a , 2015b ).…”

Section: Discussionmentioning

confidence: 99%

Residents’ and Relatives’ Experiences of Acute Situations: A Qualitative Study to Inform a Care Model

et al. 2021

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Background and Objectives As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents’ and relatives’ needs and experiences with acute changes in the residents’ health situations. As part of the larger INTERCARE implementation study, we explored these persons’ experiences of acute situations in Swiss nursing homes. Research Design and Methods Three focus groups were conducted with residents and their relatives and analyzed via reflexive thematic analysis. Results The first theme, the orchestra plays its standards, describes experiences of structured everyday care in nursing homes, which functions well despite limited professional and competency resources. The second theme, the orchestra reaches its limits, illustrates accounts of acute situations in which resources were insufficient to meet residents’ needs. Interestingly, participants’ perceptions of acute situations went well beyond our own professional view, i.e., changes in health situations, and included situations best summarized as “changes that might have negative consequences for residents if not handled adequately by care workers.” Within the third theme, the audience compensates for the orchestra’s limitations, participants’ strategies to cope with resource limitations in acute situations are summarized. Discussion and Implications Our findings suggest differences between care providers’ and participants’ perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents’ and relatives’ needs. Implications for the development and implementation of a new nurse-led model of care are discussed.

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“…As many as 90% of people with dementia will experience BPSD, which are associated with distress among residents and caregivers 25 . In Canadian care homes, up to 43% of care aides experience daily aggression such as biting, hitting, or pushing from residents or their relatives 26,27 . Care aides provide up to 90% of direct care and essential social support for residents 28,29 .…”

Section: Introductionmentioning

confidence: 99%

Care aides' perceptions of caring for residents with a history of psychological trauma in Western Canadian care homes

Thorne

Titley

Duan

et al. 2022

Int J Geriat Psychiatry

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Objective To explore care aide perceptions of caring for residents who aides perceived had past psychological trauma. Methods Through cognitive interviews, we developed a definition of trauma for four survey questions about caring for residents with psychological trauma. We added these questions to our routine care aide survey in 91 care homes in Western Canada (September 2019 to February 2020). We asked if care aides perceived that they were caring for residents with trauma, how often, types of trauma experienced, and what indication led them to perceive a resident had experienced trauma. We analyzed data using content analysis (open‐ended questions) and regression analyses (closed‐ended questions). Results Three thousand seven hundred and sixty five care aides responded (70% response rate) to the survey, and 53% perceived caring for one or more residents with a history of psychological trauma in the previous 2 weeks. Within six categories of traumatic events, abuse (35%) and war exposure (26%) were most common. Most common indications of trauma reported by care aides (five categories) were reliving the experience or having intrusive symptoms (28%) and avoidant behaviors (24%). Care aides were more likely to report caring for a resident who they perceived had experienced past psychological trauma if they were younger, spoke English as their first language, self‐reported experiencing more aggression from residents, or who worked in not‐for‐profit homes. Conclusions This preliminary study supports the need for further study of care aides' perceptions and experiences of caring for residents with past trauma, and the effects of caring for these residents on quality of work life.

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Characteristics and Work Life Quality of Nursing Home Care Aides in Canada

Abstract: This cross-sectional study describes care aides’ characteristics and quality of work life in Western Canadian nursing homes.

Cited by 15 publications

References 4 publications

‘Good Treatment’ in Residential Care Settings in Quebec: Meanings, Practices and Conditions

‘Good Treatment’ in Residential Care Settings in Quebec: Meanings, Practices and Conditions

Residents’ and Relatives’ Experiences of Acute Situations: A Qualitative Study to Inform a Care Model

Care aides' perceptions of caring for residents with a history of psychological trauma in Western Canadian care homes

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