Evaluation of a Caregiver-Friendly Workplace Program Intervention on the Health of Full-Time Caregiver Employees

Ding, Regina; Dardas, Anastassios; Wang, Li; Williams, Allison

doi:10.1097/jom.0000000000001980

Cited by 12 publications

(14 citation statements)

References 50 publications

(60 reference statements)

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“…Indeed, we observe that within carers' work lives, their overall work experience and working environment has improved with our intervention. These findings supplement our previous results, where this intervention is associated with improved CE health, relating to self-reported health, depression, and psychosocial health [ 34 ]. Given this, it is reasonable to infer that this intervention has improved role strain between work and nonwork domains in our participants.…”

Section: Discussionsupporting

confidence: 89%

Improving the Workplace Experience of Caregiver-Employees: A Time-Series Analysis of a Workplace Intervention

Ding

Dardas

Wang

et al. 2021

Safety and Health at Work

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Background Rapid population aging in developed countries has resulted in the working-age population increasingly being tasked with the provision of informal care. Methods An educational intervention was delivered to 21 carer-employees employed at a Canadian University. Work role function, job security, schedule control, work–family conflict, familywork conflict, and supervisor and coworker support were measured as part of an aggregated workplace experience score. This score was used to measure changes pre/post intervention and at a follow-up period approximately 12 months post intervention. Three random intercept models were created via linear mixed modeling to illustrate changes in participants' workplace experience across time. Results All three models reported statistically significant random and fixed effects intercepts, with a positive coefficient of change. Conclusion This suggests that the intervention demonstrated an improvement of the workplace experience score for participants over time, with the association particularly strong immediately after intervention.

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Section: Discussionsupporting

confidence: 89%

Improving the Workplace Experience of Caregiver-Employees: A Time-Series Analysis of a Workplace Intervention

Ding

Dardas

Wang

et al. 2021

Safety and Health at Work

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“…Interventions and support systems need to be set in place for FCCs, especially during the early treatment phase. Education on achieving a work-life-caregiving balance, could help FCCs learn to balance their time, manage their roles, and attend to their self-care [ 43 ]. Next, clinicians could also informally assess how the caregiver is coping during patient consultations, so that their needs are recognised and addressed [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Cancer caregivers unmet needs and emotional states across cancer treatment phases

et al. 2021

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Study objective To investigate the association between family cancer caregivers’ unmet daily needs and emotional states of depression, anxiety and stress across their care recipient’s treatment phases. Method A cross-sectional study design and self-report questionnaires were used. Family caregivers (N = 237) of cancer patients in ambulatory cancer clinics were recruited from May to December 2017, and completed a sociodemographic and medical questionnaire, the Depression Anxiety Stress Scale and Needs Assessment of Family Caregivers-Cancer Scale. Hierarchical linear regression was conducted to examine the influence of each predictor (sociodemographic variables, unmet personal care and role management needs, cancer treatment phase) on the Depression Anxiety Stress Scale total score, depression subscale, anxiety subscale, and the stress subscale. Results Family caregivers’ unmet daily activity needs, in particular higher unmet personal care needs, during the intermediate phase (6–9 months), were significantly associated (ps<0.05) with overall distress (b = 4.93) and stress (b = 2.26). In the chronic treatment phase (>9 months), the significant association of unmet personal care needs was with overall distress (b = 5.91), anxiety (b = 1.97) and stress (b = 2.53). After completing treatment, unmet role management needs were only significantly associated with stress (b = -1.59). Caregivers’ higher depression was also associated with greater unmet role management needs, regardless of treatment phases. Conclusions Intermediate and chronic cancer treatment phases were identified as having greatest effect on caregivers’ unmet daily activity needs and emotions. Unmet personal care needs played the major effect on overall negative emotional states in the intermediate treatment phase and stress in the chronic treatment phase. Close attention to caregivers needs in intermediate and chronic treatment phases, would be highly beneficial in alleviating negative emotional disturbances.

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“…A small RD sample size made it infeasible to test the association between caregiving and early retirement within the profession [ 58 ]. Retention schemes subsidizing support for caregivers [ 59 , 60 ], facilitating flexible work arrangements [ 60 , 61 ] and/or expanding leave policies to better accommodate the demands of providing care on employees [ 59 , 60 ] may effectively deter or delay early retirements across the health workforce.…”

Section: Discussionmentioning

confidence: 99%

High turnover in clinical dietetics: a qualitative analysis

Hewko

Oyesegun

Clow

et al. 2021

BMC Health Serv Res

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Background Relationships between dietitians and other healthcare providers can impact the degree to which patient care is collaborative; inefficient communication can lead to suboptimal care. It takes time for multidisciplinary team members to build collaborative, trusting relationships. For this reason, frequent dietitian turnover is of concern. Consequences include fewer referrals to clinical dietetic services and limited provider continuity. The characteristics of clinical dietetic jobs associated with high turnover have not been identified. We predicted that managers would identify disease prestige as having an impact. In this study, we aimed to explore: 1) characteristics of clinical dietetic jobs associated with the highest turnover, and 2) consequences of high turnover on patients and managers of clinical dietitians. Methods Research assistants conducted semi-structured interviews with ten managers of clinical dietitians in the Canadian public healthcare system. We employed a constant comparative approach to thematic analysis. We classified themes related to turnover as either avoidable or unavoidable. Results Sub-themes under avoidable turnover included lack of manager support, growth opportunities, burnout/workload, tension/conflict and hours of work. Sub-themes under unavoidable turnover included life-stage/life-events and geography. We also identified themes related to consequences of turnover, including: burnout/workload, client/patient impact, tension/conflict, cost and gap-specific. As predicted, prestige was perceived as playing a role in triggering dietitian turnover. Managers observed high turnover resulting in low provider continuity and limiting patient access to dietitians. Conclusions Managers of publicly-employed dietitians identified many factors as contributing to high turnover. Future prospective research, incorporating the objective measure of turnover and multi-method analysis of work characteristics and work setting, would be of value in the identification of characteristics of clinical dietetic jobs associated with high turnover and the consequences of high turnover on patients and managers of these staff.

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Evaluation of a Caregiver-Friendly Workplace Program Intervention on the Health of Full-Time Caregiver Employees

Cited by 12 publications

References 50 publications

Improving the Workplace Experience of Caregiver-Employees: A Time-Series Analysis of a Workplace Intervention

Improving the Workplace Experience of Caregiver-Employees: A Time-Series Analysis of a Workplace Intervention

Cancer caregivers unmet needs and emotional states across cancer treatment phases

High turnover in clinical dietetics: a qualitative analysis

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