Focusing on the Positive: Home Health Aides’ Desire for Autonomy and Control

Abstract

Home Health Aides (HHAs) are one of the fastest growing workforces in the country, yet the industry struggles to recruit and retain workers. This study explored HHAs’ experiences with the level of control, autonomy, and decision-making authority in their work. Six focus groups with 37 HHAs were conducted in Massachusetts. Findings showed that HHAs viewed control as a positive job characteristic, which attracted them to and led them to remain in the position. Positive benefits included having control over client selection, location, hours, and the ability to determine their day-to-day tasks and schedules. The study results highlight the value that HHAs place on autonomy and control and the potential benefit that these job qualities have for greater recruitment and retention of these workers. Amplifying control by bolstering training and expanding scope of practice may entice new individuals to pursue a HHA career and help maintain those currently in the position.

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

“…Job satisfaction and retention: Factors underpinning staff motivation and retention include having clear employment terms and conditions ( 196 , 219 ), as well as enhanced control and support in the role ( 220 , 221 ), and a positive work culture and modelling successful careers ( 222 – 225 ). The meaning of the work, and recognising the joyful moments of the work, supported HSW's resilience during the COVID-19 pandemic ( 226 ).…”