Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers

Muench, Ulrike; Jura, Matthew; Spetz, Joanne; Mathison, Rachel; Herrington, Charlene

doi:10.1177/1077558720930131

Cited by 12 publications

(14 citation statements)

References 21 publications

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“…[18][19][20] In addition, HCAs are underpaid and overworked, and have been left with scarce resources to deal with surging COVID-19 cases during the pandemic. 21 Given that vaccine distribution and education for healthcare workers has primarily been orchestrated through healthcare organizations and employers, leadership and support in the workplace…”

Section: Introductionmentioning

confidence: 99%

“… 18 , 19 , 20 In addition, HCAs are underpaid and overworked, and have been left with scarce resources to deal with surging COVID‐19 cases during the pandemic. 21 Given that vaccine distribution and education for healthcare workers has primarily been orchestrated through healthcare organizations and employers, leadership and support in the workplace may be an important factor in influencing the likelihood that HCAs will be vaccinated. Hesitancy may also be driven by historical failures of the healthcare system to inspire trust among minority and disenfranchised groups.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of COVID‐19 vaccines among healthcare assistants: A national survey

Niznik

Harrison

White

et al. 2021

J American Geriatrics Society

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Background: Limited COVID-19 vaccination acceptance among healthcare assistants (HCAs) may adversely impact older adults, who are at increased risk for severe COVID-19 infections. Our study objective was to evaluate the perceptions of COVID-19 vaccine safety and efficacy in a sample of frontline HCAs, overall and by race and ethnicity. Methods: An online survey was conducted from December 2020 to January 2021 through national e-mail listserv and private Facebook page for the National Association of Health Care Assistants. Responses from 155 HCAs, including certified nursing assistants, home health aides, certified medical assistants, and certified medication technicians, were included. A 27-item survey asked questions about experiences and perceptions of COVID-19 vaccines, including how confident they were that COVID-19 vaccines are safe, effective, and adequately tested in people of color. Multivariable regression was used to identify associations with confidence in COVID-19 vaccines.Results: We analyzed data from 155 completed responses. Among respondents, 23.9% were black and 8.4% Latino/a. Most respondents worked in the nursing home setting (53.5%), followed by hospitals (12.9%), assisted living (11.6%), and home care (10.3%). Respondents expressed low levels of confidence in COVID-19 vaccines, with fewer than 40% expressing at least moderate confidence in safety (38.1%), effectiveness (31.0%), or adequate testing in people of color (27.1%).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of COVID‐19 vaccines among healthcare assistants: A national survey

Niznik

Harrison

White

et al. 2021

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…For staff members, a positive test result (incl. False-positive) may have serious financial consequences, especially for care assistants, as they are already on a low-wage and may be financially vulnerable [ 71 , 72 ]. As a large majority of the staff undertake multiple part-time jobs [ 73 ], the risk of loss of income from a positive test result would only further undermine their willingness to embrace LFD testing.…”

Section: Discussionmentioning

confidence: 99%

Implementing lateral flow devices in long-term care facilities: experiences from the Liverpool COVID-19 community testing pilot in care homes— a qualitative study

Kierkegaard

Micocci

McLister

et al. 2021

BMC Health Serv Res

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Introduction Antigen-based lateral flow devices (LFDs) offer the potential of widespread rapid testing. The scientific literature has primarily focused on mathematical modelling of their use and test performance characteristics. For these tests to be implemented successfully, an understanding of the real-world contextual factors that allow them to be integrated into the workplace is vital. To address this gap in knowledge, we aimed to explore staff’s experiences of integrating LFDs into routine practice for visitors and staff testing with a view to understand implementation facilitators and barriers. Methods Semi-structured interviews and thematic analysis. Results We identified two main themes and five subthemes. The main themes included: visitor-related testing factors and staff-related testing factors. Subthemes included: restoring a sense of normality, visitor-related testing challenges, staff-related testing challenges, and pre-pilot antecedent factors. Conclusion Our study demonstrates that the real-world implementation of LFDs to test visitors and staff faces significant challenges as a result of several contextual factors negatively affecting the work practice and environment. More comprehensive studies are needed to identify and inform effective implementation strategies to ensure that LFDs can be adopted in an agile way that better supports an already exhausted and morally depleted workforce.

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“…That wages in the LTC sector have remained consistently low for the past 20 years could contribute to explain the low retention rates in the profession. In particular, recent work shows that LTC workers have lower wealth and greater risks of facing poverty than other workers (Muench et al, 2020).…”

Section: Interpretation Of Main Findingsmentioning

confidence: 99%

The contribution of the immigrant population to the U.S. long-term care workforce

Rapp

Sicsic

2020

Social Science & Medicine

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The long-term care (LTC) sector will soon face a shortage of care workers. The consequences are potentially dramatic, urging the need to design policies aiming at reducing the turnover rate of LTC workers. Immigrant workers are an important part of the LTC workforce. Pooling data from the Annual Social and Economic (ASEC) supplement to the Current Population Survey (CPS) for years 2003-2019, we compare US-born citizens and immigrant LTC workers' propensity to stay in the LTC workforce over one year. We distinguish two categories of LTC workers: personal care workers and nurses. We show that for both categories, naturalized citizens, legal noncitizen immigrants, and unauthorized immigrants have a higher probability of staying in the LTC workforce compared to US-born citizens. We provide two potential explanations: we show that immigrant personal care workers are more likely to report a better health, and that immigrant nurses have a lower wage variation sensitivity. Our results also suggest that wage increases are likely to be associated with high retention rates in the profession.

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Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers

Cited by 12 publications

References 21 publications

Perceptions of COVID‐19 vaccines among healthcare assistants: A national survey

Perceptions of COVID‐19 vaccines among healthcare assistants: A national survey

Implementing lateral flow devices in long-term care facilities: experiences from the Liverpool COVID-19 community testing pilot in care homes— a qualitative study

The contribution of the immigrant population to the U.S. long-term care workforce

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