Nursing in long-term institutional care: An examination of the process of care

Tuinman, Astrid

doi:10.33612/diss.149061474

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Occupational systems in LTC differ across countries. In the Netherlands, nursing aides (level 2) and advanced nursing aides (level 3, also: certified nursing aides) make up the majority of the LTC workforce and are both low‐paid occupations (Tuinman, 2021; cf. van Wieringen et al, 2022).…”

Section: The Studymentioning

confidence: 99%

Squeezed out: Experienced precariousness of self‐employed care workers in residential long‐term care, from an intersectional perspective

Duijs

Abma

Plak

et al. 2022

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim: To understand self-employed long-term-care workers' experiences of precariousness, and to unravel how their experiences are shaped at the intersection of gender, class, race, migration and age.Background: In the Netherlands, increasing numbers of nurses and nursing aides in long-term care (LTC) opt for self-employment. Societal organizations and policy makers express concerns about this development, as self-employment is seen as a risk factor for poor health. Self-employment is not necessarily precarious work but can contribute to the precariousness of specific groups. Knowledge about inequities among self-employed nurses and nursing aides in long-term care is lacking. Design:A participatory, qualitative interview study. The research team consisted of four academic researchers and five (un)paid care workers.Methods: Semi-structured interviews with 23 self-employed nurses and nursing aides in LTC (2019-2020). Data were analysed from an intersectional perspective.Results: First, we describe that feeling precarious as a hired employee-due to increasing workloads, health risks, poverty and discrimination-shapes care workers' choice for self-employment. Second, we describe inequities between self-employed care workers who could (financially) afford to turn to self-employment as a health strategy and those who felt squeezed out of the organizations due to poverty or discrimination.They more often dealt with precarious work in the context of precarious lives, negatively impacting their health. Third, we describe how negotiating an entrepreneurial identity with a caring identity required material sacrifices and thus contributed to selfemployed care workers' financial precariousness, particularly as women. Conclusion:Our findings indicate that working in LTC is becoming increasingly precarious for all care workers, both for hired and self-employed, with younger, lowerpaid and racialized women with unpaid caring responsibilities seemingly most at risk for precariousness.

show abstract

Section: The Studymentioning

confidence: 99%

Squeezed out: Experienced precariousness of self‐employed care workers in residential long‐term care, from an intersectional perspective

Duijs

Abma

Plak

et al. 2022

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Long‐term caregiving is increasingly complex—due to changes in the population and the more complex, chronic health and social needs of its recipients—requiring a high‐quality workforce in the long‐term care (LTC) sector. Depending on the LTC context, the majority of this workforce consists of either certified nursing assistants (CNAs), healthcare aides or nursing assistants (Chamberlain et al, 2019; Hewko et al, 2015; Tuinman, 2021). In many countries, the number of workers within these occupational groups falls short of the demand (Hewko et al, 2015) and organizations struggle to retain their employees.…”

Section: Introductionmentioning

confidence: 99%

Exploring crucial programme characteristics and group mechanisms of an empowerment programme for certified nursing assistants—A qualitative study

Wieringen

Kee

Gobbens

et al. 2022

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims To identify crucial programme characteristics and group mechanisms of, and lessons learned from hindrances in an empowerment programme for certified nursing assistants and contribute to the development of similar programmes in other care settings. Design Exploratory qualitative study. Methods Between May 2017 and September 2020, we used in‐depth interviews and participant observations to study four groups participating in an empowerment programme for certified nursing assistants (N = 44). Results We identified three crucial empowerment‐enhancing programme characteristics: (1) inviting participants to move outside their comfort zone of caregiving; (2) stimulating the use of untapped talents, competencies and interests; (3) supporting the rediscovery of participants' occupational role and worth. Crucial group mechanisms encompassed learning from and with each other, as well as mechanisms of self‐correction and self‐motivation. Hindrances included a perceived lack of direction, and a lack of organizational support and facilitation. Conclusion We showed the significance of creating an inviting and stimulating environment in which participants can explore and function in ways they otherwise would not. Likewise, we identified how this can help participants learn from, critically correct and motivate one another. Impact The programme under study was uniquely aimed to empower certified nursing assistants. Our insights on crucial programme characteristics and group mechanisms may benefit those who develop empowerment programmes, but also policymakers and managers in supporting certified nursing assistants and other nursing professions in empowerment endeavours. Such empowerment may enhance employee retention and make occupational members more likely to address challenges affecting their occupational group and the long‐term care sector.

show abstract

Nursing in long-term institutional care: An examination of the process of care

Cited by 2 publications

References 0 publications

Squeezed out: Experienced precariousness of self‐employed care workers in residential long‐term care, from an intersectional perspective

Squeezed out: Experienced precariousness of self‐employed care workers in residential long‐term care, from an intersectional perspective

Exploring crucial programme characteristics and group mechanisms of an empowerment programme for certified nursing assistants—A qualitative study

Contact Info

Product

Resources

About