Supporting older people with multimorbidity: The care burden of home health-care assistants in Ireland

Smith, Suzanne; Murphy, Emma; Hannigan, Caoimhe; Dinsmore, John; Doyle, Julie

doi:10.1080/01621424.2019.1614506

Cited by 6 publications

(35 citation statements)

References 20 publications

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“…The researchers used different qualitative research methods in their studies. The majority of studies (N = 9) used focus group interviews as the only method [26][27][28][29][30][31][32][33][34]. Seven studies used face-to-face interviews [35][36][37][38][39][40][41], while five studies used telephone interviews [42][43][44][45][46].…”

Section: Methodological Approachesmentioning

confidence: 99%

“…Eighteen studies were from the United States [26-32, 35, 36, 41, 43-45, 47-51], four studies were from Canada [34,40,42,46]), two were performed in Norway [39,53]) and one each was from Denmark [52]), Ireland [33]) and Sweden [37]).…”

Section: Study Contextsmentioning

confidence: 99%

“…Strenuous work tasks included assisting clients with activities of daily living, performing housekeeping tasks or cleaning [26,32,35,36,42,47], transferring, assisting, repositioning and turning clients [28,32,35,36,42,47,49] and other heavy lifting [28,30,35,36,45,47,49]. Several informants experienced being in danger through physical violence from clients with mental health issues, dementia or Alzheimer's disease [30,32,33,35,36,40,[43][44][45]].…”

Section: Exposure To Physical Demandsmentioning

confidence: 99%

“…Equipment such as wheelchairs, walkers, canes and mechanical lifts could have been broken, missing parts or inappropriately sized for the clients, not fit the space or difficult to operate [28,33,34,40,49]. When assistive devices worked as required, several studies reported benefits due to increased use of safety equipment, tools and more ergonomic and injury-reducing postures at work [36,39,48].…”

Section: Physical Working Environmentmentioning

confidence: 99%

“…The informants relayed that time pressure during hectic workdays was one of the most strenuous factor in home care work [26,27,33,37,39,52,53] and created negative emotions such as frustration, stress, fatigue or fear of making mistakes [27,37,52,53].…”

Section: Organisational Conditions Of Employmentmentioning

confidence: 99%

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Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Grasmo

Liaset

Redzovic

2020

Preprint

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Objective: The need for home care services is rapidly growing due to an increasing elderly population, earlier discharge from hospital and clients’ preference of being treated at home. While this need increases, there is high sickness absence among home health aides, and research show that home health aides have one of the highest probabilities of being granted a disability pension. A high prevalence of musculoskeletal disorders has been reported in occupations with physically demanding work, and this aspect is a major health problem among home health aides. Studies have shown that home health aides find their work stressful, physically demanding and exhausting. The objectives of this study were to summarise peer-reviewed literature on how home health aides experience their occupational health and conduct an ethnographic meta-synthesis with the aim of identifying and describing key concepts across studies. Methods: A qualitative ethnographic meta-synthesis was used to develop new insights into home health aides’ occupational experiences. By using this method, we directed attention to the interpretation of studies, development of concepts and expansion and specification of theories that concern these concepts. The first author conducted searches in the electronic databases CINAHL, MEDLINE and PsycINFO. Results: This meta-synthesis includes 27 articles. The review of these sources identified four key concepts as important to gain an understanding of occupational health among home health aides: exposure to physical demands , physical environmental factors , organisational conditions of employment and psychosocial working environment . Conclusion: The findings in this synthesis are consistent with previous research showing that occupational health among home health aides is a complex phenomenon. Specifically, physical, psychosocial and psychological exposure aspects have potential negative and positive effects on home health aides’ occupational health. In order to increase employee’s well-being, create a healthier workplace that provides well-functioning and high-quality home care services and cope with future health challenges, more investigations into the organisation of home care are needed.

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Section: Methodological Approachesmentioning

confidence: 99%

Section: Study Contextsmentioning

confidence: 99%

Section: Exposure To Physical Demandsmentioning

confidence: 99%

Section: Physical Working Environmentmentioning

confidence: 99%

Section: Organisational Conditions Of Employmentmentioning

confidence: 99%

See 3 more Smart Citations

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Grasmo

Liaset

Redzovic

2020

Preprint

View full text Add to dashboard Cite

show abstract

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Grasmo

Liaset

Redzovic

2021

Home Health Care Services Quarterly

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Medication management in Danish home health care: Mapping of tasks and time consumption

Stubmark,

Post,

Bjørk

et al. 2024

Basic Clin Pharma Tox

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We aimed to map tasks related to medication management and time consumption in Danish home health care. Nursing staff (n = 30) from five municipalities were followed during a 10‐week period and tasks related to medication management, time consumption and information on citizens' medication were registered. A total of 269 courses were registered, including 163 (61%) home visits, 76 (28%) in‐office courses, 29 (11%) in‐clinic courses and 1 (0.4%) acute visit. Of defined categories related to medication management, ‘record‐keeping and communication’ (62%, n = 167), ‘dispensing’ (48%, n = 129) and ‘identification’ (30%, n = 81) were most often performed. During half of courses (55%, n = 147), the nursing staff was interrupted at least one time. The median time spent on medication management was less than the time allocated in most of allocated time slots (82%), with a median excess time of 5.1 min (range 0.02–24 min). Citizens (n = 32) used a median of 11 (interquartile range [IQR] 9–13) regular medications and 2 (IQR 1–4) as‐needed, and 69% (n = 22) used high‐risk situation medications. In conclusion, employees in Danish home health care perform diverse medication‐related tasks and are frequently interrupted in their work. Employees spend less time than allocated but do not fully solve all tasks according to best practice guidance.

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Supporting older people with multimorbidity: The care burden of home health-care assistants in Ireland

Cited by 6 publications

References 20 publications

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Medication management in Danish home health care: Mapping of tasks and time consumption

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