Ayalon Liat
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel.
Home Health Care Serv Q. 2010 Jan;29(1):22-36. doi: 10.1080/01621424.2010.487037.
In Israel, almost all around-the-clock home care services are provided by foreign workers. Despite the fact that these workers are considered temporary, the Israeli government has acknowledged the need for consistency in care and now allows workers to stay in the country for as long as their care recipient is alive. Nonetheless, there have been increasing concerns about the tendency of foreign home care workers to view Israel as a temporary station on their way to more attractive destinations, such as Canada or England. Using the job rewards and concerns model, this article evaluates determinants of foreign home care workers' intentions to leave their job. This study was a cross-sectional analysis of 178 Filipino home care workers in Israel. Only 15 workers (8.4%) reported that they would be likely or very likely to leave their job within the next 3 months. The final model suggested that negative experiences within the home/work environment as well as within Israeli society at large contribute to depression and posttraumatic stress symptoms. However, caring for an older adult with dementia was the only predictor of intention to leave the job. The majority of workers do not report an intention to leave their job. Nonetheless, greater supervision of this caregiving arrangement in an attempt to protect the rights of foreign home care workers within the home/work environment is an important step, which has to be followed up by attitudinal changes within society at large. Specific training in dementia care is also warranted.
在以色列，几乎所有全天候的居家护理服务都由外国工人提供。尽管这些工人被视为临时工，但以色列政府已认识到护理工作需要连贯性，现在允许工人在其护理对象在世期间一直留在该国。尽管如此，人们越来越担心外国居家护理工人倾向于将以色列视为前往加拿大或英国等更具吸引力目的地途中的一个临时站点。本文运用工作回报与担忧模型，评估外国居家护理工人离职意愿的决定因素。这项研究是对以色列178名菲律宾居家护理工人的横断面分析。只有15名工人（8.4%）表示他们在未来3个月内很可能或非常可能离职。最终模型表明，家庭/工作环境以及整个以色列社会中的负面经历会导致抑郁和创伤后应激症状。然而，照顾患有痴呆症的老年人是离职意愿的唯一预测因素。大多数工人并未表示有离职意愿。尽管如此，加强对这种护理安排的监管，以保护外国居家护理工人在家庭/工作环境中的权利，这是重要的一步，随后整个社会还需在态度上做出改变。针对痴呆症护理的专门培训也很有必要。
