Ayalon Liat, Halevy-Levin Sara, Ben-Yizhak Zvi, Friedman Gideon
Professor, Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Israel
Geriatric and Health Social Worker, Hadassah Medical Hospital, Hebrew University, Israel.
J Health Serv Res Policy. 2015 Oct;20(4):217-23. doi: 10.1177/1355819615577807. Epub 2015 Mar 30.
Unlike in most high-income countries, in Israel personal (social) care of elderly patients in hospitals is provided either by relatives or friends, or, for those patients with live-in assistance at home, by their home care workers. Our aim was to understand the explicit and implicit roles of live-in carers and whether any difficulties occurred.
Interviews in the internal medicine unit of Hadassah Hospital with 17 patients, 16 relatives, 20 home care workers and 20 nurses. Data were subjected to categorical content analysis.
Three major themes emerged: the development of teamwork with relatives and nurses; the varied roles of home care workers including nursing care, emotional care, and monitoring and supervision of the patient; and the conflicts and challenges associated with having a care worker related to their physical presence and the care worker's own social needs.
Israel partially addresses its nursing shortage by allowing paid home care workers to take an active role in the care of hospitalized older adults. This can have both a positive and a negative impact on the role and perception of nursing.
与大多数高收入国家不同，在以色列，医院中对老年患者的个人（社会）护理由亲属或朋友提供，或者对于那些在家中有住家护理人员的患者，由其家庭护理人员提供。我们的目的是了解住家护理人员的明确和隐含角色，以及是否出现任何困难。
在哈达萨医院内科对17名患者、16名亲属、20名家庭护理人员和20名护士进行访谈。对数据进行分类内容分析。
出现了三个主要主题：与亲属和护士的团队合作发展；家庭护理人员的多种角色，包括护理、情感关怀以及对患者的监测和监督；以及与护理人员的实际存在及其自身社会需求相关的冲突和挑战。
以色列通过允许付费家庭护理人员在住院老年人护理中发挥积极作用，部分解决了护理短缺问题。这可能对护理的角色和认知产生积极和消极影响。
