Butler Sandra S
1 School of Social Work, University of Maine, Orono, ME, USA.
New Solut. 2018 Feb;27(4):501-523. doi: 10.1177/1048291117739418. Epub 2017 Nov 3.
As the U.S. population ages, the number of people needing personal assistance in the home care setting is increasing dramatically. Personal care aides and home health workers are currently adding more jobs to the economy than any other single occupation. Home health workers face physically and emotionally challenging, and at times unsafe, work conditions, with turnover rates ranging from 44 percent to 65 percent annually. As part of a mixed-method, longitudinal study in Maine examining turnover, interviews with 252 home care aides were analyzed thematically. Responses to interview questions regarding the job's impact on health and safety, the adequacy of training, and the level of agency responsiveness were examined. Emergent themes, indicating some contradictory perspectives on workplace safety, quality of training, and agency support, were compared across three variables: job termination, occupational injury, and age. Implications for increasing occupational safety and job retention are discussed.
随着美国人口老龄化，在家庭护理环境中需要个人协助的人数正在急剧增加。目前，个人护理助理和家庭健康护理员为经济增加的就业岗位比其他任何单一职业都多。家庭健康护理员面临着身体和情感上具有挑战性且有时不安全的工作条件，年离职率在44%至65%之间。作为缅因州一项关于离职率的混合方法纵向研究的一部分，对252名家庭护理助理的访谈进行了主题分析。研究了对有关工作对健康和安全的影响、培训的充分性以及机构响应水平的访谈问题的回答。在工作终止、职业伤害和年龄这三个变量中，比较了表明对工作场所安全、培训质量和机构支持存在一些矛盾观点的新出现主题。讨论了对提高职业安全性和留住员工的启示。
