School of Sociology and Social Policy, University of Nottingham, UK.
School of Health Sciences, University of Nottingham, UK.
Dementia (London). 2020 Oct;19(7):2220-2233. doi: 10.1177/1471301218817616. Epub 2018 Dec 12.
Homecare workers provide essential physical, social and emotional support to growing numbers of older people with dementia in the UK. Although it is acknowledged that the work can sometimes be demanding, some homecare workers regularly 'go the extra mile' for service users, working above and beyond the usual remit of the job. This form of voluntarism has been interpreted as an expression of an essentially caring nature, but also as the product of a work environment structured to tacitly endorse the provision of unpaid labour. This paper draws on a qualitative study of what constitutes 'good' homecare for older people with dementia. Using homecare workers' reflexive diaries ( = 11) and interviews with homecare workers ( = 14) and managers ( = 6), we explore manifestations of, and motivations for, homecare workers going the extra mile in their everyday work. We describe three modes of voluntary labour based on these accounts which we characterise as , and Our study highlights the complex relationships between job satisfaction, social benefit and commercial gain in the homecare work sector. Further research is needed to define the full range of affective and technical skills necessary to deliver good homecare, and to ensure that homecare work is appropriately credited.
英国家政工人为越来越多的痴呆症老年患者提供重要的身体、社会和情感支持。尽管人们承认这项工作有时要求很高,但一些家政工人经常为服务对象“额外付出”,超出了工作通常的职责范围。这种形式的志愿服务被解释为一种本质上的关爱性质的表达,也是工作环境的产物,这种工作环境默许认可提供无偿劳动。本文借鉴了对构成“良好”痴呆症老年人家政服务的定性研究。我们使用家政工人的反思性日记( = 11)和对家政工人( = 14)和管理人员( = 6)的访谈,探讨了家政工人在日常工作中超负荷工作的表现和动机。我们根据这些描述描述了三种自愿劳动模式,我们将其特征化为 、 和 我们的研究强调了家庭护理工作部门中工作满意度、社会效益和商业利益之间的复杂关系。需要进一步研究来确定提供良好家庭护理所需的全部情感和技术技能,并确保家庭护理工作得到适当的认可。