Wittenberg Yvette, de Boer Alice, Plaisier Inger, Verhoeff Arnoud, Kwekkeboom Rick
Faculty of Social and Behavioural Sciences, University of Amsterdam and Faculty of Applied Social Sciences and Law, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.
Faculty of Social Sciences, VU Amsterdam and The Netherlands Institute for Social Research, The Hague, Netherlands.
Scand J Caring Sci. 2019 Dec;33(4):1006-1016. doi: 10.1111/scs.12699. Epub 2019 Apr 29.
The European policy emphasis on providing informal care at home causes caregivers and home care professionals having more contact with each other, which makes it important for them to find satisfying ways to share care. Findings from the literature show that sharing care between caregivers and professionals can be improved. This study therefore examines to what degree and why caregivers' judgements on sharing care with home care professionals vary. To improve our understanding of social inequities in caregiving experiences, the study adopts an intersectional perspective. We investigate how personal and situational characteristics attached to care judgements are interwoven. Using data of the Netherlands Institute for Social Research, we conducted bivariate and multivariate linear regression analysis (N = 292). We combined four survey questions into a 1-4 scale on 'caregiver judgement' (α = 0.69) and used caregivers' personal (such as gender and health status) and situational characteristics (such as the care recipient's impairment and type of care) as determinants to discern whether these are related to the caregivers' judgement. Using a multiplicative approach, we also examined the relationship between mutually constituting factors of the caregivers' judgement. Adjusted for all characteristics, caregivers who provide care to a parent or child with a mental impairment and those aged between 45 and 64 years or with a paid job providing care to someone with a mental impairment are likely to judge sharing care more negatively. Also, men providing care with help from other caregivers and caregivers providing care because they like to do so who provide domestic help seem more likely to be less satisfied about sharing care. This knowledge is vital for professionals providing home care, because it clarifies differences in caregivers' experiences and hence induce knowledge how to pay special attention to those who may experience less satisfaction while sharing care.
欧洲政策强调在家提供非正式护理，这使得护理人员和家庭护理专业人员之间有更多接触，因此找到令人满意的护理共享方式对他们来说很重要。文献研究结果表明，护理人员和专业人员之间的护理共享情况可以得到改善。因此，本研究考察了护理人员对与家庭护理专业人员共享护理的判断在何种程度上存在差异以及原因。为了更好地理解护理经历中的社会不平等现象，本研究采用了交叉性视角。我们调查了与护理判断相关的个人和情境特征是如何相互交织的。利用荷兰社会研究所的数据，我们进行了双变量和多变量线性回归分析（N = 292）。我们将四个调查问题合并为一个关于“护理人员判断”的1 - 4级量表（α = 0.69），并将护理人员的个人特征（如性别和健康状况）和情境特征（如受护理者的损伤情况和护理类型）作为决定因素，以判断这些因素是否与护理人员的判断相关。我们还采用乘法方法研究了护理人员判断中相互构成因素之间的关系。在对所有特征进行调整后，为患有精神障碍的父母或子女提供护理的护理人员，以及年龄在45至64岁之间或从事有薪工作且为患有精神障碍的人提供护理的护理人员，对共享护理的判断可能更消极。此外，在其他护理人员帮助下提供护理的男性护理人员，以及因为喜欢而提供护理且提供家务帮助的护理人员，似乎对共享护理的满意度更低。这些知识对提供家庭护理的专业人员至关重要，因为它阐明了护理人员经历的差异，从而引发了关于如何特别关注那些在共享护理时可能满意度较低的人的认识。
