Department of Nursing, Universidad de Jaén, 23071 Jaén, Spain.
Int J Environ Res Public Health. 2020 May 2;17(9):3166. doi: 10.3390/ijerph17093166.
Longevity and population growth generate an increase in the number of people with dependency, who require homecare assistance to meet their health needs. Homecare support workers provide this care in Spain, and they may have unique insights into the unmet health needs of those receiving homecare assistance. The aim of this study was to determine the unmet health needs of people with dependency based on the perspective of homecare support workers.
Qualitative exploratory-descriptive study. Through convenience sampling, homecare support workers from a Spanish province were selected, following inclusion and exclusion criteria. Four focus groups, transcription and thematic analyses were performed using Atlas.ti. Coding triangulation was carried out, applying criteria for scientific rigour.
The six themes obtained were classified into the material, psychoemotional, socioeconomical and psychosocial needs of people with dependency from the point of view of homecare support workers, along with the contributions of improvements and the need of these professionals for continuous training.
People with dependency need complex technical assistance, materials, psychological attention due to their situation, and more effective assessments of their health and disability status. Homecare support workers perceive themselves to be essential in these assessments. They ask for psychological assistance, due to the emotional burden of their work, and believe this help would contribute to improving the quality of their service. Homecare support workers perceive that they are capable of performing their job, although they believe that some delegated activities are beyond their levels of competency.
长寿和人口增长导致依赖人数增加，这些人需要家庭护理援助来满足他们的健康需求。在西班牙，家庭护理支持人员提供这种护理，他们可能对接受家庭护理援助的人的未满足的健康需求有独特的见解。本研究旨在根据家庭护理支持人员的观点确定依赖人群的未满足健康需求。
定性探索性描述性研究。通过便利抽样，选择了西班牙一个省份的家庭护理支持人员，遵循纳入和排除标准。使用 Atlas.ti 进行了四个焦点小组、转录和主题分析。进行了编码三角测量，应用了科学严谨性标准。
从家庭护理支持人员的角度，获得的六个主题分为依赖人群的物质、心理情绪、社会经济和心理社会需求，以及改进的贡献和这些专业人员对持续培训的需求。
依赖人群需要复杂的技术援助、材料、由于他们的情况而需要的心理关注，以及对他们的健康和残疾状况进行更有效的评估。家庭护理支持人员认为自己在这些评估中至关重要。他们因工作的情感负担而要求心理援助，并认为这将有助于提高他们服务的质量。家庭护理支持人员认为他们能够胜任工作，尽管他们认为一些委托的活动超出了他们的能力水平。
