Brookman Catherine, Sayin Firat, Denton Margaret, Davies Sharon, Zeytinoglu Isik
Human Resources and Management, DeGroote School of Business McMaster University Hamilton Ontario Canada.
School of Business St. Mary's University Halifax Nova Scotia Canada.
Health Sci Rep. 2022 Jan 20;5(1):e478. doi: 10.1002/hsr2.478. eCollection 2022 Jan.
Complexity of community-based homecare for older adults has increased significantly in the past decade in Ontario, Canada. Personal support workers (PSWs), who are unregulated and vary in formal education, provide the majority of community homecare work for increasingly complex clients. This paper seeks to understand community-based PSWs' satisfaction with opportunities for job-related training at their employing organization to provide the skills and knowledge to meet the demands of their evolving role.
Data for this paper are from a cross-sectional survey of 1746 community-based PSWs in Ontario, Canada entitled, "The PSW Health and Safety Matters Survey" www.pswshaveasay.ca. This survey was part of a research project "Keeping Community Based PSWs Safe in a Changing World of Work," funded by the Ontario Ministry of Labour. The data were analyzed using descriptive statistics, correlations, multivariate regression, and thematic analysis.
Quantitative analysis revealed most community homecare organizations offer PSWs job-related training to help them retain and update their skills and that PSWs have a moderate level of satisfaction with their job-related training. The analysis revealed that PSWs' satisfaction with organizational training is greater when the organization provides work-related training on challenging tasks, lifting and transferring tasks, and tasks delegated by nurses and supervisors. Data from the open-ended question highlighted seven key themes for desired training by PSWs: safe body mechanics for moving/lifting clients, managing aggression primarily with clients, infection control, CPR/first aid, mental illness, equipment training, and basic health and safety.
Implications for factors associated with PSWs' satisfaction with opportunities for job-related training are discussed along with recommendations for mitigating variability in education and training to meet the demands of their evolving role.
在过去十年中，加拿大安大略省针对老年人的社区居家护理复杂性显著增加。个人支持工作者（PSW）不受监管且正规教育程度各异，他们为日益复杂的客户提供了大部分社区居家护理工作。本文旨在了解社区个人支持工作者对其雇主组织提供的与工作相关培训机会的满意度，这些培训能提供技能和知识以满足他们不断演变的角色需求。
本文数据来自对加拿大安大略省1746名社区个人支持工作者进行的一项横断面调查，名为“个人支持工作者健康与安全问题调查”（www.pswshaveasay.ca）。该调查是由安大略省劳动部资助的一个研究项目“在不断变化的工作世界中保障社区个人支持工作者的安全”的一部分。数据采用描述性统计、相关性分析、多元回归分析和主题分析进行分析。
定量分析显示，大多数社区居家护理组织为个人支持工作者提供与工作相关的培训，以帮助他们保持和更新技能，且个人支持工作者对其与工作相关的培训满意度处于中等水平。分析表明，当组织就具有挑战性的任务、搬运和转移任务以及护士和主管分配的任务提供与工作相关的培训时，个人支持工作者对组织培训的满意度更高。来自开放式问题的数据突出了个人支持工作者期望培训的七个关键主题：搬运/扶起客户时的安全身体力学、主要应对客户的攻击行为、感染控制、心肺复苏术/急救、精神疾病、设备培训以及基本健康与安全。
讨论了与个人支持工作者对与工作相关培训机会的满意度相关的因素，并提出了减少教育和培训差异以满足其不断演变的角色需求的建议。
