Minerva Center for the Interdisciplinary Study of End of Life, 26745Tel Aviv University, Tel Aviv, Israel.
Igor Orenstein Chair for the Study of Geriatrics, Tel Aviv, Israel.
J Appl Gerontol. 2022 Oct;41(10):2167-2179. doi: 10.1177/07334648221107616. Epub 2022 Jul 20.
We examined the association between employment-related characteristics and the quality-of-care migrant live-in caregivers provide to older care-recipients. Structured interviews were conducted with 115 migrant live-in caregivers, 72 older care-recipients, and 117 relatives of care-recipients. We conducted correlations among dependent (quality-of-care), independent (quality of relationship between caregiver and informant, caregiver perception of work, and problematic employment conditions), and demographic variables, and performed a path analysis by conducting a series of multiple regressions. Quality-of-care was most highly correlated with quality of relationship between informant and caregiver. Quality of relationship was predicted by caregiver perceptions of work, which was negatively predicted by problematic employment conditions. In the relatives-based model, quality of relationship was significantly better when the care-receiver was female and the care-recipient needed more assistance with activities of daily living. The study clarifies the role of caregiver work characteristics for quality-of-care and highlights the crucial role of the relationship with the care-recipient.
我们研究了与就业相关的特征与移民住家护理员为老年受护理者提供的护理质量之间的关系。对 115 名移民住家护理员、72 名老年受护理者和 117 名受护理者亲属进行了结构式访谈。我们对依赖项（护理质量）、独立项（护理员与信息提供者之间关系的质量、护理员对工作的看法和有问题的工作条件）和人口统计学变量进行了相关性分析，并通过一系列多元回归进行了路径分析。护理质量与信息提供者和护理员之间的关系质量高度相关。关系质量由护理员对工作的看法来预测，而工作条件的问题则对其产生负面影响。在基于亲属的模型中，当受护理者为女性且受护理者需要更多日常生活活动的帮助时，护理员与受护理者之间的关系质量显著更好。本研究阐明了护理员工作特征对护理质量的作用，并强调了与受护理者关系的关键作用。
