从资源受限到伦理负担——前家庭护理工作者离职的原因。
From Restricted Resources to Ethical Burden-Former Home Care Workers' Reasons for Leaving Their Jobs.
机构信息
Department of Social Sciences, Faculty of Social Sciences and Business Studies, University of Eastern Finland, Kuopio, Finland.
出版信息
J Appl Gerontol. 2024 Aug;43(8):1111-1119. doi: 10.1177/07334648241231404. Epub 2024 Feb 14.
The study examines former home care workers' reasons for leaving their jobs from the perspective of reforms in public services and eldercare policies impacted by New Public Management (NPM) in Finland. Written narratives from former home care workers ( = 39) were collected online and analyzed using thematic content analysis. Former home care workers' reasons for leaving their jobs were connected to four interconnecting themes: , , -, and . These reasons reflected critical changes in the organization of care work and the work environment in older adults' home care. Contradictions between needs, resources, and values lead to ethical dilemmas and push away from the workforce in eldercare. To improve care workers' willingness to remain in the eldercare sector, changes are needed in the resourcing and organization of home care, including managerial support in everyday care work.
本研究从新公共管理（NPM）对芬兰公共服务和老年人护理政策的影响角度出发，考察了前家庭护理工作者离职的原因。通过网络收集了前家庭护理工作者（=39 人）的书面叙述，并运用主题内容分析法进行了分析。前家庭护理工作者离职的原因与四个相互关联的主题有关：工作内容、工作环境、职业发展和薪酬待遇。这些原因反映了老年人家庭护理工作组织和工作环境的重大变化。需求、资源和价值观之间的矛盾导致了伦理困境，并使从事老年人护理工作的人员流失。为了提高护理人员在老年人护理领域继续工作的意愿，需要对家庭护理的资源配置和组织进行改革，包括在日常护理工作中提供管理支持。
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