"Then They Trust You …": Managing Ergonomics in Home Care

Area of Science:

• Gerontology
• Occupational Health
• Sociology of Health

Background:

• The home care workforce is rapidly expanding to meet the needs of the aging population.
• Home care workers (HCWs) face significant physical demands and risks of musculoskeletal disorders (MSDs).
• Limited formal training and assistive devices exacerbate MSD risks for HCWs.

Purpose of the Study:

• To explore workplace MSD risk factors from the perspective of home care workers.
• To identify problem-solving strategies employed by HCWs to mitigate ergonomic risks.
• To understand how HCWs navigate physical challenges and promote client independence.

Main Methods:

• Qualitative pilot study utilizing focus groups with home care workers.
• Exploration of HCWs' experiences with MSD risk factors in their daily work.
• Analysis of self-identified strategies for managing risks and improving ergonomic conditions.

Main Results:

• HCWs identified specific workplace MSD risk factors.
• HCWs demonstrated reliance on behavioral insights, communication skills, and demeanor to manage risks.
• Caregiver strategies were found to enhance client physical independence.

Conclusions:

• Home care work presents substantial MSD risks that require acknowledgment.
• HCWs utilize adaptive strategies, including interpersonal skills, to manage physical demands.
• Policy changes are recommended to support HCWs and improve long-term care effectiveness.