从有限的资源到道德负担-前家庭护理工作者离开工作的原因
Marjo Ring1, Hanna Ristolainen1, Elisa Tiilikainen1
1Department of Social Sciences, Faculty of Social Sciences and Business Studies, University of Eastern Finland, Kuopio, Finland.
前家庭护理工作者由于未得到满足的需求,过度测量,工作与生活平衡不佳以及道德负担而离开了工作. 改善老年护理的保留需要更好的资源,组织和管理支持.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在新公共管理 (NPM) 的影响下,公共服务和老年护理政策的改革改变了家庭护理专业人员的工作环境.
- 了解劳动力消耗背后的驱动因素对于维持老年护理服务至关重要.
研究的目的:
- 检查前家庭护理工作者在芬兰NPM驱动的改革背景下辞职的原因.
- 确定导致老年护理部门工作不满和劳动力退出的主要主题.
主要方法:
- 使用39名前家庭护理工作者的书面叙述进行了定性研究.
- 应用了主题内容分析,以了解离开的经验和原因.
主要成果:
- 出现了四个相互连接的主题:需求和资源之间的不匹配,以测量为导向的做法,工作与生活的不平衡以及道德负担.
- 这些因素突出了护理工作组织和工作环境的关键变化,导致道德困境和劳动力退出.
结论:
- 需求,资源和价值观之间的矛盾显著影响护理工作者离开老年护理的决定.
- 提高护理工作者留守率需要改善家庭护理机构的资源,组织策略和管理支持.
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