对工作质量和留在家庭护理合作社的感知贡献者
Geoffrey M Gusoff1, Miguel A Cuevas2, Catherine Sarkisian2,3
1Department of Family Medicine, David Geffen School of Medicine at the University of California, Los Angeles.
JAMA network open
|April 7, 2025
概括
家庭护理合作社通过为工人提供更大的控制,社区支持,尊重和更好的补偿来提高工作质量和减少周转率. 这些因素是保持家庭护理工作者 (HCW) 的关键.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 数以百万计的老年人依赖家庭护理工作者 (HCWs) 在家中安全老龄化.
- 家庭护理行业面临重大挑战,包括工作条件恶劣,流动性高,以及严重的劳动力短缺.
- 由医疗保健工作者拥有和控制的家庭护理合作社显示出改善就业质量和保留工作的前景,但贡献因素尚未得到充分理解.
研究的目的:
- 确定与家庭护理合作社更高的工作质量和更低的营业额相关的因素.
- 探索HCW和员工在合作模式中的对工作满意度和保留工作的看法.
主要方法:
- 一项定性研究,涉及对23名医疗保健工作者和来自美国5个家庭护理合作社的9名工作人员进行半结构面试.
- 采访是在2023年11月至2024年6月期间通过Zoom远程进行的.
- 用专题分析来确定与工作结果相关的关键主题,由直接护理工作者工作质量的概念模型提供信息.
主要成果:
- 参与者确定了四个关键因素,有助于更高的工作质量和更低的营业额:更大的工作场所控制 (病人护理,任务,政策),更强的社区支持和友,尊重和感觉有价值的文化,以及更高的整体报酬 (工资,福利,利分享).
- 与传统的家庭护理机构相比,这些因素被认为是显著的改进.
- 该研究包括14名年龄在20-39岁之间的多元参与者,跨种族和种族群体的代表.
结论:
- 家庭护理合作社通过增加工人控制,社区,尊重和补偿来促进更高的工作质量和留守.
- 合作社的参与性结构和实践为传统机构提供了一个潜在的模式,以减少营业额并提高工作质量.
- 解决碳酸短缺问题需要创新的方法来改善工作环境和工人的福祉.
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