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Job Satisfaction: Insights from Home Support Care Workers in Three Canadian Jurisdictions

  • Dimitra Panagiotoglou (a1), Pamela Fancey (a2), Janice Keefe (a2) and Anne Martin-Matthews (a3)
Abstract

This mixed-methods study identified the personal and workplace characteristics that drive the job satisfaction of home support workers (HSWs) providing assistance to elderly clients. Data were based on a standardized measure of job satisfaction, along with in-depth qualitative interviews with 176 home support workers from three Canadian provincial jurisdictions (British Columbia, n = 108; Ontario, n = 28; Nova Scotia, n = 40). We anticipated that variability in demographic profiles between the three groups of workers and different job descriptions would be associated with differences in perceived job satisfaction. This was not the case. Results from the qualitative analysis highlight key areas that contributed to job satisfaction. These are job (scheduling, travel, and safety), economic (income security), and organizational (communication, support, and respect) factors. Given these findings, we recommend improvements to workplace communication, increased travel time allowance between clients, and wage parity with equivalent positions in long-term care facilities.

Cette étude, utilisant des méthodes mixtes, a permis de déterminer les caractéristiques personnelles et professionnelles qui déterminent la satisfaction au travail des travailleurs de soutien à domicile (TSD) qui offrent de l’aide aux personnes âgées. Les données étaient fondées sur une mesure normalisée de la satisfaction au travail ainsi que sur des entretiens qualitatifs et approfondis avec 176 travailleurs de soutien à domicile de trois administrations provinciales canadiennes (Colombie-Britannique, n = 108; Ontario, n = 28; Nouvelle-Écosse, n = 40). Nous nous attendions à ce que la variabilité des profils démographiques parmi les trois groupes de travailleurs et des différentes fiches de poste soit associées à des différences dans la perception de satisfaction professionnelle. Ce n’était pas le cas. Les résultats de l’analyse qualitative mettent en lumière les principaux domaines qui ont contribué à la satisfaction au travail. Ces domaines concernent le travail (horaires, voyages d’affaires et sécurité), les questions économiques (sécurité de revenu) ou organisationnelles (communication, soutien et respect). Compte tenu de ces constatations, nous recommandons des améliorations en ce qui concerne la communication au lieu de travail, une plus grande marge de temps de déplacement entre les clients et la parité salariale avec des postes équivalents dans les établissements de soins de longue durée.

Copyright
Corresponding author
La correspondance et les demandes de tire-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dimitra Panagiotoglou School of Population and Public Health University of British Columbia 2206 East Mall Vancouver, BC V6T 1Z3 (d.panagiotoglou@alumni.ubc.ca)
Footnotes
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* Funding for the research on which this article is based was provided to the project “Home Care in Canada: Working at the Nexus of the Public and Private Spheres” (A. Martin-Matthews, PI), by the Canadian Institutes of Health Research (Grant IOP-70684). The authors acknowledge the contributions of Gillian Joseph of the University of Guelph Centre for Families, Work & Well-Being in manuscript preparation.
Footnotes
References
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Abelson, J., Tedford Gold, S., Woodward, C., O’Connor, D., & Hutchison, B. (2004). Managing under managed community care: The experiences of clients, providers and managers in Ontario’s competitive home care sector. Health Policy, 68(3), 359372.
American Health Care Association. (2003). Results of the 2002 AHCA survey of nursing staff vacancy and turnover in nursing homes. Retrieved from http://www.ahcancal.org/research_data/staffing/Documents/Vacancy_Turnover_Survey2002.pdf
Aronson, J., & Neysmith, S. M. (1996a). You’re not just in there to do the work: Depersonalizing policies and the exploitation of home care workers’ labor. Gender & Society, 13(1), 5977.
Aronson, J., & Neysmith, S. M. (1996b). The work of visiting homemakers in the context of cost-cutting in long-term care. Canadian Journal of Public Health, 87(6), 422425.
Aronson, J., Denton, M., & Zeytinoglu, I. (2004). Market-modelled home care in Ontario: Deteriorating working conditions and dwindling community capacity. Canadian Public Policy, 30, 111125.
Ayalon, L. (2010). Intention to leave the job among live-in foreign home care workers in Israel. Home Health Care Services Quarterly, 92, 2236.
Bernier, N. (2014, October 2). Why Canada’s reliance on unpaid care is not sustainable. The Globe & Mail. Retrieved from http://www.theglobeandmail.com/opinion/why-canadas-reliance-on-unpaid-care-is-not-sustainable/article20888991
Brayfield, A. H., & Rothe, H. F. (1951). An index of job satisfaction. Journal of Applied Psychology, 35, 307311.
Byrne, K., Sims-Gould, J., Frazee, K., & Martin-Matthews, A. (2011). ‘I’m satisfied … but’: Clients’ and families’ contingent responses about home care. Home Health Care Services Quarterly, 30, 161177. doi:10.1080/01621424.2011.622242
Canadian Healthcare Association. (2009). Home care in Canada: From the margins to the mainstream. Retrieved from http://www.healthcarecan.ca/wp-content/uploads/2012/11/Home_Care_in_Canada_From_the_Margins_to_the_Mainstream_web.pdf
Canadian Home Care Association. (2003). Canadian home care human resources study: Synthesis report. Retrieved from http://www.cdnhomecare.ca/media.php?mid=1030
Canadian Home Care Association. (2013). Portraits of home care in Canada: Executive summary. Retrieved from http://www.cdnhomecare.ca/media.php?mid=3394
Capitman, J., Abrahams, R., & Ritter, G. (1997). Measuring adequacy of home care for frail elders. The Gerontologist, 37, 303313.
Castle, N. G., Engberg, J., Anderson, R., & Men, A. (2007). Job satisfaction of nurse aides in nursing homes: Intent to leave and turnover. The Gerontologist, 47, 193204.
Chaudry, S., & Banerjee, A. (2004). Correlates of job satisfaction in medical officers. Medical Journal Armed Forces India, 60, 329332.
Côté, A., & Fox, G. (2007). The future of homecare in Canada: Roundtable outcomes and recommendations for the future. Public Policy Forum. Retrieved from http://tools.hhr-rhs.ca/index.php?option=com_mtree&task=att_download&link_id=6231&cf_id=68&lang=en
Craven, C., Byrne, K., Sims-Gould, J., & Martin-Matthews, A.(2012). Types and patterns of safety concerns in home care: Staff perspectives. International Journal for Quality in Health Care. 24(5), 525531.
Denton, M., Zeytinoglu, I., & Davies, S. (2002b). Working in clients’ homes: The impact on the mental health and well-being of visiting home care workers. Home Health Care Services Quarterly, 21(1), 127.
Denton, M., Zeytinoglu, I., Davies, S., & Hunter, D. (2006). The impact of implementing managed competition on home care workers’ turnover decisions. Healthcare Policy, 1(4), 106123.
Denton, M., Zeytinoglu, I., Davies, S., & Lian, J. (2002a). Job stress and job dissatisfaction of home care workers in the context of health care restructuring. International Journal of Health Services, 32, 327357.
Denton, M., Zeytinoglu, I., Webb, S., & Lian, J. (1999). Occupational health issues among employees of home care agencies. Canadian Journal on Aging, 18(2), 154–81.
Dill, D. M., Keefe, J. M., & McGrath, D. S. (2012). The influence of intrinsic and extrinsic job values on turnover intention among continuing care assistants in Nova Scotia. Home Health Care Services Quarterly, 31, 111129.
Ditson, L. A. (1994). Efforts to reduce homemaker/home health aide turnover in a home care agency. Home Health Care Management & Practice, 6, 3341.
Eakin, J. M. & Mykhalovskiy, E. (2003). Reframing the evaluation of qualitative health research: Reflections on a review of appraisal guidelines in the health sciences. Journal of Evaluation in Clinical Practice, 9, 187194.
Ejaz, F., Noelker, L., Menne, H., & Bagaka’s, J. (2008). The impact of stress and support on direct care workers’ job satisfaction. The Gerontologist. 48(Suppl 1), 6070.
Ellis, E. (2014). Seniors’ health in the spotlight: High staff turnover plagues home care sector. The Vancouver Sun. Retrieved from http://www.vancouversun.com/health/Seniors+health+spotlight+High+staff+turnover+plagues+home+care+sector/10179447/story.html
Faragher, E. B., Cass, M., & Cooper, C. L. (2005). The relationship between job satisfaction and health: A meta-analysis. Occupational and Environmental Medicine, 62, 105112.
Hannan, S., Norman, I. J., & Redfern, S. J. (2001). Care work and quality of care for older people: A review of the research literature. Review of Clinical Gerontology, 11, 189203.
Health Association Nova Scotia. (2014). Rising to the challenge: Responding to increasing demands in home care. Retrieved from http://caregiversns.org/images/uploads/Responding_to_the_Challenge_Report_-_FINAL_July_7_2014.pdf
Health Council of Canada. (2012). Seniors in need, caregivers in distress: What are the home care priorities for seniors in Canada? Retrieved from http://www.healthcouncilcanada.ca/rpt_det_gen.php?id=348
Hoover, M., & Rotermann, M. (2012). Seniors’ use of and unmet needs for home care, 2009 (Statistics Canada Catalogue no. 82-002-XPE). Ottawa, ON: Statistics Canada.
Karsh, B., Booske, B. C., & Sainfort, F. (2005). Job and organization determinants of nursing employee commitment, job satisfaction and intent to turnover. Ergonomics, 48, 12601281.
Keefe, J., Légaré, J., & Martin-Matthews, A. (2009). Consultation on human resource strategies for home support worker recruitment and retention. Phase 2: Pan Canadian consultations. Background Document. Unpublished manuscript, Mount Saint Vincent University, Halifax, NS.
LaPlante, M. P., Kaye, H. S., Kang, T. & Harrington, C. (2004). Unmet need for personal assistance services: Estimating the shortfall in hours of help and adverse consequences. Journal of Gerontology: Social Sciences, 59B(2), S98S108.
Martin Matthews, A., & Wakefield, S. (1992). Final report of the project: Homemaker services to the elderly: Provider characteristics and client benefit. Toronto, ON: Ontario Ministry of Community & Social Services.
Martin-Matthews, A., Sims-Gould, J., & Naslund, J. (2010) Ethno-cultural diversity in home care work in Canada: Issues confronted, strategies employed. International Journal of Ageing and Later Life, 5, 77101. doi:10.3384/ijal.1652-8670.1052177
Martin-Matthews, A., & Sims-Gould, J. (2011). My home, your work, our relationship: Elderly clients’ experiences of home care services. In Benoit, C., & Hallgrimsdottir, H. (Eds.), Valuing care work: Comparative perspectives on Canada, Finland and Iceland (pp. 107124). Toronto, ON: University of Toronto Press.
Martin-Matthews, A., Sims-Gould, J., & Tong, C.E. (2012). Canada’s complex and fractionalized home care context: Perspectives of workers, elderly clients, family carers and home care managers. Canadian Review of Social Policy, 68/69, 5574. Retrieved from http://crsp.journals.yorku.ca/index.php/crsp/article/view/34381
McGrail, K. M., Broemeling, A., McGregor, M. J., Salomons, K., Ronald, L.A., & McKendry, R. (2008). Home health services in British Columbia: A portrait of users and trends over time. Retrieved from The University of British Columbia Centre for Health Services and Policy Research website: http://www.chspr.ubc.ca/pubs/report/home-health-services-british-columbia
Moyle, W., Skinner, J., Rowe, G., & Gork, C. (2003). Views of job satisfaction and dissatisfaction in Australian long-term care. Journal of Clinical Nursing, 12, 168176.
The Office of the Ombudsperson. (2012). The best of care: Getting it right for seniors in British Columbia (Part 2). (Public Report No. 47 to the Legislative Assembly of British Columbia). Retrieved from https://bcombudsperson.ca/documents/best-care-getting-it-right-seniors-british-columbia-part-2
Ontario Ministry of Health and Long-Term Care. (2005). Realizing the potential of home care: Competing for excellence by rewarding results, a review of the competitive bidding process used by Ontario’s Community Care Access Centres (CCACs) to select providers of goods and services. Retrieved from http://www.health.gov.on.ca/en/common/ministry/publications/reports/ccac_05/ccac_05.aspx
Report of the Expert Group on Home & Community Care (2015). Bringing care home. Toronto, ON: Government of Ontario.
Sands, L. P., Wang, Y., McCabe, G. P., Jennings, K., Eng, C., & Covinsky, K. E. (2006). Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs. Journal of the American Geriatrics Society, 54, 339344.
Schoenberg, N. E., Shenk, D., & Kart, C. S. (2007). Food for thought: Nourishing the publication of qualitative research. Journal of Applied Gerontology, 26, 416.
Seggewiss, K. (2009). Variations in home care programs across Canada demonstrate need for national standards and pan-Canadian program. Canadian Medical Association Journal, 180, E90E92.
Sims-Gould, J., Byrne, K., Craven, C., Martin-Matthews, A., & Keefe, J. (2010). Why I became a home support worker: Recruitment in the home health sector. Home Health Care Services Quarterly, 29, 171194.
Stacey, C. (2005). Finding dignity in dirty work: The constraints and rewards of low-wage home care labour. Sociology of Health & Illness, 27(6), 831854.
Tong, C.E., Sims-Gould, J., & Martin-Matthews, A. (2016). Types and patterns of safety concerns in home care: Client and family caregiver perspectives. International Journal of Quality in Health Care, 28(2), 214220. doi:10.1093/intqhc/mzw006
Turcotte, M., & Schellenberg, G. (2006). A portrait of seniors in Canada. (Statistics Canada Catalogue no. 89-519-XWE). Ottawa, ON: Statistics Canada.
Turcotte, M. (2014). Insights on Canadian society: Canadians with unmet home care needs. (Statistics Canada Catalogue no. 75-006-X). Ottawa, ON: Statistics Canada.
Zeytinoglu, I., Denton, M., Davies, S., & Plenderleith, J. (2009). Casualized employment and turnover intention: Home care workers in Ontario, Canada. Health Policy, 91(3), 258268.
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Canadian Journal on Aging / La Revue canadienne du vieillissement
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  • EISSN: 1710-1107
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