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Mixed motivations to provide formal care to older adults: lessons from a training program

  • Shiri Shinan-Altman (a1), Aviya Riabzev (a2) and Liat Ayalon (a1)

Abstract

Objective:

With the aging of the population, the demand for long-term services is increasing accordingly and the recruitment of paid caregivers to older adults has become a critical issue. Hence, there is a great need to train people in the care of older adults. This study examined motivations to participate in a new program, which aims to train young people (ages 19–25) to become paid caregivers for older adults.

Methods:

The study is based on focus groups with program participants (N = 33) and on phone interviews with former participants (N = 8) and face-to-face interviews with staff members (N = 14). Transcripts were analyzed using qualitative content analysis.

Results:

Three major themes emerged: (1) “Motivations to participate in the program,” referred to participants’ motivations to work with older adults. (2) “Reduced motivations due to ambiguity of roles,” referred to the unclear definition of the care worker's role, which created a decrease in participants' motivations to provide care. (3) “Inadequate financial compensation,” concerned participants’ reduced motivation to participate in the program as a result of financial promises that were not realized.

Conclusions:

Findings suggest that it is important to be cautious about the motivations for participation in the program because by emphasizing the difficult situation of older adults, one stresses the low status assigned to older adults, rather than positive attributes. It is also suggested that care workers should be financially rewarded, so that despite the difficulties that may arise during work, they will feel valued and will want to remain in the profession.

Copyright

Corresponding author

Correspondence should be addressed to: Dr. Shiri Shinan-Altman, Ph.D., Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan 52900, Israel. Phone: +972-46180175; Fax: +972-37384042. Email: shiri.altman@biu.ac.il.

References

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Ayalon, L. (2009). Family and family-like interactions in households with round-the-clock paid foreign carers in Israel. Ageing and Society, 29, 671686. doi:10.1017/S0144686X09008393.
Ayalon, L. (2016). Profiles of loneliness in the caregiving unit. The Gerontologist, 56, 201214. doi:10.1093/geront/gnu046.
Ayalon, L., Fialová, D., Areán, P. A. and Onder, G. (2010). Challenges associated with the recognition and treatment of depression in older recipients of home care services. International Psychogeriatrics, 22, 514522.
Ayalon, L. and Roziner, I. (2016). Satisfaction with the relationship from the perspectives of family caregivers, older adults and their home care workers. Aging and Mental Health, 20, 5664. doi:10.1080/13607863.2015.1020412.
Bergman, Y. S. and Bodner, E. (2015). Ageist attitudes block young adults’ ability for compassion toward incapacitated older adults. International Psychogeriatrics, 27, 15411550. doi:10.1017/S1041610215000198.
Brodsky, G., Snoor, Y. and Be'er, S. (2011). Elderly in Israel: Facts and Figures. Jerusalem: JDC-ESHEL. [in Hebrew].
Brodsky, J., Shnoor, Y. and Be'er, S. (Eds.) (2017). The Elderly in Israel: Statistical Abstract 2013. Jerusalem: Myers-JDCBrookdale Institute.
Cohen, M., Halevy-Levin, S., Gagin, R., Priltuzky, D. and Friedman, G. (2010). Elder abuse in long-term care residences and the risk indicators. Ageing and Society, 30, 10271040. doi:10.1017/S0144686X10000188.
Cohen, M. and Shinan-Altman, S. (2011). A cross-cultural study of nursing aides’ attitudes to elder abuse in nursing homes. International Psychogeriatrics, 23, 12131221. doi:10.1017/S1041610211000391.
Creswell, J. W. (1998). Quality Inquiry and Research Design: Choosing Among Five Traditions. Thousand Oaks, CA: Sage Publications.
Doniol-Shaw, G. and Lada, E. (2011). Work schedules of home care workers for the elderly in France: fragmented work, deteriorating quality of care, detrimental health impact. Work, 40, 3146.
England, P., Folbre, N. and Leana, C. (2012). Motivating care. In Folbre, N. (ed.), For Love and Money: Care Provision in the United States. (pp. 2140). New York: Russell Sage Foundation.
Gonzales, E., Morrow-Howell, N. and Gilbert, P. (2010). Changing medical students' attitudes toward older adults. Gerontology and Geriatrics Education, 31, 220234. doi:10.1080/02701960.2010.503128.
Gopalan, N., Miller, M. M. and Brannon, L. A. (2013). Motivating adult children to provide support to a family caregiver. Stress and Health: Journal of the International Society for the Investigation of Stress, 29, 345348. doi:10.1002/smi.2480.
Iecovich, E. (2011). What makes migrant live-in home care workers in elder care be satisfied with their job? Gerontologist, 51, 617629. doi:10.1093/geront/gnr048.
Iecovich, E. (2014). The association between older Israelis' quality of relationships with their family and migrant live-in caregivers and their loneliness. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71, 526537.
Joshi, S. and Flaherty, J. H. (2005). Elder abuse and neglect in long-term care. Clinics in Geriatric Medicine, 21, 333–354.
Kamp, A. (2012). The quest for the meaning of work: competing concepts of meaning. In Kamp, A. and Hvid, H. (eds.), Elderly Care in Transition (pp. 5381). Denemark: Copenhagen Business School Press.
Katz, P. R., Karuza, J., Intrator, O. and Mor, V. (2009). Nursing home physician specialists: a response to the workforce crisis in long-term care. Annals of Internal Medicine, 150, 411413.
Kosberg, J. I. (Ed.). (1983). Abuse and Maltreatment of the Elderly: Causes and Interventions. Goodyear, AZ: PSG Incorporated.
Lincoln, Y. S. and Guba, E. G. (1985). Naturalistic Inquiry (Vol. 75). Beverly Hills, CA: Sage Publications, Inc.
Madeira, T. et al. (2016). National survey of the Portuguese elderly nutritional status: study protocol. BMC Geriatrics, 16, 139.
National Insurance Institute of Israel (2011). Annual Review: Long Term Care Community Law. Jerusalem, Israel: National Insurance Institute of Israel. [in Hebrew].
Polkinghorne, D. E. (2005). Language and meaning: data collection in qualitative research. Journal of Counseling Psychology, 52, 137145. doi:10.1037/0022-0167.52.2.137.
Quinn, C., Clare, L. and Woods, R. T. (2010). The impact of motivations and meanings on the wellbeing of caregivers of people with dementia: a systematic review. International Psychogeriatrics, 22, 4355. doi:10.1017/S1041610209990810.
Shinan-Altman, S. and Ayalon, L. (2017). Perceived control among migrant live-in and local live-out home care workers in Israel. Aging and Mental Health, 17. doi:10.1080/13607863.2017.1401584.
Shinan-Altman, S. and Cohen, M. (2009). Nursing aides’ attitudes to elder abuse in nursing homes: the effect of work stressors and burnout. The Gerontologist, 49, 674684. doi:10.1093/geront/gnp093.
Shkedi, A. (2003). Words of Meaning: Qualitative Research-Theory and Practice. Tel-Aviv: Tel-Aviv University. [in Hebrew].
Steiner, A. M. and Fletcher, P. C. (2017). Sandwich generation caregiving: a complex and dynamic role. Journal of Adult Development, 24, 133143. doi:10.1007/s10804-016-9252-7.
Stone, R. and Harahan, M. F. (2010). Improving the long-term care workforce serving older adults. Health Affairs, 29, 109115.
Strauss, A. L. (1987). Qualitative Analysis for Social Scientists. New York, NY: Cambridge University Press.
Swinkels, J. C., Suanet, B., Deeg, D. J. and van Groenou, M. I. B. (2016). Trends in the informal and formal home-care use of older adults in the Netherlands between 1992 and 2012. Ageing and Society, 36, 18701890. doi:10.1017/S0144686X1500077X.
Yacovitz, E. and Yacovitz-Tishler, V. (2015). Support for formal caregivers. In Prilutzky, D. and Cohen, M. (eds.), Practical Gerontology (pp. 319354). Jerusalem: Joint-Eshel. [in Hebrew].

Keywords

Mixed motivations to provide formal care to older adults: lessons from a training program

  • Shiri Shinan-Altman (a1), Aviya Riabzev (a2) and Liat Ayalon (a1)

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