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“When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC

The pandemic has shone a light on problems within the long-term care (LTC) sector. As was true prior to COVID-19, many of the present issues in LTC can be traced to challenging working conditions, such as persistent understaffing of care workers. Working short-staffed means rushing through care, whi...

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Autores principales: Gregor, Andreina Marquez de la Plata, Aubrecht, Katie, Daly, Tamara, Bourgeault, Ivy, Braedley, Susan, Owusu, Prince, Armstrong, Pat, Armstrong, Hugh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741368/
http://dx.doi.org/10.1093/geroni/igaa057.3413
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author Gregor, Andreina Marquez de la Plata
Aubrecht, Katie
Daly, Tamara
Bourgeault, Ivy
Braedley, Susan
Owusu, Prince
Armstrong, Pat
Armstrong, Hugh
author_facet Gregor, Andreina Marquez de la Plata
Aubrecht, Katie
Daly, Tamara
Bourgeault, Ivy
Braedley, Susan
Owusu, Prince
Armstrong, Pat
Armstrong, Hugh
author_sort Gregor, Andreina Marquez de la Plata
collection PubMed
description The pandemic has shone a light on problems within the long-term care (LTC) sector. As was true prior to COVID-19, many of the present issues in LTC can be traced to challenging working conditions, such as persistent understaffing of care workers. Working short-staffed means rushing through care, while only satisfying the most basic bodily needs of the resident. This presentation shares early findings from a thematic analysis of interviews conducted with seven care workers as part of the “Mapping Care Relationships” stream of the Seniors –Adding Life to Years (SALTY) project, a pan-Canadian research program that maps how promising approaches to care relationships are organized and experienced in LTC. The purpose of the analysis was to understand how short-staffing is affecting the formation and preservation of meaningful staff-resident relations, and what the impact is on quality of care. Two overarching themes emerged: 1) a relationship between time and work-place illness, injury and violence; 2) a relationship between care worker autonomy and resident quality of care. When working conditions do not support workers in voicing and/or addressing challenges they experience in the workplace, whether this results from understaffing or hierarchical power structures, care workers’ ability to deliver even basic care is jeopardized, and resident and worker health and wellness are placed at risk. Themes are discussed in the context of COVID-19 in light of responses to outbreaks in LTC that have reduced the availability of care workers, family visitors and volunteers, and emphasized top-down and even militarized approaches to care management.
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spelling pubmed-77413682020-12-21 “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC Gregor, Andreina Marquez de la Plata Aubrecht, Katie Daly, Tamara Bourgeault, Ivy Braedley, Susan Owusu, Prince Armstrong, Pat Armstrong, Hugh Innov Aging Abstracts The pandemic has shone a light on problems within the long-term care (LTC) sector. As was true prior to COVID-19, many of the present issues in LTC can be traced to challenging working conditions, such as persistent understaffing of care workers. Working short-staffed means rushing through care, while only satisfying the most basic bodily needs of the resident. This presentation shares early findings from a thematic analysis of interviews conducted with seven care workers as part of the “Mapping Care Relationships” stream of the Seniors –Adding Life to Years (SALTY) project, a pan-Canadian research program that maps how promising approaches to care relationships are organized and experienced in LTC. The purpose of the analysis was to understand how short-staffing is affecting the formation and preservation of meaningful staff-resident relations, and what the impact is on quality of care. Two overarching themes emerged: 1) a relationship between time and work-place illness, injury and violence; 2) a relationship between care worker autonomy and resident quality of care. When working conditions do not support workers in voicing and/or addressing challenges they experience in the workplace, whether this results from understaffing or hierarchical power structures, care workers’ ability to deliver even basic care is jeopardized, and resident and worker health and wellness are placed at risk. Themes are discussed in the context of COVID-19 in light of responses to outbreaks in LTC that have reduced the availability of care workers, family visitors and volunteers, and emphasized top-down and even militarized approaches to care management. Oxford University Press 2020-12-16 /pmc/articles/PMC7741368/ http://dx.doi.org/10.1093/geroni/igaa057.3413 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Gregor, Andreina Marquez de la Plata
Aubrecht, Katie
Daly, Tamara
Bourgeault, Ivy
Braedley, Susan
Owusu, Prince
Armstrong, Pat
Armstrong, Hugh
“When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title_full “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title_fullStr “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title_full_unstemmed “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title_short “When you are working in this environment, you’re more likely to get sick”: Mapping Care Relationships in LTC
title_sort “when you are working in this environment, you’re more likely to get sick”: mapping care relationships in ltc
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741368/
http://dx.doi.org/10.1093/geroni/igaa057.3413
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