‘I wouldn't choose this work again’: Perspectives and experiences of care aides in long‐term residential care
- 7 July 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (9), 3842-3852
- https://doi.org/10.1111/jan.14948
Abstract
Aims To provide insight into the everyday realities facing care aides working in long-term residential care (LTRC), and how they perceive their role in society. Design A qualitative ethnographic case study. Methods Data were collected over. 10 months of fieldwork at one LTRC setting [September 2015 to June 2016] in Western Canada; semi-structured interviews (70 h) with 31 care aides; and naturalistic observation (170 h). Data were analysed using reflexive thematic analysis. Results The findings in this work highlight the underpinned ageism of society, the gendered work of body care, and the tension between the need for relational connections – which requires time and economic profit. Four themes were identified, each relating to the lack of training, support, and appreciation care aides felt about their role in LTRC. Conclusion Care aides remain an unsupported workforce that is essential to the provision of high-quality care in LTRC. To support the care aide role, suggestions include: (i) regulate and improve care aide training; (ii) strengthen care aides autonomy of their care delivery; and (iii) reduce stigma by increasing awareness of the care aide role. Impact What problem did the study address? The unsupportive working conditions care aides experience in LTRC and the subsequent poor quality of care often seen delivered in LTRC settings. What were the main findings? Although care aides express strong affection for the residents they care for, they experience insurmountable systemic and institutional barriers preventing them from delivering care. Where and on whom will the research have impact? Care aides, care aide educators, care aide supervisors and managers in LTRC, retirement communities, and home care settings.Keywords
This publication has 36 references indexed in Scilit:
- The International Association of Gerontology and Geriatrics (IAGG) Nursing Home InitiativeJournal of the American Medical Directors Association, 2014
- Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation ResearchAdministration and Policy in Mental Health and Mental Health Services Research, 2013
- Health care aides use of time in a residential long-term care unit: A time and motion studyInternational Journal of Nursing Studies, 2013
- The evolving role of health care aides in the long-term care and home and community care sectors in CanadaHuman Resources for Health, 2013
- International Association of Gerontology and Geriatrics: A Global Agenda for Clinical Research and Quality of Care in Nursing HomesJournal of the American Medical Directors Association, 2011
- The Relationship Between Workplace Environment and Job Satisfaction Among Nursing Assistants: Findings From a National SurveyJournal of the American Medical Directors Association, 2010
- The Perception of “Training Availability” Among Certified Nurse Aides: Relationship to CNA Performance, Turnover, Attitudes, Burnout, and EmpowermentGerontology & Geriatrics Education, 2010
- Working in Long-Term Residential Care: A Qualitative Metasummary Encompassing Roles, Working Environments, Work Satisfaction, and Factors Affecting Recruitment and Retention of Nurse AidesGlobal Journal of Health Science, 2009
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006
- Naturalistic inquiry: Beverly Hills, CA: Sage Publications, 1985, 416 pp., $25.00 (Cloth)International Journal of Intercultural Relations, 1985