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

Published online by Cambridge University Press:  13 August 2018

Shiri Shinan-Altman ,
Aviya Riabzev  and
Liat Ayalon
Shiri Shinan-Altman*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan, Israel
Aviya Riabzev
Affiliation:
Department of Music, Bar Ilan University, Ramat-Gan, Israel
Liat Ayalon
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan, Israel
*
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.
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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.

Keywords

training programmotivationsolder adultsevaluation research
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 3: Issue Theme: Caregiving for People with Dementia , March 2019 , pp. 341 - 349
Copyright
Copyright © International Psychogeriatric Association 2018 

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References

Ayalon, L. (2009). Family and family-like interactions in households with round-the-clock paid foreign carers in Israel. Ageing and Society, 29, 671–686. doi:10.1017/S0144686X09008393.Google Scholar
Ayalon, L. (2016). Profiles of loneliness in the caregiving unit. The Gerontologist, 56, 201–214. doi:10.1093/geront/gnu046.Google Scholar
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, 514–522.Google Scholar
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, 56–64. doi:10.1080/13607863.2015.1020412.Google Scholar
Bergman, Y. S. and Bodner, E. (2015). Ageist attitudes block young adults’ ability for compassion toward incapacitated older adults. International Psychogeriatrics, 27, 1541–1550. doi:10.1017/S1041610215000198.Google Scholar
Brodsky, G., Snoor, Y. and Be'er, S. (2011). Elderly in Israel: Facts and Figures. Jerusalem: JDC-ESHEL. [in Hebrew].Google Scholar
Brodsky, J., Shnoor, Y. and Be'er, S. (Eds.) (2017). The Elderly in Israel: Statistical Abstract 2013. Jerusalem: Myers-JDCBrookdale Institute.Google Scholar
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, 1027–1040. doi:10.1017/S0144686X10000188.Google Scholar
Cohen, M. and Shinan-Altman, S. (2011). A cross-cultural study of nursing aides’ attitudes to elder abuse in nursing homes. International Psychogeriatrics, 23, 1213–1221. doi:10.1017/S1041610211000391.Google Scholar
Creswell, J. W. (1998). Quality Inquiry and Research Design: Choosing Among Five Traditions. Thousand Oaks, CA: Sage Publications.Google Scholar
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, 31–46.Google Scholar
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. 21–40). New York: Russell Sage Foundation.Google Scholar
Gonzales, E., Morrow-Howell, N. and Gilbert, P. (2010). Changing medical students' attitudes toward older adults. Gerontology and Geriatrics Education, 31, 220–234. doi:10.1080/02701960.2010.503128.Google Scholar
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, 345–348. doi:10.1002/smi.2480.Google Scholar
Iecovich, E. (2011). What makes migrant live-in home care workers in elder care be satisfied with their job? Gerontologist, 51, 617–629. doi:10.1093/geront/gnr048.Google Scholar
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, 526–537.Google Scholar
Joshi, S. and Flaherty, J. H. (2005). Elder abuse and neglect in long-term care. Clinics in Geriatric Medicine, 21, 333–354.Google Scholar
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. 53–81). Denemark: Copenhagen Business School Press.Google Scholar
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, 411–413.Google Scholar
Kosberg, J. I. (Ed.). (1983). Abuse and Maltreatment of the Elderly: Causes and Interventions. Goodyear, AZ: PSG Incorporated.Google Scholar
Lincoln, Y. S. and Guba, E. G. (1985). Naturalistic Inquiry (Vol. 75). Beverly Hills, CA: Sage Publications, Inc.Google Scholar
Madeira, T. et al. (2016). National survey of the Portuguese elderly nutritional status: study protocol. BMC Geriatrics, 16, 139.Google Scholar
National Insurance Institute of Israel (2011). Annual Review: Long Term Care Community Law. Jerusalem, Israel: National Insurance Institute of Israel. [in Hebrew].Google Scholar
Polkinghorne, D. E. (2005). Language and meaning: data collection in qualitative research. Journal of Counseling Psychology, 52, 137–145. doi:10.1037/0022-0167.52.2.137.Google Scholar
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, 43–55. doi:10.1017/S1041610209990810.Google Scholar
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, 1–7. doi:10.1080/13607863.2017.1401584.Google Scholar
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, 674–684. doi:10.1093/geront/gnp093.Google Scholar
Shkedi, A. (2003). Words of Meaning: Qualitative Research-Theory and Practice. Tel-Aviv: Tel-Aviv University. [in Hebrew].Google Scholar
Steiner, A. M. and Fletcher, P. C. (2017). Sandwich generation caregiving: a complex and dynamic role. Journal of Adult Development, 24, 133–143. doi:10.1007/s10804-016-9252-7.Google Scholar
Stone, R. and Harahan, M. F. (2010). Improving the long-term care workforce serving older adults. Health Affairs, 29, 109–115.Google Scholar
Strauss, A. L. (1987). Qualitative Analysis for Social Scientists. New York, NY: Cambridge University Press.Google Scholar
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, 1870–1890. doi:10.1017/S0144686X1500077X.Google Scholar
Yacovitz, E. and Yacovitz-Tishler, V. (2015). Support for formal caregivers. In Prilutzky, D. and Cohen, M. (eds.), Practical Gerontology (pp. 319–354). Jerusalem: Joint-Eshel. [in Hebrew].Google Scholar