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KMID : 0379220200400061205
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Journal of Korea Gerontological Society
2020 Volume.40 No. 6 p.1205 ~ p.1220
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Difficulties experienced by home-based long-term care service providers: home-visit nurses, social workers, and paid caregivers
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Yang Ju-Hyeon
Park Bo-Hyun
Jin Bo-Young
Gim Mi-Kgeung
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Abstract
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The objective of this study was to investigate the difficulties experienced by long-term care service providers working in home settings?specifically, home-visit nurses, social workers, and paid caregivers. Study participants consisted of 18 providers, including 7 home-visit nurses, 4 social workers, and 7 paid caregivers. The in-depth interviews were conducted in December 2018, with each lasting about 2 hours.
The data were analyzed by qualitative content analysis. Common issues among participants included difficulty in achieving rapport with clients and their families, lack of communication among providers, and an inefficient compensation system for long-term care insurance.
Home-visit nurses identified issues with lack of standardized nursing intervention, and difficulty in providing comprehensive nursing care due to treatment-focused interventions. Social workers pointed out ‘the difficulty of mediation due to inappropriate demands of the clients(family) as well as family members’, ‘lack of knowledge about clients’ condition change’. Lastly, paid caregivers discussed difficulties such as ‘lack of understanding about the role of caregivers’, ‘overtime due to lack of understanding of the working hours’. To improve the quality of home-based long-term care services and expand the number of clients served, policies and interventions should be developed to reduce the difficulties experienced by service providers.
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KEYWORD
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Long-term care, Home care, difficulty, content analysis
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