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KMID : 1142820200040010097
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Bio, Ethics and Policy
2020 Volume.4 No. 1 p.97 ~ p.117
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Factors Affecting Perceptions of Maltreatment Among Care Workers: The Case of Japanese Long-Term Care Facilities
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Lim Jeong-Mi
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Abstract
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This study explores the factors influencing the perception of maltreatment among care workers and examines the relationship between factors reported in the literature and this perception. A questionnaire survey conducted among 6,000 care workers in Japanese long-term care facilities yielded usable data from 1,473 respondents for the analysis. Based on literature reviews, independent variables were categorized into three types: individual, work, and institutional characteristics. Multiple regression analyses were conducted to determine possible relationships between these variables and perceptions of maltreatment. The results show that female staff who were qualified care workers were more likely to report a higher level of perceived maltreatment. Care workers reporting lower care stress were also more likely to perceive a higher level of maltreatment. The smaller the facility size, the more the facility operated as a social welfare corporation (i.e., as a non-profit business) and the more the facility built a culture that did not tolerate behavioral restrictions, the higher the worker's perception of maltreatment was expressed. Finally, the more the facility provided education related to care skills, the higher the worker's perception of maltreatment. In contrast, increases in workload, such as nursing care level and the number of night shifts, which were reported as risk factors in previous research, were not significant in this study. Based on the findings of our study, policy implications for the prevention of maltreatment among care workers are discussed.
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KEYWORD
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perception on maltreatment, Japanese long term-care facilities, care workers, factors
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