Автор |
Pearlman, Deborah, N. |
Автор |
Mahoney, Diane, Feeney |
Автор |
Callahan, James, J. |
Дата выпуска |
1991 |
dc.description |
Although advocates promote caregiving services to families in need, the formal care system is directly dependent upon the availability of workers willing to provide this type of care. If there is a worker shortage, are clients with cognitive impairment more adversely affected than other clients? This article reports the findings from a study conducted in one state during a worker shortage. A worker bias was found against servicing Alzheimer clients in their homes that was not evident in day care facilities or nursing homes with Alzheimer units. Policy is sues are raised and recommendations made concerning workerʼs wages and benefits, work life, job design, and the structure of the long term care industry. |
Издатель |
Sage Publications |
Название |
A shortage of long-term care workers: Effects on clients with dementia |
Тип |
Journal Article |
DOI |
10.1177/153331759100600503 |
Print ISSN |
1533-3175 |
Журнал |
American Journal of Alzheimer's Disease and Other Dementias |
Том |
6 |
Первая страница |
9 |
Последняя страница |
15 |
Аффилиация |
Pearlman, Deborah, N., Brookdale Center On Aging of Hunter College, New York, New York |
Аффилиация |
Mahoney, Diane, Feeney, College of Nursing, University of Massachusetts, Boston, Massachusetts |
Аффилиация |
Callahan, James, J., The Florence Heller Graduate School, Brandeis University, Waltham, Massachusetts |
Выпуск |
5 |
Библиографическая ссылка |
1. Austin CD: Yes, but who will deliver the care? The Gerontologist, 1990;39(1):134-135 |
Библиографическая ссылка |
2. Austin, ibid |
Библиографическая ссылка |
3. Wilner MA: Who will care? A study of employee shortages in Massachusetts nursing and rest homes. Final Report, Dedham, MA, Massachusetts Federation of Nursing Homes, 1987 |
Библиографическая ссылка |
4. Office of Technology Assessment, U.S. Congress: Confused minds, burdened families: Finding help for people with Alzheimerʼs and other dementias. OTA-BA-403, Washington, DC, U.S. Government Printing Office, (July) 1990 |
Библиографическая ссылка |
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Библиографическая ссылка |
6. Representative studies addressing the availability and high turnover of paraprofessional workers include: Baum S and Berman HJ: Nurses aide turnover and the work environment. Presented at the annual scientific meeting of the Gerontological Society of America, Chicago, Illinois, November 1986; Baum S and Berman HJ: Predictors of nurse aide turnover. Presented at the annual scientific meeting of the Gerontological Society of America, Washington DC, November 1987; Liebman J: Rate setting for home care services in Massachusetts. Boston, MA, Dept. of Health Policy and Mgmt, Harvard School of Public Health, 1986; Mahoney DF, Pearlman DN, Callahan JJ: Crisis in long term care: The impact of the Mass. worker shortage on caring for persons with dementia. Working Paper No. 37, Waltham, MA, Policy Center On Aging, Heller School, Brandeis University, 1987; Task Force Report: Problems on the supply side: The homemaker shortage in Mass. Boston, MA, Mass. Council for Homemaker-Home Health Aide Services (March) 1987; Wilner, ibid; Camberg LC, Lischko AM, and Brandenburg JA: Staffing in government and other nonprofit nursing homes in Mass. West Roxbury, MA: Vets Admin, 1988; Feldman P. Sapienza A, Kane N: Who cares for them? Workers in the home care industry. Westport, CT, Greenwood Press, 1990 |
Библиографическая ссылка |
7. Office of Technology Assessment, U.S. Congress: Losing a million minds: Confronting the tragedy of Alzheimerʼs disease and other dementias. OTA-BA-323, Washington, DC, U.S. Government Printing Office (April) 1987 |
Библиографическая ссылка |
8. Feldman P, Sapienza A: Quality of work life in the home care industry. Boston, MA, Harvard College, 1987 |
Библиографическая ссылка |
9. Kane RL, Saslow MG, Brundage T: Using ADLs to establish eligibility for long term care among the cognitively impaired. The Gerontologist, 1991;31(1):60-66 |
Библиографическая ссылка |
10. Spector WD: Cognitive impairment and disruptive behaviors among community-based elderly persons: Implications for targeting longterm care. The Gerontologist, 1991;31(1):51-59 |
Библиографическая ссылка |
11. Hospital News: Special units may improve care of Alzheimerʼs victims, July 1987:24-24 |
Библиографическая ссылка |
12. Mahoney et al., ibid. |
Библиографическая ссылка |
13. Camberg et al., ibid. |
Библиографическая ссылка |
14. Phillips C: Staff turnover in nursing homes for the aged: A review and research proposal. Int J Nursing Studies, 1987;24(1):45-57 |