Caring for people with dementia in their own homes
Homecare workers' experiences of tolerating and mitigating risk
Bibliographic Data
| ID | 11201484 |
|---|---|
| Authors | Annmarie Ruston (University of East Anglia), Tamara Backhouse (0000-0001-8194-4174, University of East Anglia, corresponding author) |
| Year | 2024 |
| Volume | 44 |
| Issue | 5 |
| Pages | 1073-1089 |
| Publication date | 2024-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Ageing and Society (JOURNAL) |
| Journal identifiers | ISSN: 0144-686X • E-ISSN: 1469-1779 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s0144686x22000575 |
| OpenAlex | W4281620097 |
| Language | EN |
| References cited | 32 |
Little is known about risk management in homecare for people with dementia. We aimed to gain an understanding of the ways in which homecare workers assess and manage risk whilst caring for people with dementia in their own homes. We conducted a qualitative interview study with 17 homecare workers assisting people with dementia with their personal care. Interviews were face-to-face, semi-structured, recorded and transcribed verbatim. Analysis was inductive and thematic. A key theme of risk was identified, with three main sources: the client as a source of risk to the homecare worker, the clients' home and behaviours as a risk to the client, and the wider health and social care system as a risk to both clients and homecare workers. Three interrelated aspects of risk were found to influence homecare workers' decision making and actions: homecare workers' perception of the level of risk, their perceived ability to control the risk and their tolerability of risk. The higher the perceived risk, the stronger the action taken by the worker or agency to mitigate it and the greater the impact on the client. To support effective development of this workforce there is a need to devise training that incorporates the use of tacit knowledge and experiential learning. Risk management policies for homecare should acknowledge and utilise the expertise, experiences and values of homecare workers
Business · Dementia · Disease · Perception · Qualitative research · Risk management · Risk perception · Thematic analysis · Workforce · Geriatric Care and Nursing Homes · Medicine · Nursing · Psychology · Resilience and Mental Health · Risk Perception and Management
The qualitative content analysis process
Therapeutic Landscapes
Uncertainty in everyday life
Experiential knowledge as a resource for coping with uncertainty
Risky and resilient life with dementia
Risk, anxiety and defensive action
Risks to home care workers
‘In-between’ and other reasonable ways to deal with risk and uncertainty
Risk and long-term conditions
Risk and Culture
Working with colleagues and other professionals when caring for people with dementia at the end of life
The meaning of risk-taking – key concepts and dimensions
Care in a Time of Austerity
Risk Assessment in Social Care and Social Work
Home‐care workers' experiences of assisting people with dementia with their personal care
I know they are not trained in dementia’
Home care workers discuss their work
What do family care-givers want from domiciliary care for relatives living with dementia? A qualitative study
The need for flexibility when negotiating professional boundaries in the context of home care, dementia and end of life
Questionable practices despite good intentions
Risk Management Paradigms in Health and Social Services for Professional Decision Making on the Long-Term Care of Older People
Risk and emotion
Understanding the conceptualisation of risk in the context of community dementia care
| Citation velocity | historical |
|---|---|
| Highly cited | No |