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Hospital Policies and Nurses’Attitudes in Israel towards Paid carers’ Tasks during Patient Hospitalization*

Published online by Cambridge University Press:  14 May 2014

Esther Iecovich ,
Barbara Rabin  and
Michal Penchak
Esther Iecovich*
Affiliation:
Department of Public Health and Gerontology, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Barbara Rabin
Affiliation:
Social Services, Sapir Medical Center, Israel
Michal Penchak
Affiliation:
Clalit Health Maintenance Organization, Israel
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to Esther Iecovich, Ph.D. Department of Public Health and Gerontology Ben-Gurion University of the Negev Beer-Sheva 84105, Israel (iecovich@bgu.ac.il)
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Abstract

Many hospitalized older patients are functionally dependent and, during their hospitalization, employ paid caregivers to perform various tasks. This study examined nurses’ attitudes regarding the tasks these care workers should or should not be allowed to perform in providing care during hospitalization, and the factors underlying nurses’ attitudes towards these paid carers. The study involved interviews of five key informants such as head nurses and medical directors in two general hospitals and surveys of 265 nurses in internal medicine and geriatric wards. Although no formal policies or guidelines existed with respect to the tasks that paid carers perform, most nurses believed that paid carers caregivers should be allowed to perform certain tasks except for those involving professional nursing. Hospital and nurses’ characteristics were significant in explaining nurses’ attitudes towards paid carers’ involvement with older care recipients. The study results indicate a need for explicit policies and practice guidelines for paid carers of older patients during hospitalization.

Résumé

Beaucoup de patients âgés hospitalisés sont fonctionellement dépendant et, pendant leur hospitalisation, ils emploient soignants rémunérés pour effectuer diverses tâches. Cette étude a examiné les attitudes des infirmières au sujet des tâches que les soignants doivent ou ne doivent pas être autorisés à jouer dans la prestation de soins durant l’hospitalisation, et les facteurs sous-jacents ces attitudes des infirmières vers les soignants rémunérés. L’étude a impliqué des interviews de cinq informateurs clés, tels que les infirmières en chef et les directeurs médicaux dans deux hôpitaux et des enquêtes sur 265 infirmières en médicine interne et gériatrie générale. Bien que pas de politiques ou directives formelles existent en ce qui concerne les tâches effectuées par les soignants rémunérés, la plupart des infirmières croyaient que les soignants rémunérés devraient être autorisés à effectuer certaines tâches, sauf pour celles qui entraînent soins infirmiers professionnels. Les caractéristiques des infirmières et des hôpitaux ont contribué à expliquer les attitudes des infirmières envers la participation des soignants remunérés avec les bénéficiaires âgés de soins. Les résultats de cette étude indiquent un besoin de politiques explicites et des orientations pratiques pour soignants rémunérés de patients âgés au cours de l’hospitalisation.

Keywords

aginghospitalnurse attitudesolder patientspaid carervieillissementhopitalles attitudes de l’infirmiereles patients plus agesles taches paye de soignant
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 33 , Issue 2 , June 2014 , pp. 185 - 195
Copyright
Copyright © Canadian Association on Gerontology 2014 

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Footnotes

*

This research was funded by the Israel National Institute for Health Policy Research.

References

Ayalon, L. (2009). Family and family-like interactions in households with round-the-clock paid foreign carers in Israel. Age & Ageing, 29(6), 671–686.CrossRefGoogle Scholar
Bellou-Milona, P., Iordanou, P., Kyriakidou, H., Andrea, S., Evagelou, H., & Konstandou, H. (2002). Family members involvement in their hospitalized patients care. ICUs & Nursing Web Journal, 12(October–December), 1–10. Retrieved 7 October 2013 from http://www.nursing.gr/index1.html.Google Scholar
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.Google Scholar
Bronfenbrenner, U. (1999). Environments in developmental perspective: Theoretical and operational models. In Friedman, S. L. & Wachs, T. D. (Eds.), Measuring environment across the life span: Emerging methods and concepts (pp. 3–28). Washington, DC: American Psychological Association Press.CrossRefGoogle Scholar
Cho, S. H., & Kim, H. R. (2006). Family and paid caregivers of hospitalized patients in Korea. Issues in Clinical Nursing, 15(8), 946–953.CrossRefGoogle ScholarPubMed
Cox, R., & Narula, R. (2003). Playing happy families: Rules and relationships in au pair employing households in London, England. Gender, Place and Culture, 10(4), 333–344.CrossRefGoogle Scholar
Eldar, R., & Eldar, E. (1984). A place for the family in hospital life. International Journal of Nursing, 31(2), 40–42.Google ScholarPubMed
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory; Strategies for qualitative research. Chicago, IL: Eldine.Google Scholar
Hemsley, B., Balandin, S., & Worrall, L. (2011a). Nursing the patient with complex communication needs: Time as a barrier and a facilitator to successful communication in hospital. Journal of Advanced Nursing, 68(1), 116–126.CrossRefGoogle Scholar
Hemsley, B., Balandin, S., & Worrall, L. (2011b). Nursing the patient with developmental disability in hospital: Roles of paid carers. Qualitative Health Research, 21(12), 1632–1642.CrossRefGoogle ScholarPubMed
Hui, J., Wenqin, Y., & Yan, G. (2012). Family-paid caregivers in hospital health care in China. Journal of Nursing Management, 21(8), 1026–1033. doi:10.1111/jonm.12017CrossRefGoogle ScholarPubMed
Iecovich, E. (2010). Tasks performed by primary caregivers and migrant live-in homecare workers in Israel. International Journal of Ageing and Later Life, 5(2), 53–75.CrossRefGoogle Scholar
Iecovich, E. (2012). The long-term care insurance law in Israel: Present and future. Journal of Aging and Social Policy, 24(1), 77–92. doi:10.1080/08959420.2012.628892CrossRefGoogle Scholar
Masttison, M., & Marcantonio, E. R. (2012). Hospital management of older adults. Retrieved 7 October 2013 fromhttp://www.uptodate.com/contents/hospital-management-of-older-adults.Google Scholar
McCluskey, A. (2000). Paid carers hold important and unexpected roles which contribute to the lives of people with brain injury. Brain Injury, 14(11), 943–957.CrossRefGoogle Scholar
Ministry of Health. (2010a). Statistical data. Jerusalem: Retrieved 27 March 2014 fromhttp://www.old.health.gov.il/Download/pages/Health_care.pdf.Google Scholar
Minstry of Health (2009). Enabling personal companions to perform personal care. Jerusalem. Retrieved 27 March 2014 from: http://www.health.gov.il/hozer/mk48_2009.pdf...[in Hebrew].Google Scholar
Ministry of Health. (2010b). Statistical data. Jerusalem: Author. Retrieved 27 March 2014 fromhttp://www.old.health.gov.il/download/docs/units/meida/manpower2010/7.pdf [in Hebrew].Google Scholar
Ministry of Health. (2012). 2011 report and goals for 2012. Jerusalem: Ministry of Health – Nursing Division. Retrieved 27 March 2014 fromhttp://www.health.gov.il/PublicationsFiles/nr_2011.pdf [in Hebrew].Google Scholar
Nolan, M. R., Davies, S., Brown, J., Keady, J., & Nolan, J. (2004). Beyond ‘person-centered’ care: A new vision for gerontological nursing. International Journal of Older People Nursing in Association with Journal of Clinical Nursing, 13(3a), 45–53.Google ScholarPubMed
Sapountzi-Krepia, D., Lavdaniti, M., Psychogiou, M., Arsenos, P., Paralikas, T., Triantafylidou, P., et al. (2008). Nursing staff shortage and in-hospital informal care in an oncology hospital in Greece: The nursing staff perceptions. International Journal of Nursing Practice, 14(3), 256–263.CrossRefGoogle Scholar
Sapountzi-Krepia, D., Raftopoulos, V., Sgantzos, M., Dimitriadou, A., Ntourou, I., & Sapes, G. (2006). Informal in-hospital care in a rehabilitation setting in Greece: An estimation of the nursing staff required for substituting this care. Disability and Rehabilitation, 28(1), 3–11.CrossRefGoogle Scholar
Silverstein, N. M., & Flaherty, G. (2012). Wandering in hospitalized older adults. Retrieved 27 March 2014 fromhttp://consultgerirn.org/uploads/File/trythis/try_this_d6.pdf Stessman, J. (2011). The committee for planning the national geriatric outline for 2010-2020 and 2020-2030. Jerusalem: Ministry of Health [in Hebrew].Google Scholar
Tolson, D., Smith, M., & Knight, P. (1999). An investigation of the components of best nursing practice in the care of acutely ill hospitalized older patients with co-incidental dementia: A multi-method design. Journal of Advanced Nursing, 30(5), 1127–1136.CrossRefGoogle Scholar
Werner, O., & Campbell, D. T. (1970). Translating, working through interpreters, and the problem of decentering. In Naroll, R. & Cohen, R. (Eds.), A handbook of method in cultural anthropology (pp. 398–420). New York: American Museum of Natural History.Google Scholar
Zisberg, A., Shadmi, E., Sinoff, S., Gur-Yaish, N., Srulovici, E., & Admi, H. (2011). Low mobility during hospitalization and functional decline in older adults. Journal of the American Geriatrics Society, 59(2), 266–273.CrossRefGoogle ScholarPubMed