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Job stressors among home care worker...

Delp, Linda.

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Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes./
Author:	Delp, Linda.
Description:	418 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0220.
Contained By:	Dissertation Abstracts International68-01B.
Subject:	Health Sciences, Occupational Health and Safety. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3247453

Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes.
Delp, Linda.

Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes. - 418 p.

Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0220.

Thesis (Ph.D.)--University of California, Los Angeles, 2006.

The need for long term care among the growing elderly population has stimulated interest in home care as a means to provide community-based services. This research examines conditions of work in California's In-Home Supportive Services Program (IHSS), the largest consumer-directed program in the country with over 200,000 predominantly female, ethnically diverse, low-wage workers. Data were analyzed from six focus groups with 71 Hispanic, African-American, Caucasian and Chinese workers and from 1,614 interviews with workers selected through a cross-sectional probability sample of English and Spanish speaking workers in Los Angeles County.Subjects--Topical Terms:

1017799
Health Sciences, Occupational Health and Safety.

Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes.
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100 1 $a Delp, Linda. $3 1917986
245 1 0 $a Job stressors among home care workers in California's consumer directed model of care: The impact on job satisfaction and health outcomes.
300 $a 418 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0220.
500 $a Adviser: Steven P. Wallace.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 2006.
520 $a The need for long term care among the growing elderly population has stimulated interest in home care as a means to provide community-based services. This research examines conditions of work in California's In-Home Supportive Services Program (IHSS), the largest consumer-directed program in the country with over 200,000 predominantly female, ethnically diverse, low-wage workers. Data were analyzed from six focus groups with 71 Hispanic, African-American, Caucasian and Chinese workers and from 1,614 interviews with workers selected through a cross-sectional probability sample of English and Spanish speaking workers in Los Angeles County.
520 $a Results demonstrate that home care workers experience emotional, physical, schedule-related and financial stressors from the demands of home care and that these stressors affect their health, level of fatigue and job satisfaction. Workers also experience pride and rewards from home care work, and are actively engaged in transforming some physical and emotional demands into satisfying labor. Support mediates the relationship between physical demands and fatigue as hypothesized in existing occupational stress models. Decision latitude, however, magnifies the negative effect of overtime on level of fatigue, suggesting that greater control may become a burden for workers who confront overwhelming demands with insufficient resources. Differences by gender, race/ethnicity and family provider-living arrangement remained significant after controlling for job stressors and warrant further investigation.
520 $a Results demonstrate the importance of policies to improve wages, benefits and working conditions for home care providers and highlight the critical lack of adequate health benefits, respite care and sick leave; the need to address job insecurity; and the inadequacy of authorized service hours for consumer care, forcing providers to work unpaid overtime hours to meet consumers' needs. Findings also highlight the importance of the union as a voice for workers in the policy arena and as a mechanism to provide instrumental and emotional support. These results have implications for research models used to examine conditions of home care and for policies to alleviate the demands of home care. They will be of particular interest to occupational stress and long term care researchers, policy makers, unions that represent home care workers, and others interested in consumer-directed models of care.
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790 1 0 $a Wallace, Steven P., $e advisor
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791 $a Ph.D.
792 $a 2006
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3247453