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Characterizing the nature of home care work and occupational hazards: a developmental intervention study.

Authors
Markkanen-P; Quinn-M; Galligan-C; Sama-S; Brouillette-N; Okyere-D
Source
Am J Ind Med 2014 Apr; 57(4):445-457
NIOSHTIC No.
20043866
Abstract
Background: Home care (HC) aide is the fastest growing occupation, yet job hazards are under-studied. This study documents the context of HC aide work, characterizes occupational safety and health (OSH) hazards, and identifies preventive interventions using qualitative methods. Methods: We conducted 12 focus groups among aides and 26 in-depth interviews comprising 15 HC agency, union, and insurance company representatives as well as 11 HC recipients in Massachusetts. All focus groups and interviews were audio-recorded, transcribed, and coded with NVIVO software. Results: Major OSH concerns were musculoskeletal disorders from client care tasks and verbal abuse. Performing tasks beyond specified job duties may be an OSH risk factor. HC aides' safety and clients' safety are closely linked. Client handling devices, client evaluation, care plan development, and training are key interventions for both aides' and clients' safety. Conclusions: Promoting OSH in HC is essential for maintaining a viable workforce.
Keywords
Health-care; Health-care-personnel; Medical-care; Medical-personnel; Occupational-hazards; Safety-measures; Qualitative-analysis; Health-surveys; Musculoskeletal-system-disorders; Violence-prevention; Safety-equipment; Training; Task-performance; Risk-factors; Injury-prevention; Safety-climate; Author Keywords: home care; home healthcare; home care aides; occupational safety and health; preventive interventions; worker safety; patient safety
Contact
Pia Markkanen, Research Professor, Department of Work Environment, University of Massachusetts Lowell, One University Avenue, Lowell, MA 01854
CODEN
AJIMD8
Publication Date
20140401
Document Type
Journal Article
Email Address
pia_markkanen@uml.edu
Funding Type
Grant
Fiscal Year
2014
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008229; M032014
Issue of Publication
4
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
MA
Performing Organization
University of Massachusetts - Lowell
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