Conference Agenda

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Session Overview
RN01_10a_P: Elder Care
Friday, 01/Sep/2017:
2:00pm - 3:30pm

Session Chair: Areti L. Efthymiou, Cyprus University of Technology
Location: PE.6.41
PANTEION University of Social & Political Sciences 136 Syggrou Avenue 17671 Athens, Greece Building: E, Level: 6.

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Should I stay or should I go? Nurses’ motivations for working in elderly care services

Heidi Gautun1, Christopher Bratt2

1Oslo and Akershus University College of Applied Sciences, Norway; 2University of Kent

Aim: Most modern countries encounter increased demands for skilled staff in health- and social services, resulting in stronger competition between health sectors for skilled employees. Several studies have documented that elderly care has difficulties recruiting skilled employees, but whether employees plan to stay in their jobs has received little attention.  We investigate to what extent nurses in the Norwegian elderly care consider changing workplace and working outside elderly care. And what reasons do those wanting to quit report? 

Data: A nationwide survey conducted among 4,945 nurses working in nursing homes and home- care services in Norway in 2016. 

Results: About 90 percent of the nurses indicated that the most important motivation for starting to work in elderly care was a desire to contribute to the patients’ wellbeing, and that they perceived working with older and chronically ill patients as meaningful.  Still, 50 percent considered quitting work in these services. The main reason indicated was that their department had too few employees trained for working in health services, resulting in a stressful work environment with too little time to give patients adequate service.

Conclusion: In addition to improving the recruitment of employees, it is crucial to develop methods that motivate skilled employees to remain as workers in the elderly care. 

Care poverty among older people in Finland: A Nordic country facing the risk of unmet care needs

Jiby Mathew Puthenparambil, Teppo Kröger

University of Jyväskylä, Finland

Nordic care systems have recently been under major transformations, as publicly funded services have become targeted more strictly, leaving many older people without support. Simultaneously, for-profit provisions have emerged and grown rapidly. Consequently, new inequalities have emerged: private care service use has increased among well-off older people and family care in low-income groups.

Due to gaps left by shrinking public care services, some older people might not receive the support they need. Having unmet care needs is here examined through the new concept of care poverty, that is, care needs that are not covered adequately. The extent of care poverty and its predictors among the 75+ population are analysed with questionnaire data from Finland, gathered in 2010 (N=1464) and 2015 (N=1474). The results show that there is a specific group of older people in Finland who have a clear risk of ending in care poverty, despite the continuing universalist orientation of the public care system. The analysis shows how the recent transformation of the care service system has contributed to the emergence of care poverty among older people in a Nordic context. The results are compared to international findings concerning the level of unmet care needs in other welfare states.

”If we are nice to each other we’ll make it” - a follow-up study on elderly care recipients’ experiences of informal care in a Finnish context

Sarah Åkerman, Fredrica Nyqvist, Mikael Nygård

Åbo Akademi University, Finland

Finland is characterized as a Nordic welfare state with mainly publicly financed and publicly provided social and health care services available to all according to need rather than ability to pay. Eldercare has generally been carried out within public homecare or institutional care. However, due to demographic, economic and political changes, active ageing and ageing in place are increasingly highlighted as well as marketization, increased privatization and refamilisation of eldercare. Refamilisation refers to the shift of care responsibilities back to families, in other words more informal care. Previous research on informal care tends to focus on the caregivers, leaving the care recipients’ experiences understudied. This study contributes to the research in this field by presenting results from a follow-up interview study among Finnish informal care recipients aged 71-80. The aim of the study is to investigate elderly care recipients’ experiences of informal care overtime. The follow-up interviews were conducted in 2017, nearly two years after the initial interviews, using a qualitative semi-structured procedure followed by qualitative content analyses of the responses. The results from the baseline study showed that the care recipients appreciate informal care but worry about the future. In this follow-up study we expect to find increasing health problems and changes in the everyday lives of the care recipients. Our study provides in-depth knowledge on care recipients’ experiences of informal care and thus provide unique evidence on the virtues and possible shortcomings this care form may entail in a larger societal context.

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