Evanne Juratovac1, Jaclene A Zauszniewski2. 1. Case Western Reserve University, Cleveland, Ohio. Electronic address: evanne.juratovac@case.edu. 2. Case Western Reserve University, Cleveland, Ohio.
Abstract
BACKGROUND: Women provide care for elderly family members while managing their other responsibilities, including full-time employment. METHODS: This descriptive study used an inductively derived workload-effort-health theoretical model to examine workload, effort, and health among 46 full-time employed family caregivers [CG] of community-dwelling older adults from a larger, nonprobability, cross-sectional sample of 110 CGs. FINDINGS: The women's caregiving workload (time, difficulty, care recipient's [CR] function), effort (perceived exertion of energy experienced in doing a workload), self-assessed health [SAH], depressive symptoms, and sources of help were richly described, and several associations were found, including higher physical and mental effort, were significantly correlated with higher workload time and difficulty and lower CR function, but not SAH. Higher mental effort and workload, and poorer SAH were significantly correlated with high depressive symptoms. Worse effort, workload, and health experiences were reported by daughters and by women who lived with their CR; those who did not have family or formal caregiving help had higher mental effort and were more depressed, suggesting an area for further study. CONCLUSIONS: Suggestions are offered for richer measurement of employment status, caregiving workload, and effort. Findings provide a unique profile of full-time employed women CGs' workload, effort (that is, how they do the work), and health, toward a stronger understanding of how women manage multiple workloads. Workplace policies are needed to address workload, effort and health in this informal caregiving workforce.
BACKGROUND:Women provide care for elderly family members while managing their other responsibilities, including full-time employment. METHODS: This descriptive study used an inductively derived workload-effort-health theoretical model to examine workload, effort, and health among 46 full-time employed family caregivers [CG] of community-dwelling older adults from a larger, nonprobability, cross-sectional sample of 110 CGs. FINDINGS: The women's caregiving workload (time, difficulty, care recipient's [CR] function), effort (perceived exertion of energy experienced in doing a workload), self-assessed health [SAH], depressive symptoms, and sources of help were richly described, and several associations were found, including higher physical and mental effort, were significantly correlated with higher workload time and difficulty and lower CR function, but not SAH. Higher mental effort and workload, and poorer SAH were significantly correlated with high depressive symptoms. Worse effort, workload, and health experiences were reported by daughters and by women who lived with their CR; those who did not have family or formal caregiving help had higher mental effort and were more depressed, suggesting an area for further study. CONCLUSIONS: Suggestions are offered for richer measurement of employment status, caregiving workload, and effort. Findings provide a unique profile of full-time employed women CGs' workload, effort (that is, how they do the work), and health, toward a stronger understanding of how women manage multiple workloads. Workplace policies are needed to address workload, effort and health in this informal caregiving workforce.
Authors: Sara S Phillips; Daiva M Ragas; Nadia Hajjar; Laura S Tom; XinQi Dong; Melissa A Simon Journal: J Am Geriatr Soc Date: 2016-01 Impact factor: 5.562
Authors: Margaret L Longacre; Vivian G Valdmanis; Elizabeth A Handorf; Carolyn Y Fang Journal: J Gerontol B Psychol Sci Soc Sci Date: 2017-05-01 Impact factor: 4.077