Health care workers' self-perceived meaning of residential care work

• Published in: BMC health services research 2024-06, Vol.24 (1), p.766-11, Article 766
• Main Authors: Yau, Sui Yu, Lee, Yin King Linda, Li, Siu Yin Becky, Law, Sin Ping Susan, Lai, Sze Ki Veronica, Huang, Shixin
• Format: Article
• Language: English
• Subjects: Activities of daily living; Adult; Aged; Aging; Analysis; Attitude of Health Personnel; Beliefs, opinions and attitudes; Care and treatment; Career development planning; Careers; Chronic illnesses; Employee motivation; Employee turnover; Employees; Female; Health care; Health care work; Health Personnel - psychology; Hong Kong; Humans; Information management; Interviews as Topic; Job Satisfaction; Long-term care; Long-Term Care - psychology; Long-term care of the sick; Long-term care workforce; Male; Meaning of work; Medical personnel; Methods; Middle Aged; Motivation; NGOs; Nongovernmental organizations; Nurses; Occupational health; Older people; Qualitative Research; Residential Facilities; Self Concept; Social policy; Well being; Workers; Workforce; Working conditions
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-024-11218-2

Attracting and supporting a sustainable long-term care (LTC) workforce has been a persistent social policy challenge across the globe. To better attract and retain a sustainable LTC workforce, it is necessary to adopt a unified concept of worker well-being. Meaning of work is an important psychological resource that buffers the negative impacts of adverse working conditions on workers' motivation, satisfaction, and turnover intention. The aim of this study was to explore the positive meaning of care work with older people and its implications for health care workers' job satisfaction and motivation to work in the LTC sector. This study adopted a qualitative descriptive design that pays particular attention to health care workers; such as nurses, personal care workers; as active agents of the meaning making and reframing of care work in LTC communities in a East Asia city. In-depth semi-structured interviews were conducted with thirty health care workers in LTC communities in Hong Kong. Thematic analysis was employed for data analysis. The research findings indicate that while health care workers perform demanding care work and experience external constraints, they actively construct positive meanings of care work with older people as a helping career that enables them to facilitate the comfortable aging of older people, build affectional relationships, achieve professional identity, and gain job security. This qualitative study explores how health care workers negotiate the positive meaning of older people care work and the implications of meaningful work for workers' job satisfaction and motivation to work in the LTC sector. The importance of a culturally sensitive perspective in researching and developing social policy intervention are suggested.