This study examines learning in home care visits aimed at systematic facilitation of clients' physical mobility. Building on the theory of expansive learning, we ask what kinds of learning cycles may be identified in home care encounters charged with implementing the new Mobility Agreement practice, what kinds of interplay may be detected between…

Preliminary report on ethnographic research conducted by a team of 4 researchers from Poland in Scotland with the participation of group of economic, migrants from Poland in, employed legally in home-based care in Edinburgh & Livingston. The project was developed and undertaken from April 2017 to April 2018. The main research question was:…

This article explores how the perception of increasing professionalism of home health-care influences caregivers' experienced work engagement. A qualitative study including 24 interviews, 85 hours of observations and the think-aloud technique was applied in three Danish caregiving organizations. Using a consensual qualitative research approach,…

Purpose: The aim of this paper is to understand how the role of an mHealth artifact plays out in home care settings. An mHealth artifact, in terms of a mobile app, was tested to see how the quality of home care work practice was enhanced and changed. The research question is: In what ways does an mHealth artifact re-shape a home care practice and…

This article describes the R15, Academic Research Enhancement Award (AREA) mechanism available through the National Institutes of Health (NIH) for institutions that do not typically receive substantial NIH funding. Equipped with training received at the St. Scholastica National Institute on Social Work and Aging, I was able to secure AREA funding…

Purpose of the study: The primary aim of this investigation was to determine whether caregiver confidence in their care recipients' functional capabilities predicts changes in the performance of activities of daily living (ADL) among elderly home care recipients. A secondary aim was to explore how caregiver confidence and care recipient functional…

Purpose: The use of consumer-directed services is expected to grow in coming years, and paying family and friends is a key element of these home-based services. The goal of this study was to understand the careers of these "related workers" (family and friends) and their potential role in the long-term care workforce. Design and Methods:…

The Balanced Budget Act of 1997 (BBA) established new reimbursement systems in the Medicare home health fee-for-service benefit. Reimbursements were reduced to 1993 levels and per-beneficiary capitated limits were introduced for the first time. This article analyzes the impact of these changes on chronically ill older adults and their families.…

Purpose: The purpose of this study was to investigate the impact of wages and benefits (relative to other jobs available to workers), controlling for personal characteristics, on the recruitment and retention of providers working in a consumer-directed home care program. Design and Methods: I used the results of focus groups to design a survey…

Purpose: Although caregivers desire specific information about hospice programs, there is little descriptive information available. We characterized agencies that provide formal or informal hospice care in the United States according to four types of services considered important by caregivers: medications and treatments; rehabilitative care;…

Changing demographics and hospital downsizing have placed increasing demands on the home care sector. Many of those receiving in-home care are seniors whose chronic conditions require a collaborative approach. Both providers' paternalistic orientations toward senior clients and seniors' passivity within provider-client interactions have the…

Purpose: As funds have increased for the provision of in-home care, so too have concerns about the quality of services. In response, care management agencies and home-care providers have developed an array of monitoring activities designed to ensure the quality of services. In this article, we show how an area agency on aging both collected and…

Conducted interviews with 54 home care clients (over half of whom were age 60+) and their home health aides and personal care attendants. Interviews revealed home care relationships tended to be both formal and informal, in that job responsibilities tend to be diffusely defined and home care workers often became involved in the…

This article identifies home care practitioners' perceptions of the responsibilities, difficulties, and needs for support of caregivers. It is based on a study undertaken in Quebec with 55 practitioners and 10 administrators from 10 CLSCs located in rural, urban, and metropolitan areas. The study had a qualitative, multiple-case design and used…

According to the dialectical model, the well-being of the older care recipient, the informal caregiver, and the professional care provider mutually affect each other. Particularly, the caregiver's strain can affect the care recipient's well-being both positively and negatively. Moreover, the task-specific model suggests that as social workers are…