Health against the odds: Experiences of employees in elder care from a gender perspective

Qualitative Health Research

Volumn 20, Issue 9, 2010, Pages 1202-1212

  Elwér, Sofia ^a   Aléx, Lena ^a   Hammarström, Anne ^a  

^a UMEÅ UNIVERSITY   (Sweden)

Author keywords

Content analysis; Distress; Focus groups; Gender; Health experiences; Stress; Workplace

Indexed keywords

AGED; ARTICLE; CONTROL; FEMALE; HEALTH STATUS; HOME FOR THE AGED; HUMAN; JOB SATISFACTION; MALE; NURSING HOME; OCCUPATIONAL HEALTH; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; SEX DIFFERENCE; SWEDEN; WORKPLACE;

AGED; FEMALE; HEALTH STATUS; HOMES FOR THE AGED; HUMANS; INTERNAL-EXTERNAL CONTROL; JOB SATISFACTION; MALE; NURSING HOMES; OCCUPATIONAL HEALTH; QUALITATIVE RESEARCH; SEX FACTORS; SWEDEN; WORKPLACE;

EID: 77955571577     PISSN: 10497323     EISSN: 15527557     Source Type: Journal    
DOI: 10.1177/1049732310371624     Document Type: Article

References (50)

1. Acker, J. (1999). Gender and organizations. In J. Saltzman Chafets (Ed.), Handbook of the sociology of gender (pp. 177-194). New York: Kluwer Academic/Plenum.
2. Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass.
3. Bäckman, O. (2001). Med välfärdsstaten som arbetsgivare [With the welfare state as employer]. In Kommittén Välfä rdsbokslut [The Committee of Welfare Statements], Välfärdstjä nster i omvandling [Welfare duties in transformation]. (Swedish Governmental Report 2001: 52.)
4. Baum, F. (2003). The new public health: An Australian perspective. Oxford, UK: Oxford University Press.
5. Connell, R. (2002). Gender. Cambridge, MA: Polity Press.
6. Connell, R. (2006). Glass ceiling or gendered institutions? Mapping the gender regimes of public sector worksites. Public Administration Review, 66 (6). 837-849. doi:10.1111/ j.1540-6210.2006.00652.x
7. Crawford, R. (2006). Health as a meaningful social practice. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 10 (4). 401-420. doi:10.1177/1363459306067310
8. de Jonge, J., Le Blanc, P.M., Peeters, M.C., & Noordam, H. (2008). Emotional job demands and the role of matching job resources: A cross-sectional survey study among health care workers. International Journal of Nursing Studies, 45 (10). 1460-1469. doi:10.1016/j.ijnurstu.2007.11.002
9. Demakakos, P., Nazroo, J., Breeze, E., & Marmot, M. (2008). Socioeconomic status and health: The role of subjective social status. Social Science & Medicine, 67 (2). 330-340. doi:10.1016/j.socscimed.2008.03.038
10. Doyal, L. (1995). What makes women sick: Gender and the political economy of health. London: MacMillan Press.
11. Eriksen, W., Tambs, K., & Knardahl, S. (2006). Work factors and psychological distress in nurses' aides: A prospective cohort study. BMC Public Health, 6, 290. doi:10.1186/1471-2458-6-290 (Pubitemid 44912692)
12. Feng, C.K., Chen, M.L., & Mao, I.F. (2007). Prevalence of and risk factors for different measures of low back pain among female nursing aides in Taiwanese nursing homes. BMC Musculoskeletal Disorders, 8, 52. doi:10.1186/ 1471-2474-8-52
13. Fläckman, B., Hansebo, G., & Kihlgren, A. (2009). Struggling to adapt: Caring for older persons while under threat of organizational change and termination notice. Nursing Inquiry, 16 (1). 82-91. doi:10.1111/j.1440-1800. 2009.00434.x
14. Flanagan, N.A., & Flanagan, T.J. (2002). An analysis of the relationship between job satisfaction and job stress in correctional nurses. Research in Nursing & Health, 25, 282-294. doi:10.1002/nur.10042
15. Forssén, A.S.K., Carlstedt, G., & Mörtberg, C.M. (2005). Compulsive sensitivity-A consequence of caring: A qualitative investigation into women carer's difficulties in limiting their labours. Health Care for Women International, 28 (8). 652-671. doi:10.1080/07399330500177097
16. Graneheim, U.H., & Lundman, B. (2003). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10. 001
17. Grönblom-Lundström, L. (2001). Rehabilitation in light of different theories of health. Umeå, Sweden: Umeå University.
18. Guo, H.R. (2002). Working hours spent on repeated activities and prevalence of back pain. Occupational and Environmental Medicine, 59 (10). 680-688. doi:10.1136/oem.59.10.680
19. Gustafsson, R.Å...., & Szebehely, M. (2001). Women's health and changes in care for the elderly. In P. Östlin, M. Danielsson, F. Diderichsen, A. Härenstam, & G. Lindberg (Eds.), Gender inequalities in health. A Swedish perspective. Boston: Harvard School of Public Health.
20. Gustafsson, R. Å, & Szebehely, M. (2005). Arbetsvillkor och styrning i äldreomsorgens hierarki - En enkätstudie bland personal och politiker [Work conditions and control in the hierarchy of the elderly care]. Stockholm: Stockholm University.
21. Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A.L., & Kihlgren, M. (2004). To feel betrayed and to feel that you are betraying the older residents: Caregivers' experiences at a newly opened nursing home. Journal of Clinical Nursing, 13, 687-696. doi:10.1111/j.1365-2702.2004.00939.x
22. Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A.L., & Kihlgren, M. (2005). Work satisfaction and dissatisfaction- Caregivers' experiences after a two-year intervention in a newly opened nursing home. Journal of Clinical Nursing, 14, 9-19. doi:10.1111/j.1365-2702.2004.00977.x
23. Hasson, H., & Arnetz, J.E. (2008). Nursing staff competence, work strain, stress and satisfaction in elderly care: A comparison of home-based care and nursing homes. Journal of Clinical Nursing, 17 (4). 468-481. doi:10.1111/j.1365-2702.2006.01803.x
24. Hirdman, Y. (1994). Women-From possibility to problem? Gender conflict in the welfare state-The Swedish model (3). Stockholm: Arbetslivscentrum.
25. Ingvad, B. (2003). Omsorg och relationer. Om det känslomässiga samspelet i hemtj̈nsten [Caring and relations. About the emotional interplay in home-based professional caring]. Lund, Sweden: Lund University.
26. Kanter, R.M. (1977). Men and women of the corporation. New York: Basic Books.
27. Karasek, R.A., & Theorell, T. (1990). Healthy work: Stress, productivity and reconstruction of working life. New York: Basic Books.
28. Kidd, P.S., & Parshall, M.B. (2000). Getting the focus and the group: Enhancing rigor in focus group research. Qualitative Health Research, 10, 293-308. doi:10.1177/104973200129118453
29. Kitzinger, J. (1994). The methodology of focus groups: The importance of interaction between research participants. Sociology of Health & Illness, 16 (1). 103-121. doi:10.1111/1467-9566.ep11347023
30. Lloyd, L. (1999). The wellbeing of carers: An occupational health concern. In N. Daykin & L. Doyal (Eds.), Health and work critical perspectives. London: Macmillian Press.
31. Lovell, M. (2006). Caring for the elderly: Changing perceptions and attitudes. Journal of Vascular Nursing, 24 (1). 22-26. doi:10.1016/j.jvn.2005. 11.001
32. Mawn, B., Siqueira, E., Koren, A., Slatin, C., Devereaux Melillo, K., Pearce, C., & Hoff, L.A. (2010). Health disparities among health care workers. Qualitative Health Research, 20, 68-80. doi:10.1177/1049732309355590
33. Messing, K., & Östlin, P. (2006). Gender equality, work and health: A review of the evidence. Geneva: World Health Organization.
34. Morgan, D.L. (1996). Focus groups. Annual Review of Sociology, 22 (1). 129-152. doi:10.1146/annurev.soc.22.1.129
35. Morgan, D.L. (1998). The focus group guidebook. Thousand Oaks, CA: Sage.
36. Östlin, P. (2002). Examining work and its effects on health. In G. Sen, A. George, & P. Östlin (Eds.), Engendering international health. The challenge of equity. Cambridge, MA: MIT Press.
37. Pfefferle, S.G., & Weinberg, D.B. (2008). Certified nurse assistants making meaning of direct care. Qualitative Health Research, 18, 952-961. doi:10.1177/1049732308318031
38. Pörn, I. (1984). An equilibrium of health. In L. Nordenfeldt & B. Lindahl (Eds.), Health, disease and causal explanations in medicine (pp. 3-9). Dordrecht, Sweden: Reidel.
39. Ron, P. (2008). Relations between work stressors and well-being among nursing assistants in nursing homes. Aging Clinical and Experimental Research, 20 (4). 359-367.
40. Roth, J.E., & Coleman, C.L. (2008). Perceived and real barriers for men entering nursing: Implications for gender diversity. Journal of Cultural Diversity, 15 (3). 148-152.
41. Schaefer, J.A., & Moos, R.H. (1996). Effects of work stressors and work climate on long-term care staff's job morale and functioning. Research in Nursing & Health, 19 (1). 63-73. doi:10.1002/(SICI)1098-240X(199602)19: 1<63::AID -NUR7>3.0.CO;2-J
42. Shapira-Lishchinsky, O. (2009). Ethical dilemmas: The experiences of Israeli nurses. Qualitative Health Research, 19, 1602-1611. doi:10.1177/ 1049732309350730
43. Skeggs, B. (1997). Formations of class and gender: Becoming respectable. London: Sage.
44. Suominen, T., Savikko, N., Kiviniemi, K., Doran, D.I., & Leino-Kilpi, H. (2008). Work empowerment as experienced by nurses in elderly care. Journal of Professional Nursing, 24 (1). 42-45. doi:10.1016/j.profnurs.2007.06.005
45. Tronto, J.C. (1989). Women and caring: What can feminists learn about morality from caring? In A. M. Jaggar (Ed.), Gender/body/knowledge. New Brunswick, NJ: Rutgers University Press.
46. Trygdegård, G.B. (2005). Äldreomsorgspersonalens arbetsvillkor i Norden-En forskningsöversikt [Working conditions of elderly care employees in the Nordic countries-A review of the research]. In M. Szebehely (Ed.), Äldreomsorgsforskning i Norden. En kunskapsöversikt [Elderly care research in the Nordic countries. A review of the knowledge]. Copenhagen: Nordic Council of Ministers.
47. UMDAC & Division of Epidemiology and Public Health Sciences. (2007). Open Code (Version 3.4) [Software]. Retrieved from http://www.phmed.umu.se/ english/divisions/epidemiology/research/open-code/
48. Waerness, K. (1984). The rationality of caring. Economic and Industrial Democracy, 5, 185-211. doi:10.1177/0143831X8452003
49. Wiitavaara, B., Barnekow-Bergkvist, M., & Brulin, C. (2007). Striving for balance: A grounded theory study of health experiences of nurses with musculoskeletal problems. International Journal of Nursing Studies, 44 (8). 1379-1390. doi:10.1016/j.ijnurstu.2006.07.009
50. World Health Organization. (2001). Macroeconomics and health: Investing in health for economic development. Report of the commission on macroeconomics and health. Geneva: Author.