lCare Work in Europe Current Understandings and Future Directions
WP5 Literature review since 1990 on quality, job satisfaction and gender issues in the care work force. NETHERLANDS
Hans van Ewijk Harry Hens Gery Lammersen Netherlands Institute of Care and Welfare / NIZW
Utrecht September 2002
2. Quality of services 2.1 Introduction and summary 2.2 Attention for quality systems and the reason of using quality systems 2.3 Quality systems, manuals and guidebooks. 2.4 Using quality systems 2.5 What about the increase of quality?
3. Job satisfaction 3.1 Introduction and summary 3.2 General facts 3.3.1 Absenteeism 3.3.2 Workload and working hours 3.3.3 Problems in the different areas of care work 3.3.4 Agression and violence 3.3.5 Occupational disability 3.3.6 Measuremenyts for improvement
3.3 Integrated model
3.3.1 Quality of working life among home helps 3.3.2 Recommendations for practise
4. Care and gender 4.1 Introudction and summary 4.2 Between socialisation and choice 4.3 The reduction of female values 4.4 Attention for gender aspects 4.5 Paradoxes in (informal) care
5. Recruitment and retention 5.1 Introduction and summary 5.2 Some main facts and figures about demand and supply of care workers 5.3 Recruitment 5.3.1 Students at secondary schools 5.3.2 Students in the vocational education system 5.3.3 Specific groups 5.3.4 The qualitative match between demand an supply of care workers
5.4 Retention and turn-over
5.4.1. Limited mobility 5.4.2 Reasons for absenteeism and opting out
5.5 Strategies to recruit and retain care workers
5.5.1 Images 5.5.2 Recruitment strategies 5.5.3 Retention strategies
References Appendix I Overview of the most important acts and actors in the field of labour conditions Appendix II Abstracts from the main literature from the Netherlands
Hereby we present the third national report in the research project Care Work in Europe, Current Understandings and Future Directions. In this report we will give an overview of how care workers and their conditions has been described in Dutch literature during the last decade. Even as was the case in the first two reports care is focussed on childcare, youth care, and long term care for the disabled, chronically ill, frail elderly and some specific groups. While we tried to be as complete and accurate as possible, we noticed that one of the problems in comparing the different researches is the fact that the researches are aimed at (often slightly) different fields. Another problem is the fact that we lack reliable information on precise numbers of care workers, services and budgets1. In the report we discuss four main subjects: quality of organisations; job satisfaction; care and gender; and recruitment and retention. In a later stage it was decided to treat the last subject recruitment and retention – in the work-package report 4 ‘Surveying demand, supply and use of care’ . Despite this overlap we decided to remain this chapter in the report. Chapter 2 is on the issue ‘quality and care’. Since 1990 we find over 300 Dutch publications about this subject. On the more specific issue ‘quality of services’ reports about quality systems, quality activities and the relation with the quality of the care services are found. Reports describe quality activities in the sector care, welfare and health care and sub sectors like nursery homes or home care. A few reports deal with the quality of services, evaluate by their clients. Chapter 3 deals with job satisfaction. After discussing some literature and research about general items as workload, absenteeism, occupational disablity etcetera, we pay attention to study in which an integrated model is presented for analysing and assessing the pyschological and physical outcomes of working in care. In chapter 4 we discuss the subject of gender aspects in care. These issues are often debated in Dutch publications but not systemically...
See NIZW, Hans van Ewijk, Surveying demand, supply and use of care; wp4 The Netherlands, Utrecht, 2002
As stated before the reason for using a quality system is to improve the efficiency of the organisation and to strength the client centered care (Sluijs et al, 1994).
Stress results are also evident with family guardians (Bouwens, 1997)
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