Paid Informal Caregivers’ Management of Older Adults’ Health Demands: Implication for Social Work Professionals in Contemporary Nigerian Society

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Jacinta C. Ene, Agha A. Agha, Samuel O. Ebimgbo, Chinyere E. Onalu, Paulinus S. Okah, Prince C. Ekoh
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Abstract

Oftentimes, older adults experience a decline in health as they age. In Nigeria and other African countries, caregiving for older adults is usually a filial responsibility. With the decline in health and increasing demand for care, family members often require the assistance of paid informal caregivers. These are unskilled workers, extended relations and personal care attendants who shoulder the responsibility of providing services to older adults whose family members are not able to provide regular caregiving. This study explored paid informal caregivers’ management of older adults’ health demands and its implication for social work professionals in contemporary Nigerian society. The study employed a qualitative research method. Focus Group discussions (FGDs) were utilized to elicit data from 48 participants residing in Enugu State, Nigeria. Data was coded into parent and child notes. An inductive coding approach was adopted to provide meaning to the coded data as we studied the transcripts. Codes with similar characteristics were grouped thematically. We found that various challenges experienced by paid informal caregivers in the management of older adults’ health demands were gender preference, age, health status of older adults and low financial reward. The reward received is not commensurate with the provided services and so they experience burden, stress and unsatisfied life. It was also found that paid informal caregivers adopt inadequate coping strategies and have no knowledge of health apparatus utilized in care management, owing to lagging care support. It is essential to revitalize the traditional community-based care system since care for older adults is gradually eroding to paid informal caregivers in contemporary Nigerian society. This is a clear indication that care for older adults is threatened. There is a need for social work professionals to work in collaboration with families and caregivers in various community settings. Overall, adequate health policy consideration should be given to all older adults in Nigeria.

有偿非正规护理人员对老年人健康需求的管理:对当代尼日利亚社会中社会工作专业人员的启示
随着年龄的增长,老年人的健康状况往往会下降。在尼日利亚和其他非洲国家,照顾老年人通常是一项孝道责任。随着健康状况的下降和护理需求的增加,家庭成员往往需要有偿非正规护理人员的帮助。这些人是非熟练工人、亲戚和个人护理员,他们肩负着为家庭成员无法提供定期护理的老年人提供服务的责任。本研究探讨了有偿非正规护理人员对老年人健康需求的管理及其对当代尼日利亚社会中社会工作专业人员的影响。研究采用了定性研究方法。通过焦点小组讨论(FGDs),从居住在尼日利亚埃努古州的 48 名参与者那里获得了数据。数据被编入家长和儿童的笔记中。在研究记录誊本时,我们采用了归纳编码法,为编码数据提供意义。对具有相似特征的编码进行了主题分组。我们发现,有偿非正规照顾者在管理老年人的健康需求时遇到的各种挑战包括性别偏好、年龄、老年人的健康状况和经济报酬低。获得的报酬与提供的服务不相称,因此他们会感到负担、压力和生活不满意。研究还发现,由于护理支持滞后,有偿非正规护理人员采取的应对策略不足,并且不了解护理管理中使用的健康仪器。在当代尼日利亚社会中,对老年人的护理正逐渐被有偿的非正规护理人员所取代,因此必须振兴传统的社区护理系统。这清楚地表明,对老年人的护理受到了威胁。社会工作专业人员有必要在各种社区环境中与家庭和护理人员合作。总之,应充分考虑尼日利亚所有老年人的健康政策。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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