Experiences of live-in migrant caregivers providing long-term care for older adults at home: A qualitative systematic review and meta-ethnography

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2025-02-01 DOI:10.1016/j.ijnurstu.2025.105019

Charlene Shihui LEE , Jessica Syn Yin TAN , Shawn Yong-Shian GOH , Ken Hok Man HO , Roger Yat-nork CHUNG , Ee Yuee CHAN , Sok Ying LIAW , Betsy SEAH

{"title":"Experiences of live-in migrant caregivers providing long-term care for older adults at home: A qualitative systematic review and meta-ethnography","authors":"Charlene Shihui LEE , Jessica Syn Yin TAN , Shawn Yong-Shian GOH , Ken Hok Man HO , Roger Yat-nork CHUNG , Ee Yuee CHAN , Sok Ying LIAW , Betsy SEAH","doi":"10.1016/j.ijnurstu.2025.105019","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Live-in migrant caregivers have been employed in various developed countries to meet the growing demands of long-term care needs for older adults. Increasingly, nurses in these countries are involved in providing caregiving training to these live-in migrant caregivers. A comprehensive understanding of the caring experiences of these live-in migrant caregivers can better support their caregiving experiences and improve their quality of care.</div></div><div><h3>Aim</h3><div>To synthesise the experiences of live-in migrant caregivers for older adults requiring long-term home care.</div></div><div><h3>Design</h3><div>Qualitative systematic review using meta-ethnography.</div></div><div><h3>Methods</h3><div>PubMed, CINAHL, Embase, Google Scholar, PsycINFO, Scopus, ProQuest and Web of Science Core Collection were searched from inception to November 2024. Qualitative studies that explored the experiences of migrant caregivers providing live-in care to older adults requiring long-term care were included. Two reviewers screened the articles according to the eligibility criteria, appraised the articles using the Critical Appraisal Skills Programme Tool, and extracted qualitative data independently. Data synthesis was performed using Noblit and Hare's meta-ethnography.</div></div><div><h3>Results</h3><div>Five themes emerged from the 14 included studies: beyond caring for the older adult, compromising basic rights, being away, coping strategies, and being a better caregiver. These themes contributed to the overall line-of-argument synthesis: ‘Treat me as a human being’ so that I can grow and ‘give my all’ — beyond a transactional paid job to provide care. The synthesis revealed the vulnerabilities, challenges, opportunities, and capacity development encountered by live-in migrant caregivers in unleashing their potential to be better caregivers.</div></div><div><h3>Conclusion</h3><div>The findings highlighted the complexities of care intertwined in social structural bounded relationships between live-in migrant caregivers, older care recipients, and employers. Greater advocacy is needed to embrace live-in migrant workers as valued care providers of the eldercare workforce. Nurses have a role in promoting the development, delivery, uptake, and evaluation of structured, culturally contextualised and comprehensible long-term care training programs for live-in migrant caregivers and their employers. Significant opportunities could be provided to equip live-in migrant workers in caregiving roles, ensure and allocate time to rest, communicate their caregiving needs and moderate employers' expectations. Enhancing the quality of caregiving, improving their intertwined relationships and exercising cultural sensitivity contribute to better caregiving experiences and well-being for older adults, migrant caregivers, and employers.</div></div><div><h3>Registration and reporting checklist</h3><div>The study protocol of this review was registered in PROSPERO (CRD42023392767). The eMERGE meta-ethnography guideline was adhered to.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105019"},"PeriodicalIF":7.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0020748925000288","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Live-in migrant caregivers have been employed in various developed countries to meet the growing demands of long-term care needs for older adults. Increasingly, nurses in these countries are involved in providing caregiving training to these live-in migrant caregivers. A comprehensive understanding of the caring experiences of these live-in migrant caregivers can better support their caregiving experiences and improve their quality of care.

Aim

To synthesise the experiences of live-in migrant caregivers for older adults requiring long-term home care.

Design

Qualitative systematic review using meta-ethnography.

Methods

PubMed, CINAHL, Embase, Google Scholar, PsycINFO, Scopus, ProQuest and Web of Science Core Collection were searched from inception to November 2024. Qualitative studies that explored the experiences of migrant caregivers providing live-in care to older adults requiring long-term care were included. Two reviewers screened the articles according to the eligibility criteria, appraised the articles using the Critical Appraisal Skills Programme Tool, and extracted qualitative data independently. Data synthesis was performed using Noblit and Hare's meta-ethnography.

Results

Five themes emerged from the 14 included studies: beyond caring for the older adult, compromising basic rights, being away, coping strategies, and being a better caregiver. These themes contributed to the overall line-of-argument synthesis: ‘Treat me as a human being’ so that I can grow and ‘give my all’ — beyond a transactional paid job to provide care. The synthesis revealed the vulnerabilities, challenges, opportunities, and capacity development encountered by live-in migrant caregivers in unleashing their potential to be better caregivers.

Conclusion

The findings highlighted the complexities of care intertwined in social structural bounded relationships between live-in migrant caregivers, older care recipients, and employers. Greater advocacy is needed to embrace live-in migrant workers as valued care providers of the eldercare workforce. Nurses have a role in promoting the development, delivery, uptake, and evaluation of structured, culturally contextualised and comprehensible long-term care training programs for live-in migrant caregivers and their employers. Significant opportunities could be provided to equip live-in migrant workers in caregiving roles, ensure and allocate time to rest, communicate their caregiving needs and moderate employers' expectations. Enhancing the quality of caregiving, improving their intertwined relationships and exercising cultural sensitivity contribute to better caregiving experiences and well-being for older adults, migrant caregivers, and employers.

Registration and reporting checklist

The study protocol of this review was registered in PROSPERO (CRD42023392767). The eMERGE meta-ethnography guideline was adhered to.

查看原文本刊更多论文

居住在家里的移民看护者为老年人提供长期护理的经验：定性系统回顾和元人种志

为了满足日益增长的老年人长期护理需求，许多发达国家都雇佣了住家的移民看护者。这些国家的护士越来越多地参与为这些住家移徙护理人员提供护理培训。全面了解这些外来留宿照顾者的护理体验，可以更好地支持他们的护理体验，提高他们的护理质量。目的综合需要长期居家照顾的老年人的外来住家照顾者的经验。设计：使用元民族志的定性系统评价。方法检索spubmed、CINAHL、Embase、谷歌Scholar、PsycINFO、Scopus、ProQuest和Web of Science Core Collection自成立至2024年11月。质性研究探讨了移民照顾者为需要长期照顾的老年人提供住家照顾的经验。两位审稿人根据入选标准筛选文章，使用Critical evaluation Skills program Tool对文章进行评价，并独立提取定性数据。使用Noblit和Hare的元人种志进行数据综合。结果从14项纳入的研究中得出了五个主题：超越照顾老年人，妥协基本权利，离开，应对策略，做一个更好的照顾者。这些主题促成了整个论点的综合：“把我当作一个人来对待”，这样我就可以成长，并“付出我的一切”——而不仅仅是提供一份事务性的带薪工作。这份综合报告揭示了居住移民照料者在释放他们成为更好照料者的潜力方面所遇到的脆弱性、挑战、机遇和能力发展。结论：研究结果强调了居住在移民照顾者、老年照顾者和雇主之间的社会结构约束关系中护理的复杂性。需要加大宣传力度，让住在家里的移民工人成为老年人护理队伍中有价值的护理提供者。护士在促进为住家移民照顾者及其雇主制定、实施、吸收和评估结构化、文化背景化和可理解的长期护理培训计划方面发挥着作用。可以提供重要的机会，使住家移徙工人具备照顾角色，确保和分配休息时间，沟通他们的照顾需求，并调节雇主的期望。提高护理质量，改善他们相互交织的关系，并锻炼文化敏感性，有助于改善老年人、移徙护理人员和雇主的护理体验和福祉。本综述的研究方案已在PROSPERO注册（CRD42023392767）。遵循eMERGE元人种志指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).