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Elderly Caregiving Quality Improvement: A Pilot Study of the Burdens of Vietnamese Caregivers in Taiwan

International journal of environmental research and public health, 2022-05, Vol.19 (10), p.6293 [Peer Reviewed Journal]

2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 by the authors. 2022 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph19106293 ;PMID: 35627833

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  • Title:
    Elderly Caregiving Quality Improvement: A Pilot Study of the Burdens of Vietnamese Caregivers in Taiwan
  • Author: Wu, Chang-Yu ; Li, Yu-Ying ; Lyver, Maurice J
  • Subjects: Aged ; Aging ; Asians ; Caregivers ; Caregivers - psychology ; COVID-19 ; COVID-19 - epidemiology ; Employment ; Female ; Health care ; Health education ; Humans ; Long term health care ; Long-term care ; Occupational health ; Older people ; Pandemics ; Patient safety ; Pilot Projects ; Population ; Quality control ; Quality Improvement ; Skills ; Society ; Strain ; Stress ; Taiwan ; Vietnam ; Workers
  • Is Part Of: International journal of environmental research and public health, 2022-05, Vol.19 (10), p.6293
  • Description: Taiwan is expected to reach super-aged status by 2026, leading to an increased demand for elderly caregiving services. Low local unemployment and a dwindling working-age population mean the island's care system relies heavily on female foreign domestic workers (FDWs) from Southeast Asian neighbors such as Vietnam to satisfy labor shortages. Although suggested by anecdotal evidence, limited research has been conducted on the link between the shortfall in FDW qualifications, training, preparedness, and expertise and their employment stressors. Therefore, this study aims to assist FDWs by evaluating their stressors and helping them better understand health care delivery by (1) administering the Modified Caregiver Strain Index (MCSI) revised 2003 questionnaire, (2) performing semi-structured in-depth one-on-one interviews, (3) classifying interview results according to thematic analysis, and (4) using these themes to devise and deliver a 12-week multilingual health education teach-back program. Our results indicate that Vietnamese FDWs face specific challenges, including language barriers, homesickness, intensive physical and psychological work demands, stress adaptation, and occupational exposures. Despite yielding no significant improvements in caregiving strain, our intervention, conducted at the height of the COVID-19 pandemic, pinpoints and classifies areas of grave concern and proposes recommendations that can assist long-term care (LTC) stakeholders in understanding and overcoming their respective challenges, thereby improving the quality of elderly care.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph19106293
    PMID: 35627833
  • Source: Geneva Foundation Free Medical Journals at publisher websites
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    PubMed Central
    Coronavirus Research Database
    ProQuest Central
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