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Dual Caregiving and Mental Health Among Long-Term Care Nursing Assistants: The Moderating Role of Social Support.
Liu, Yen-Ling; Pien, Li-Chung; Liu, Guang-Hsing; Chen, Tsung-Po; Lin, Yun-Ping; Lin, Cheng-Li; Cheng, Wan-Ju.
Afiliación
  • Liu YL; School of Nursing, China Medical University, Taichung, Taiwan.
  • Pien LC; Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
  • Liu GH; Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
  • Chen TP; Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan.
  • Lin YP; Department of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
  • Lin CL; School of Nursing, China Medical University, Taichung, Taiwan.
  • Cheng WJ; Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
J Adv Nurs ; 2024 Sep 15.
Article en En | MEDLINE | ID: mdl-39278664
ABSTRACT

AIM:

To investigate the association of long-term care nursing assistants' dual caregiving roles with mental health and to determine whether social support moderates this relationship.

DESIGN:

A cross-sectional survey.

METHODS:

We surveyed 962 certified long-term care nursing assistants working in long-term care and medical facilities across Taiwan from October 2022 to July 2023. 'Dual caregiving roles' denote the fulfilment of caregiving duties both at work and within families. Mental health was evaluated using the 5-item Brief Symptom Rating Scale. Logistic regression analysis was utilized to investigate the association of dual caregiving roles and psychological job demands with poor mental health. Moreover, we explored whether family, colleague, and supervisor support moderated the association between dual caregiving roles and poor mental health.

RESULTS:

Among long-term care nursing assistants, 15% had dual caregiving responsibilities. Individuals with both dual caregiving roles and high psychological job demands faced the highest risk of poor mental health compared to those without dual caregiving roles and low psychological job demands. Having dual caregiving roles was associated with poor mental health compared to workers without such roles. Additionally, support from family, colleagues, and supervisors mitigates the association between caregivers' dual caregiving roles and poor mental health.

CONCLUSION:

A substantial proportion of long-term care nursing assistants had dual caregiving roles, leading to an additional mental health burden when combined with high psychological job demands. High social support attenuated this association. IMPLICATIONS FOR THE PROFESSION Long-term care nursing assistants with dual caregiving roles had poorer mental health outcomes. Yet, support from family, colleagues, and supervisors mitigated these effects. These results emphasize the importance of enhancing social support to protect the mental well-being of long-term care nursing assistants managing both formal and informal caregiving duties. REPORTING

METHOD:

This study adheres to the STROBE guideline of reporting. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Adv Nurs Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Adv Nurs Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido