Paper
Wednesday, July 11, 2007
This presentation is part of : Leadership Strategies to Implement EBN
Administrative Support of the Employee with Informal Caregiving Responsibilities
Cheryl Novak Lindy, PhD, RN, Nursing & Patient Education & Research, St. Luke's Episcopal Hospital, Houston, TX, USA
Learning Objective #1: Describe the negative and positive aspects of combining employment and informal caregiving responsibilities
Learning Objective #2: Discuss strategies to support employees with dual responsilities of employment and informal caregiving

ADMINISTRATIVE SUPPORT OF THE EMPLOYEE WITH INFORMAL CAREGIVING RESPONSIBILITIES 

In the United States, it is estimated that about 21% of the adults provide unpaid care to a family member or friend annually who is chronically ill, disabled, or aged. With 59% of these adults employed either full time or part time, administrators need to acquire an understanding of the phenomenon and develop strategies to support employees who may have competing demands on their physical, psychological, social and fiscal resources. The purpose of this phenomenological qualitative study was to explore the lived experiences of people who combine compensated employment and caregiving responsibilities. The research question addressed by this study was: What are the lived experiences of employed adults with dependent adult caregiving responsibilities? The participants’ perceived benefits and negative aspects of caregiving responsibilities when combined with compensated employment were examined.

Few studies were found that described the positive and negative experiences of people combining employment and caregiving. Fifteen women who in the past 12 months had provided care to a relative with a chronic physical or mental illness and were employed participated in this study. Through semi-structured interviews, the women talked about their experiences. The interview transcripts were analyzed using Colaizzi (1978) qualitative phenomenological method. Using the participants’ own words, seven themes were identified that included 1) doing what you have to do, 2) exhausted, 3) depression and frustration, 4) isolation, 5) personal rewards, 6) feeling torn, and 7) care coordinator and work flexibility. This study found that there are both positive and negative aspects of combining compensated employment and caregiving responsibilities. Implications for administrators include: 1) assessment of the employees for signs and symptoms of exhaustion and depression, 2) flexible work schedules, and 3) employer benefits to include assistance with care coordination, respite, and financial planning.