Essential Long-Term Care Workers Commonly Hold Second Jobs and Double- or Triple-Duty Caregiving Roles.

dc.contributor.author

Van Houtven, Courtney Harold

dc.contributor.author

DePasquale, Nicole

dc.contributor.author

Coe, Norma B

dc.date.accessioned

2022-11-01T13:56:11Z

dc.date.available

2022-11-01T13:56:11Z

dc.date.issued

2020-08

dc.date.updated

2022-11-01T13:56:11Z

dc.description.abstract

Objectives

Long-term care (LTC) facilities are particularly dangerous places for the spread of COVID-19 given that they house vulnerable high-risk populations. Transmission-based precautions to protect residents, employees, and families alike must account for potential risks posed by LTC workers' second jobs and unpaid care work. This observational study describes the prevalence of their (1) second jobs, and (2) unpaid care work for dependent children and/or adult relatives (double- and triple-duty caregiving) overall and by occupational group (registered nurses [RNs], licensed practical nurses [LPNs], or certified nursing assistants [CNAs]).

Design

A descriptive secondary analysis of data collected as part of the final wave of the Work, Family and Health Study.

Setting

Thirty nursing home facilities located throughout the northeastern United States.

Participants

A subset of 958 essential facility-based LTC workers involved in direct patient care.

Measurements

We present information on LTC workers' demographic characteristics, health, features of their LTC occupation, additional paid work, wages, and double- or triple-duty caregiving roles.

Results

Most LTC workers were CNAs, followed by LPNs and RNs. Overall, more than 70% of these workers agreed or strongly agreed with this statement: "When you are sick, you still feel obligated to come into work." One-sixth had a second job, where they worked an average of 20 hours per week, and more than 60% held double- or triple-duty caregiving roles. Additional paid work and unpaid care work characteristics did not significantly differ by occupational group, although the prevalence of second jobs was highest and accompanying work hours were longest among CNAs.

Conclusion

LTC workers commonly hold second jobs along with double- and triple-duty caregiving roles. To slow the spread of COVID-19, both the paid and unpaid activities of these employees warrant consideration in the identification of appropriate clinical, policy, and informal supports. J Am Geriatr Soc 68:1657-1660, 2020.
dc.identifier.issn

0002-8614

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1532-5415

dc.identifier.uri

https://hdl.handle.net/10161/26142

dc.language

eng

dc.publisher

Wiley

dc.relation.ispartof

Journal of the American Geriatrics Society

dc.relation.isversionof

10.1111/jgs.16509

dc.subject

Humans

dc.subject

Pneumonia, Viral

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Coronavirus Infections

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Long-Term Care

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Caregivers

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Nurses

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Employment

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Occupations

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Nursing Homes

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Health Services Needs and Demand

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New England

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Female

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Male

dc.subject

Pandemics

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Licensed Practical Nurses

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Work-Life Balance

dc.subject

Betacoronavirus

dc.subject

Nursing Assistants

dc.subject

COVID-19

dc.subject

SARS-CoV-2

dc.title

Essential Long-Term Care Workers Commonly Hold Second Jobs and Double- or Triple-Duty Caregiving Roles.

dc.type

Journal article

duke.contributor.orcid

Van Houtven, Courtney Harold|0000-0002-0783-1611

pubs.begin-page

1657

pubs.end-page

1660

pubs.issue

8

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

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Basic Science Departments

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Duke - Margolis Center for Health Policy

pubs.publication-status

Published

pubs.volume

68

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