Caregiving experiences and relationships among migrant care workers, older care recipients, and employer families: a scoping review

移民护理人员、老年被护理者及其雇主家庭的照护经历和关系:一项范围界定综述

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Abstract

BACKGROUND AND OBJECTIVES: This scoping review explored caregiving experiences and relationships among migrant home care workers, older adult care recipients and employer families, with the aim of analyzing the nature and extent of these relationships and understanding the factors that influence caregiving dynamics. RESEARCH DESIGN AND METHODS: The review was conducted in accordance with Arksey and O'Malley's scoping review framework. The researchers searched WoS Core Collection, Scopus, Pubmed, EBSCOhost: Psychology and Behavioral Sciences, EBSCOhost: PsycArticles, EBSCOhost: PsycInfo databases, and Google Scholar. Inclusion criteria were (a) articles reporting a research study; (b) articles focusing on triadic or dyadic caregiving relationships and experiences involving the migrant home care worker and/or the older care recipient and/or the employer family; (c) articles focusing on transnational migrant care workers; (d) articles published since 2013; and (e) articles written in English or Spanish. The researchers screened a total of 637 records, and 38 articles met the inclusion criteria. RESULTS: These studies represented a number of countries and used various quantitative, qualitative and mixed-method study designs. The findings revealed that caregiving dynamics among the three parties are strongly influenced by cultural, structural, and interpersonal factors. Positive relationships improve the well-being of all parties involved; however, challenges such as abuse, exploitation, and poor working conditions persist, especially for live-in care workers. DISCUSSION AND IMPLICATIONS: Strengthening triadic caregiving relationships through cultural training, improved legal and institutional protections and psychosocial and language support are critical for enhancing quality of care and the well-being of all those involved in the caregiving process.

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