1985 Understanding the Perceptions of Caregivers of Older People in Residential Homes in Cairo
M Rakhawy, M Shahin, N Sabry, G Tadros, R Nawwara, K Ali- Geriatrics and Gerontology
- Aging
- General Medicine
Abstract
Introduction
Institutional care for older people is a relatively new social phenomenon in Egypt that is associated with societal stigma. Traditionally dependent older people are looked after by family members at home. There are currently 145 care homes in Egypt, mostly based in Cairo serving 2% of the older population. The aim of this study was to understand the perspectives of paid caregivers on the strengths, weaknesses, opportunities, and threats (SWOT) associated with their professional roles. This knowledge is crucial to deliver a culturally sensitive training program for caregivers, and enhance their job satisfaction, ultimately leading to person-centred high-quality care.
Method
Two focus group meetings, 90 minutes each, were conducted with 39 caregivers in a private care home in Cairo. Each group was further divided into four working sub-groups using a SWOT approach to guide the discussion. Generic themes were identified, analysed, and agreed on by the group participants.
Results
Thirty-nine caregivers (31 % males), age range 18-50 years, were interviewed including undergraduate and qualified nurses and social workers. Five themes were identified: administration, team values, training, place and equipment, and residents and families. SWOT findings related to each theme are summarised below:
Theme
Strength
Weakness
Opportunities
Threats
Administration
Support and flexibility
Poor incentives
Access to healthcare services
Lack of rest facilities
Team values
Peer support
Mixed qualities in different leaders
Outdoor recreational activities
Lone working
Training
Mentoring programme
Unfulfilled training needs
Regular updates on CGA
No medical cover
Place & Equipment
Resident accommodation
Not always fit for purpose
Health and safety compliance
Cost of accommodation
Residents and families
Sharing knowledge
Discriminatory attitudes toward staff
Documentation of resident’s priorities
Unfounded complaints
Conclusion
Reflecting on the views of paid caregivers provided valuable insight that could enhance the quality of institutional care for older people in Cairo.