Acknowledgement
We thank all the participants and research assistants for their contribution to the study.
References
- Ministry of Health and Welfare. Long-term care 2.0 implementation status and review project report. https://www.mohw.gov.tw/dl-64981-86dfd40d-7294-40d6-b914-52ac5483b43d.html. (28 March 2021, date last accessed).
- Kayaalp A, Page KJ, Rospenda KM. Caregiver burden, work-family conflict, family-work conflict, and mental health of caregivers: a mediational longitudinal study. Work & Stress 2020:1-24.
- Lai T-C, Lin Y-H, Guo Y-Z, Chen B-S, Huang W-L, Wang C-C. Factors of affecting intention to stay among home care assistants. Taiwan J Fam Med 2018;28(1):1-8.
- Matthias RE, Benjamin A. "Intent to stay" among paid home care workers in California. Home Health Care Serv Q 2005;24(3):39-57. https://doi.org/10.1300/J027v24n03_03
- Zeytinoglu IU, Denton M, Davies S, Plenderleith JM. Casualized employment and turnover intention: home care workers in Ontario, Canada. Health Policy 2009;91(3):258-68. https://doi.org/10.1016/j.healthpol.2008.12.004
- Jeon G-S, You S-J, Kim M-G, Kim Y-M, Cho S-I. Psychometric properties of the Korean version of the Copenhagen Burnout Inventory in Korean homecare workers for older adults. Plos One 2019;14(8):1-12. https://doi.org/10.1371/journal.pone.0221323
- Dichter MN, Trutschel D, Schwab CGG, Haastert B, Quasdorf T, Halek M. Dementia care mapping in nursing homes: effects on caregiver attitudes, job satisfaction, and burnout. A quasi-experimental trial. Int Psychogeriatr 2017;29(12):1993-2006. https://doi.org/10.1017/S104161021700148X
- Iridiastadi H, Anggawisnu B, Didin FS, Yamin PAR. The prevalence of musculoskeletal complaints among hospital nurses and nursing home caregivers in Indonesia. Prevalence 2019;10(4):854-61. https://doi.org/10.14716/ijtech.v10i4.1320
- Lu N, Liu J, Wang F, Lou VW. Caring for disabled older adults with musculoskeletal conditions: a transactional model of caregiver burden, coping strategies, and depressive symptoms. Arch Gerontol Geriatr 2017;69:1-7. https://doi.org/10.1016/j.archger.2016.11.001
- Lee W, Lin M, Chu C. The relationships among burnout, social support and intention to stay among caregivers in service agencies for the disabled. J Health Care Manage 2013;14(1):38-54.
- Lu Z. A discussion on the retention factors of care attendants-taking a nursing home in Taipei City as an example. http://ir.lib.ypu.edu.tw/ir/handle/310904600Q/17655 (28 March 2021, date last accessed).
- Tsay S-F, Chen W-Y, Lin Y-H, Liang Y-W. Job stressors, work adjustment and intention to leave: a study of female nursing assistants in long-term care facilities in Taiwan. Taiwan J Public Health 2013;32(5):476-90.
- Tei-Tominaga M, Nakanishi M. Factors related to turnover intentions and work-related injuries and accidents among professional caregivers: a cross-sectional questionnaire study. Environ Health Prev Med 2020;25(1):1-10. https://doi.org/10.1186/s12199-019-0839-z
- Cheng C-Y. The study of the relationship between working conditions and work motivation for nurse aides in long-term care. Taipei: Tamkang University; 2010.
- Cheng Y, Luh W-M, Guo Y-L. Reliability and validity of the Chinese version of the job content questionnaire in Taiwanese workers. Int J Behav Med 2003;10(1):15-30. https://doi.org/10.1207/S15327558IJBM1001_02
- Cheng Y, Huang H-Y, Li P-R, Hsu J-H. Employment insecurity, workplace justice and employees' burnout in Taiwanese employees: a validation study. Int J Behav Med 2011;18(4):391-401. https://doi.org/10.1007/s12529-011-9152-y
- Pien L-C, Chen I-S, Cheng W-J, Cheng Y. Work-to-family conflict and its associations with workers' burnout, poor self-rated health, and minor mental disorder: a survey of general employees in Taiwan. J Occup Environ Med 2020;62(8):588-94. https://doi.org/10.1097/JOM.0000000000001894
- Milfont TL, Denny S, Ameratunga S, Robinson E, Merry S. Burnout and wellbeing: Testing the Copenhagen burnout inventory in New Zealand teachers. Soc Indic Res 2008;89(1):169-77. https://doi.org/10.1007/s11205-007-9229-9
- Penson RT, Dignan FL, Canellos GP, Picard CL, Lynch Jr TJ. Burnout: caring for the caregivers. The Oncologist 2000;5(5):425-34. https://doi.org/10.1634/theoncologist.2000-0425
- Yang S-Y, Fu S-H, Hsieh P-L, Lin Y-L, Chen M-C, Lin P-H. Improving the care stress, life quality, and family functions for family-caregiver in long-term care by home modification. Ind Health 2021;60(5):485-97. https://doi.org/10.2486/indhealth.2021-0176
- Merisalu E, Animagi L, Oha K, Freimann T, Sirk T. Job-specific factors and prevalence of multiple and disabling musculoskeletal pain among office workers, nurses, and caregivers in Estonia. Proc Latvian Acad Sci 2016;70(5):286-93. https://doi.org/10.1515/prolas-2016-0044
- Hsieh P-L, Lee Y-C, Yang S-Y, Lin Y-L, Huang Y-R. Association between work content and musculoskeletal disorders among home caregivers: a cross-section study. Ind Health 2021;60(6):514-24. https://doi.org/10.2486/indhealth.2021-0160
- You S. The relationship among working conditions, job satisfaction, and retaining willingness - an example of caregivers. http://192.192.83.167/handle/987654321/1950. (28 March 2021, date last accessed).
- The Control Yuan of the Republic of China. Elderly caremanpower and treatment. https://multimedia.cy.gov.tw/Epaper_Content.aspx?es=22&n=531&s=14815. (28 March 2021, date last accessed).
- Schott T. Organizational characteristics associated with staff turnover in nursing homes. The Gerontologist 2006;46(1):62-73. https://doi.org/10.1093/geront/46.1.62
- Castle NG. Measuring caregiver retention in nursing homes. The Gerontologist 2021;61(4):118-28. https://doi.org/10.1093/geront/gnab012
- Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I, Peter R. The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med 2004;58(8):1483-99. https://doi.org/10.1016/S0277-9536(03)00351-4
- Lee M-B, Liao S-C, Lee Y-J, Wu C-H, Tseng M-C, Gau S-F, Rau CL. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc 2003;102(10):687-94.
- Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987;18(3):233-7. https://doi.org/10.1016/0003-6870(87)90010-X
- Wu Ju-Hsiang, Lu Yu-Ching, Chen Jing-Jia, Li C-K. The project of reducing the turnover rate of newly recruited perioperative nurses. Tzu Chi Nurs J 2020;19(6):92-103.
- Atchley R. Frontline workers in long-term care: recruitment, retention, and turnover issues in an era of rapid growth. Ohio Long-Term Care Research Project. Ohio: Scripps Gerontology Center Publications; 1996.
- Ellenbecker CH, Cushman M. Home healthcare nurse retention and patient outcome model: discussion and model development. J Adv Nurs 2012;68(8):1881-93. https://doi.org/10.1111/j.1365-2648.2011.05889.x
- Ministry of Health and Welfare. Long Term Care Ten Year Plan 2.0. https://1966. gov.tw/LTC/cp-3948-41555-201.html. (28 March 2021, date last accessed).
- Chen T-C, Lin C-Y. Correlational study on occupational stress and the wellbeing of middle-aged and senior home-care providers in Taichung city. J Gerontechnology Serv Manage 2021;9(3):292-313.
- Faul AC, Schapmire TJ, D'Ambrosio J, Feaster D, Oak CS, Farley A. Promoting sustainability in frontline home care aides: understanding factors affecting job retention in the home care workforce. Home Health Care Manag Pract 2010;22(6):408-16. https://doi.org/10.1177/1084822309348896
- Howes C. Living wages and retention of homecare workers in San Francisco. Ind Relations: A J Economy Soc 2005;44(1):139-63. https://doi.org/10.1111/j.0019-8676.2004.00376.x
- Seavey D. Caregivers on the front line: building a better direct-care workforce. Generations 2010;34(4):27-35.
- Magnavita N, Di Stasio E, Capitanelli I, Lops EA, Chirico F, Garbarino S. Sleep problems and workplace violence: a systematic review and meta-analysis. Front Neurosci 2019;13:997.
- Cheng Y, Chen C-J. Modifying effects of gender, age and enterprise size on the associations between workplace justice and health. Int Arch Occup Environ Health 2014;87(1):29-39. https://doi.org/10.1007/s00420-012-0831-z
- Piquero NL, Piquero AR, Craig JM, Clipper SJ. Assessing research on workplace violence, 2000-2012. Aggress Violent Behav 2013;18(3):383-94. https://doi.org/10.1016/j.avb.2013.03.001
- Ke D-S. Overwork, stroke, and Karoshi-death from overwork. Acta Neurol Taiwan 2012;21(2):54-9.
- Puig A, Baggs A, Mixon K, Park YM, Kim BY, Lee SM. Relationship between job burnout and personal wellness in mental health professionals. J Employ Couns 2012;49(3):98-109. https://doi.org/10.1002/j.2161-1920.2012.00010.x
- Yang M-H, Jhan C-J, Hsieh P-C, Kao C-C. A study on the correlations between musculoskeletal disorders and work-related psychosocial factors among nursing aides in long-term care facilities. Int J Environ Res Public Health 2022;19(1):255.
- Bongers PM, de Winter CR, Kompier MA, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 1993:297-312.
- Yang S-Y, Hsu D-J, Yen C-M, Chang J-H. Predictive factors of life quality among packaging workers in Taiwan. Health Promot Int 2019;34(4):751-9. https://doi.org/10.1093/heapro/day029
- Long MH, Johnston V, Bogossian F. Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: a systematic review of risk factors and functional consequences. Appl Ergon 2012;43(3):455-67. https://doi.org/10.1016/j.apergo.2011.07.002
- Chiu Y-J, Chiang J-H, Fu C-W, Hour M-J, Ha H-A, Kuo S-C, Lin J-J, Cheng C-C, Tsai S-C, Lo Y-S, Juan Y-N, Cheng Y-D, Yang J-S, Tsai F-J. Analysis of COVID-19 prevention and treatment in Taiwan. BioMedicine 2021;11(1):1.
- Liu C, Lee YC, Lin YL, Yang SY. Factors associated with anxiety and quality of life of the Wuhan populace during the COVID-19 pandemic. Stress and Health 2021;37(5):887-97. https://doi.org/10.1002/smi.3040