This study examined the role of trust in lay people's health behaviors related to the current pandemic. A total of 376 Israelis completed an online questionnaire during the second lockdown. A latent profile analysis was conducted to identify profiles of individuals based on their levels of trust in the various institutions and stakeholders examined in this study. A three-profile solution was deemed most appropriate. The largest profile (N = 178) was characterized by low levels of trust in the government, but high levels of trust in science and one's primary care provider. Next, was the generally low trust profile (N = 108), characterized by low levels of trust directed towards all stakeholders and institutes. The third profile (N = 79) was characterized by high levels of trust. Results are discussed in relation to the important role of trust in determining people's response to the current pandemic and the unique features of Israeli society.
The Long-Term Care Insurance Law provides support to older Israelis who wish to remain in their home. The present study evaluated the experience of perceived discrimination and stigma in the context of the law among Arab older adults, their family members, and their paid home care workers. For triangulation purposes, we interviewed 15 National Insurance Institute workers (NII; responsible for implementing the law; 47% Arab), 31 older adults (81% Arab), 31 family members (87% Arab), and six paid home care workers (83% Arab) in the north of Israel. Respondents were queried about their home care experience and their encounter with the NII. Thematic analysis was conducted. Four main themes emerged: (a) a strong sense of perceived discrimination among Arab interviewees, (b) reports suggesting the internalization of stigma and the adoption of negative views regarding the Arab population by some Arab respondents, (c) implicit stigma manifested in claims concerning the Arab population (primarily) as "cheating" the system, and (d) the negation of discrimination of Arabs as reported by Jewish interviewees and NII workers. The findings show that a sense of perceived discrimination is common and colors the experience of service seeking among Arabs. On the other hand, the Jewish interviewees in this study completely negated any discrimination or stigma directed toward Arabs. The findings point to the importance of group affiliation (e.g., minority vs. majority) in interpreting the existence of discrimination. The findings likely have major implications for both service providers and policy-makers and legislators.
AbstractThis study investigated if people are acquainted with the term 'ageism', and to what extent acquaintance with this term corresponds with reports of discrimination, due to age. The study included an online survey, answered by 1,025 Israeli respondents. The questionnaire began by asking the respondents to define 'What is ageism?' (gilanut in Hebrew) and then to mark 'If and what types of discrimination they experienced in the last year'. Subsequently, we defined and demonstrated the term ageism and asked participants to share experiences of this phenomenon; 457 (45%) participants were not familiar with the term. In the group that was unfamiliar with the term, only 46 (10%) reported that they had such experiences. In the group that was acquainted with the term, 208 (30%) reported that they had experienced ageism. In contrast, once the term, ageism, was defined and demonstrated in the survey, 638 (62%) respondents shared experiences of ageism in their lives. Of those who shared their experiences of ageism, 202 (31%) were initially unfamiliar with the term. The study's results show that there is an association between the linguistic representation of the phenomenon of ageism and reports of ageism. In the wider sense, the study shows that language and words have the power to help people understand and interpret social and human experiences.
Emigration is one of the sorest problems in Lithuania. Emigrants from Lithuania most often fill the sector of unskilled labour in the target countries, one of which is elder care. Financial factors are considered the main motivation for emigration; however, migration is a complex phenomenon and requires a more nuanced investigation. The aim of this article is to analyse subjectively identified reasons of emigration from Lithuania to work in the elder care sector and motivation in choosing a particular country. The thematic data analysis of 13 semi-structured interviews revealed that emigration is motivated by an entirety of reasons: beside financial factors other "push" (family, health) and "pull" (knowledge about the country, family formation) factors are important. The move also is facilitated by the chain migration factors. The importance of the economic reasons for migration is revealed in cases of financial insecurity (loss of employment, threat of company bankruptcy, financial difficulties in the parents' family etc.). Economic considerations become significant again, when comparing the job options and working conditions available to migrants. Work in the care sector for older people is seen as relatively easy, accessible and well paid. Other "push" factors were related to an unsatisfactory life situation, including stressful employment, and unsatisfying family relationships. The desire to get to know a foreign country, the opportunity to start a family or establish oneself there can work as "pull" factors. The decision to emigrate was supported by the chain migration factors – encouragement, help and support of previously established immigrants. In some cases, it emerged as an independent factor of migration people emigrated, invited by relatives or acquaintances from abroad even though they did not initially plan to migrate.
With the rapidly growing share of older people in Lithuania and the underdeveloped care services, the opportunity to retain potential emigrants by creating attractive working conditions for them in Lithuania, remains untapped. Policies should aim to improve the working conditions and opportunities in the care sector in Lithuania in order to encourage Lithuanians to stay in the country. In addition, regulations to better absorb (returning) migrants should be in place, given the ongoing movement between countries.
Abstract Moving to a continuing care retirement community (CCRC) and living apart together (LAT) as a repartnering form represent new late-life beginnings. A large study on LAT relationships constructed in CCRCs identified envy and jealousy, yet they were not examined in-depth. Envy is wanting something we lack, whereas jealousy is fear of losing something that is ours to another. These emotions are rarely explored in the context of older adults' relationships. Using Goffman's framework of (semi)-totalitarian institutions, our aim is to heuristically examine experiences of envy and jealousy from the perspective of residents and staff. In total, thirty semi-structured interviews were conducted in three CCRCs in Israel with ten LAT residents, ten non-LAT residents and ten CCRC staff members, including social workers. Findings refer to kinds of envy, ignoring envy and the development and consequences of LAT-related jealousy and/or envy in CCRCs. The discussion and conclusions address how semi-totalitarian CCRC features influence envy and jealousy experiences. They include implications for social work practice with older adults and their family members regarding adjustment to life in the CCRC and may assist CCRC management and social workers in addressing possible consequences of envy and jealousy.
In: Social work in health care: the journal of health care social work ; a quarterly journal adopted by the Society for Social Work Leadership in Health Care, Volume 57, Issue 3, p. 190-205
Purpose Migrant home care workers constitute a vulnerable group in society, which is often exposed to work-related abuse. The purpose of this paper is to explore which characteristics are linked with their abuse.
Design/methodology/approach Overall, 187 Filipino home care workers who work in Israel were recruited via snowball sampling and filled an anonymous questionnaire regarding work-related abuse incidents and working conditions.
Findings More than half of the participants reported exposure to abuse (e.g. sexual, physical, or emotional) or exploitation (e.g. asking to do more than job requirements). Particularly vulnerable were migrant workers during their first year in the host country and those who were taking care of an older adult with cognitive impairment. Interestingly, men who served as care workers were more susceptible to abuse than women.
Originality/value The findings point to specific characteristics which make home care workers more susceptible to abuse illustrate the need for a closer supervision on the working conditions of home care workers, especially during the initial period of their work. Training migrant home care workers in the area of dementia care is also important.
Objective:To describe the quantitative validation of a unique questionnaire to measure moral distress among social workers in long-term care facilities in Israel.Method:Overall, 216 long-term care facilities' social workers took part in the pilot study that included psychometric evaluation and construct validation. Moral distress was examined by two scales, measuring the frequency and the intensity of morally loaded events. A third scale was created, representing the product of the frequency and intensity scores for each item separately.Results:Two items with high floor effect were removed. The internal reliability of each of the three Moral Distress Scales was .92. An exploratory factor analysis suggested a single-factor solution. The construct validity was approved. In its final version, the questionnaire consisted of 15 items.Conclusions:We believe that the questionnaire can contribute by broadening and deepening ethics discourse and research with regard to social workers' moral conflicts and moral distress.
