Working with Less, Giving More: The Impact of Undervaluation on Healthcare Personnel in Dutch Elderly Homes
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2025-06-25
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en
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The undervaluation of healthcare work in the Netherlands, which is driven by social biases, gendered
perceptions, and underfunding, has a big influence on the healthcare workers within elderly homes. This undervaluation not only affects the well-being and motivation of working in elderly homes, but it also threatens the stability of the healthcare system and the well-being of those who depend on it. This thesis examines the way structural social and financial undervaluation of the Dutch elderly care system has impacted healthcare professionals working in it, on their daily work practices, their mental and physical well-being, the way they deal with this, and the changes that are needed. This research uses a mixed methods approach, in which semi-structured interviews, informal conversations, and a questionnaire are used to explore the impact of the devaluation of elderly care on healthcare personnel in the Netherlands. The gathered qualitative data provided in-depth insights into the experiences and challenges of nurses, carers, managers, and labor union representatives. In contrast, quantitative data from 167 valid survey responses allowed for broader analysis and generalization. This approach enabled a comprehensive understanding of how undervaluation affects well-being, professional satisfaction, and systemic functioning in elderly care. The results and analysis of the data lead to the conclusion that the undervaluation of elderly care in the Netherlands has led to staff shortages, high workloads, and a disturbed work-private balance, limiting meaningful time with residents and causing stress, burnout, and physical strain among caregivers. Despite these challenges, many remain dedicated due to a deep sense of purpose and connection with residents. However, a gap between policy and the work floor leaves healthcare personnel feeling like they are merely ‘surviving’. While innovations may ease pressure, they must match staff needs. This study highlights the resilience of care workers despite the undervaluation and the urgent need for structural and societal change.
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Faculteit der Managementwetenschappen