The impact of using freelance caregivers on the quality of work of employed caregivers in nursing homes

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2024-07-01

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en

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This master's thesis investigates the impact of employing self-employed caregivers on the quality of work among employed caregivers in Dutch nursing homes. As these institutions face increased care demands and personnel shortages, understanding the relationship between self-employed and employed caregivers is essential. The study explores this dynamic through Karasek's Job Demand-Control (JDC) model and aspects of Parker's SMART work design model, using an exploratory case study approach. Semi-structured interviews were conducted with nine participants from various caregiving roles within a nursing home. The findings reveal that self-employed caregivers present significant challenges for employed caregivers, including increased workload, reduced autonomy, and diminished team cohesion. The frequent turnover and unfamiliarity of self-employed caregivers with the nursing home's procedures contribute to additional stress and administrative burdens for permanent caregivers, resulting in decreased quality of work. This research provides valuable insights into the underexplored area of self-employed caregivers' impact on employed caregivers. It highlights the need for management strategies to better integrate self-employed caregivers, ensuring high care standards and supporting the well-being of permanent employees. These findings offer potential lessons for other healthcare settings facing similar workforce issues.

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Faculteit der Managementwetenschappen