Double-Duty Carers’ Health and Wellbeing during COVID-19: Exploring the Role of Mobility of the Care Economy in Southern Ontario, Canada
Abstract
:1. Introduction
2. Materials and Methods
2.1. Methods
2.2. Sampling
2.3. Procedures
2.4. Data Analysis
3. Results
3.1. Increased Mobility Demands
The having to go for COVID tests every single week itself is so strenuous. For my work place, they expect us to be tested every week and I know it might not be like that everywhere but the testing isn’t even at the work office. So, the COVID testing is so hard to fit into my schedule, to travel to, make time for, it’s a lot of work.(DDC4)
I try not to bring my work home or take my home at work and I used to keep those two different. But as of late […] I’m so exhausted mentally and physically from the hectic work environment. Then to think, oh my god, I need to go help my parents too. […] taking care of my parents got hectic. They now need me to get meds, groceries, clean their place because nobody can come now. At times, I’m not with it and don’t want to go to provide the care that they need […] because I’m just physically tired like my muscles are sore and I’m absolutely burnt out.(DDC12)
3.2. Forced Decreased Mobility
“I used to depend on home care to help me with my husband. If they’re not coming, I stay home from work and help him. You don’t get paid for that…So I lose the day’s pay, and I’m the only one working in the family.”(DDC1)
My children are also getting sent home from daycare quite frequently […] the daycare rule is a negative COVID test, doctor’s note or 10 days out of daycare…the other day, I was at work and had to leave in a very big rush because of having to get my children who were being sent home from daycare. As my daughter has a runny nose from allergies, she’s sent home from daycare. COVID’s put a lot of strain […] I try to have backup arrangements when I have to work, however, a lot of the times, I can’t end up getting anybody and it always pushes me out of work.(DDC5)
[…] financially, it’s stressful because when I’m out of work. So, financially, it’s hard and it’s extremely, extremely stressful because you never know what’s going to happen. […] I never know if they’re going to be out for one day or for ten days. I never know if my parents will have an emergency.(DDC5)
3.3. Indirect Impacts of Mobility
My mom has four sisters, so they would always visit and they’re a really big emotional support system for her too, so now they can’t really come and be there for her. Last week, she said to me “You know, I’m a little bit depressed” and that made me so sad, because I can’t fix that either. I wish I could fix a lot for her but I can’t. When my mom doesn’t have a good day I don’t have a good day.(DDC10)
The pandemic’s taken such a big toll on her. […] she’s been locked indoors for almost a year. She hasn’t met her friends, she used to go out for social gatherings with them. Like, she would meet up with friends for probably a coffee before. Most days she is in front of the TV all alone […] It makes me really sad to see her so depressed […] I force her to get her nails done […] I try to wash her hair and style it because extra grooming is something that puts a smile on her face.(DDC13)
For her, it is hard too […] She’s very depressed some days and cries to me…it make me very sad for her and make me want to come and stay with her…but I cant because I have work and my son to look after too. There’s not enough time in my day to stay longer with her…I really feel bad for her.(DDC7)
The residents are much sicker, agitated and confused being isolated in their rooms […] A patient who was previously able to use their walker to ambulate, they’re now weaker because they’re not walking around as much. We’re not doing recreational activities outdoors either so…their wellbeing is going down and that means that they’re far more dependent on us. We go home so physically exhausted that combined with the emotional exhaustion and stress from worrying and caregiving for your family member and not even being able to help the residents to the best you can is just too much. It’s just such a good cocktail for burnout. So yes, this last year was burnout galore.(DDC15)
Usually, volunteers or family come to help with companionship. Now, we […], talk to them, socialize and so we never get breaks from taking care of them. Community centres are closed so […], it takes a lot of time and effort doing online research from us to find Zoom activities […] It takes a lot of time to calm them down and sometimes it is so stressful because we are not taught what to do in this case. […] In the past, they looked forward to like birthday parties, getting with their families, which cannot happen so it takes a toll on them.(DDC15)
4. Implications for Practice
I was letting them know I can only do 8 am–4 pm. When I had doctor appointments, they would change my hours without my knowledge and it would make me miss doctors appointments. […] It’s so frustrating because they’re constantly calling and asking, ‘hey can you work at 5:00 AM?[…] I would like them to be more attentive to scheduling. I have back injury […] and I have a doctor’s appointment every single week and there’s been several occasions where they changed my shift without notifying me and I’d miss my appointments because I would have to be at work.(DDC5)
So the weekly check-ins are helpful, because then you can discuss things that are changing, and then you feel kind of better at the end of the conversation. And they can let us know that like I am assigned to get tested in 4 weeks on that date so we can plan ahead and with my mom’s weekly appointments, that’s good for me to know.(DDC11)
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | N | % |
---|---|---|
Employment | ||
Part-time | 1 | 6.25 |
Full-time | 12 | 70.00 |
Part-time, working full-time hours | 3 | 18.75 |
Ethnicity | ||
White | 3 | 18.75 |
South Asian (East Indian, Pakistani, Sri Lankan) | 3 | 18.75 |
East Asian (Chinese, Japanese, Republic of Korea) | 4 | 25.00 |
Unknown | 6 | 37.50 |
Gender | ||
Man | 0 | 0 |
Woman | 16 | 100.00 |
Where are you currently working? | ||
Hospital | 4 | 25.00 |
Long-term care or nursing home | 5 | 31.25 |
Homecare | 6 | 37.50 |
Outpatient facility | 1 | 6.25 |
How long have you worked in this role? | ||
6 months–1 year | 2 | 12.50 |
1–3 years | 2 | 12.50 |
4–7 years | 8 | 50.00 |
8+ years | 4 | 25.00 |
Relationship with Dependent | ||
Parent(s) | 9 | 56.25 |
Grandparent(s) | 2 | 12.50 |
Spouse | 1 | 6.25 |
Uncle | 1 | 6.25 |
Cousin | 1 | 6.25 |
Friend | 2 | 12.50 |
Living with Dependent | ||
Yes | 11 | 68.75 |
No | 2 | 12.50 |
Only during COVID-19 | 3 | 18.75 |
Assistance from Support Network during COVID-19 | ||
Yes | 2 | 12.50 |
No | 8 | 50.00 |
Sometimes | 6 | 37.50 |
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Share and Cite
Ravensbergen, L.; Mehta, S.; Sethi, B.; Ward-Griffin, C.; Williams, A. Double-Duty Carers’ Health and Wellbeing during COVID-19: Exploring the Role of Mobility of the Care Economy in Southern Ontario, Canada. Int. J. Environ. Res. Public Health 2024, 21, 730. https://doi.org/10.3390/ijerph21060730
Ravensbergen L, Mehta S, Sethi B, Ward-Griffin C, Williams A. Double-Duty Carers’ Health and Wellbeing during COVID-19: Exploring the Role of Mobility of the Care Economy in Southern Ontario, Canada. International Journal of Environmental Research and Public Health. 2024; 21(6):730. https://doi.org/10.3390/ijerph21060730
Chicago/Turabian StyleRavensbergen, Léa, Sakshi Mehta, Bharati Sethi, Catherine Ward-Griffin, and Allison Williams. 2024. "Double-Duty Carers’ Health and Wellbeing during COVID-19: Exploring the Role of Mobility of the Care Economy in Southern Ontario, Canada" International Journal of Environmental Research and Public Health 21, no. 6: 730. https://doi.org/10.3390/ijerph21060730