Work-life Experiences Research Articles

16 Caring for children with medical complexity beyond the hospital: The work life experiences of nurses in homecare

Abstract Background Homecare nursing is considered essential to the care for children with medical complexity (CMC) given their intense daily care demands and dependence on medical technology. While patients, families, and healthcare providers (i.e., paediatricians, nurse practitioners) rely on homecare nurses (HCNs), there is limited research exploring factors that either promote or challenge the ability of HCNs to provide safe and satisfactory care in the home environment. Objectives This study aims to gain a thorough understanding of HCNs’ experiences caring for CMC. Specifically, we aimed to explore both the facilitators and barriers to feeling well-equipped for the role, developing relationships with families, and providing high quality care. Design/Methods We conducted semi-structured interviews between March 2021-March 2023 with HCNs caring for CMC using medical technology (e.g., home ventilation, central venous access devices). Interview questions explored the HCNs’ clinical experiences and education in the use of medical technology, relationships with family caregivers, rewarding and challenging aspects of their work-life, and recommendations to improve their experience in homecare nursing. Interviews were audio recorded, deidentified, transcribed verbatim, coded and analyzed using content analysis. Results Twenty-one semi-structured interviews were conducted. The interviews revealed two major themes and several associated subthemes: (1) the unique experiences of a homecare nurse (patients’ homes as the workplace, obstacles to delivering care, toll on emotions, and rewards of the role); and (2) interactions with patients and their families (facilitators of building partnerships and challenges to relationships). Conclusion Homecare nursing for CMC is rewarding, providing opportunities for HCNs to develop meaningful connections with their patients while also supporting families. However, HCNs experience several challenges including inconsistent training, inadequate resources, and conflicts with families. Understanding the perspectives of HCNs is critical to improving their experience in the role, and in turn, enhancing care for their patients. These findings can inform the development and implementation of supports needed to optimize the work experience for HCNs.

The Psychosocial Impacts of Co-Designed Healing Gardens Among Aged Care Residents With and Without Dementia in Nigeria

Healing gardens are green spaces that support the interaction of humans and elements of nature to improve well-being and quality of life. However, little is known about healing garden use and outcomes in African countries. This study aimed to design a healing garden intervention and measure its impact on psychosocial factors and quality of life of residents and care staff within two residential aged care facilities in Lagos, Nigeria. Each facility’s staff completed the psychosocial measurement tools by proxy for participants between ages 60 and 99, with or without dementia, at baseline and three months following interaction with the garden and completed the garden use observational survey to determine the effect on and use of the garden by care staff and residents. Results revealed an improvement in the quality of life and experiences of agitation but no beneficial change in depression among residents with and without dementia. Further, care staff reported a positive benefit of the garden on their work-life experience and the residents’ well-being. This study provides the base for future research on assessing the impact of healing gardens on persons living with dementia in Africa.

Identifying how pre-existing resources combine to shape the experiences of work and family life of a diverse sample of working parents with at least one child in primary school in Scotland during COVID-19 pandemic-related social restrictions: a qualitative descriptive design

ObjectivesThis study aimed to identify factors that shaped working parents (WPs’) experiences of COVID-19-related social restrictions and analyse the relationships between those factors.DesignA qualitative descriptive design was used to collect...

Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction: A national survey.

Burnout is highly prevalent among health practitioners. It negatively impacts job performance, patient care, career retention and psychological well-being. This study aimed to identify factors associated with burnout among Australian podiatrists. Data were collected from registered podiatrists via four online surveys administered annually from 2017 to 2020 as part of the Podiatrists in Australia: Investigating Graduate Employment (PAIGE) study. Information was collected about work history, job preferences, personal characteristics, health, personality, life experiences and risk-taking behaviours. Multiple logistic regression analyses were used to determine if (i) individual characteristics, (ii) workplace factors and (iii) job satisfaction measures were associated with burnout (based on the abbreviated Maslach Burnout Inventory). A total of 848 responses were included, with 268 podiatrists (31.6%) experiencing burnout. Participants experiencing burnout were slightly younger, more recent to practice, had poorer health, greater mental distress, lower scores for resilience, extraversion, agreeableness, conscientiousness, emotional stability and openness to experiences. They were less likely to have financial and clinical risk-taking behaviour and more likely to have career risk-taking behaviour. Prediction accuracy of these individual characteristic variables for burnout was 72.4%. Participants experiencing burnout were also more likely to work in private practice, have more work locations, work more hours, more direct patient hours, see more patients, have shorter consultation times, more likely to bulk bill chronic disease management plans, have less access to sick leave and professional development and be more likely to intend to leave patient care and the profession within 5years than participants not experiencing burnout. Prediction accuracy of these workplace-related variables for burnout was 67.1%. Participants experiencing burnout were less satisfied with their job. Prediction accuracy of these variables for burnout was 78.8%. Many of the factors associated with burnout in Australian podiatrists are modifiable, providing opportunities to implement targeted prevention strategies. The strength of association of these factors indicates high potential for strategies to be successful.

Stories from the “Pressure Cooker”: U.S. Women Navigating Motherhood and Work During the COVID-19 Pandemic

<i>The COVID-19 pandemic has highlighted and exacerbated the difficult juggling act women in the U.S. have to do between parenting their children and working outside the home. The pandemic has also led to a decline in maternal mental health, particularly among mothers with young children, mothers of color, and those with previous mental health issues. The authors noted these experiences in their own lives as mothers with children and observed them in the lives of the women around them. These observations informed the design of this narrative inquiry study, in which we used semi-structured interviews to explore mothers’ shifting ideas and experiences of mothering, work, and family life during a global pandemic. We used creative analytic practice (CAP) to compose reflexive researcher conversations around the interview data that enabled us to highlight nuances in the data, show more transparently our meaning-making, make visible our researcher subjectivities, show uncertainties about aspects of data interpretation, and create a more accessible data representation.</i>

Vocational Teachers’ Craft Knowledge and Working-life Experiences in Building and Construction: a Narrative Study of Embodied and Tacit Learning

Vocational teachers in building and construction in upper secondary school deal with complex situations of an organisational, vocational, and social kind. Recent research has shown that the teacher is the single most important factor for students’ learning in school. Teacher-student relationships and the teacher’s repertoire of teaching practices can be more important for the student’s learning than class size, the classroom environment, and the student’s socio-economic background. Beyond passing the journeyman’s test, we know little about the craft knowledge and working life experiences vocational teachers in the building and construction trades have acquired over many years in the construction industry, and thus, what knowledge and experiences they bring into the vocational teacher role. Learning in working life often takes place as an integrated part of work, and it is difficult to observe how learning happens. Craft knowledge is often tacit and personal. In this narrative, phenomenologically inspired study, learning is investigated as a bodily, internal process that simultaneously depends on the interaction with the material and social environment. Through narrative interviews with eleven vocational teachers in plumbing and carpentry, this study explores the teachers’ backgrounds as vocational students and apprentices, and their extensive experience as craftsmen on different construction sites. The analysis shows that the building site drives craft-related actions and situations that generate a strong craft identity, professional working life experiences, and personal growth. Craftsmen at the construction site work under constant pressure in a social, physically, and mentally demanding work environment and consecutively solve problems. As professional craftsmen in the complex working environment, the teachers also acquired social and organisational expertise, which they intuitively transferred to their role as vocational teachers.

Mapping the experiences of work-life balance: implications for the future of work

PurposeThis study aims to explore how information technology (IT) professionals perceive work-life balance (WLB) in a work-from-home (WFH) setup. Additionally, it explores what emotions one may associate with such changing work environments, which have high implications for organisational success.Design/methodology/approachThe two primary research questions guided this research. An online questionnaire-based survey was conducted to collect the data so that respondents’ both subjective and objective perceptions were documented. Purposive cum snowball sampling was used to collect data from 262 IT professionals. However, the data was analysed using both qualitative (content analysis) and quantitative (chi-square) techniques.FindingsThe findings of this study are interesting in nature and reported the work-life experiences at various socio-demographic levels (age, gender, educational qualification, designation, work experience, income, type of family and the number of children). The comprehensive examination of the data obtained from diverse aspects related to remote work environments has shed light on crucial facets impacting IT professionals. A predominant observation derived from the study reveals a significant disparity in working hours between male and female respondents during remote work. This discrepancy is notable, with male employees tending to work longer hours (i.e. 10 or more hours daily) than their female counterparts. The investigation into respondents’ sleep patterns revealed that the majority slept between 5 h and 7 h daily, underscoring reduced sleep hours for IT professionals during remote work. This comprehensive study thus emphasises the multifaceted nature of gender-associated influences on work patterns, health and well-being during remote work scenarios among IT professionals. As remote work is the new normal, this study has high implications for future work arrangements and organisational success.Practical implicationsThe findings of the study will assist managers in dealing with the work conflict issue of remote workers. Importantly, these managers should try eliminating or reducing workplace conflict, emotional exhaustion and social overload associated with remote work.Originality/valueThis study is a humble attempt to highlight the employee’s WLB in the context of WFH in an emerging market (i.e. India). Furthermore, emphasises practical issues associated with changing work paradigms and concludes with interesting recommendations for future work arrangements.

Looking back to move forward: Creating a blueprint for success for nurse scientists in the Veterans Health Administration

AimThe purpose of this manuscript is to report the findings of a qualitative content analysis of interviews with VA Nurse Scientists about work life experiences, barriers, and facilitators across the enterprise. BackgroundThe VA enterprise is widely variable in terms of size, services, research activity, and budget. For this reason, the roles of nurses with a research-focused doctorate are also quite diverse. MethodsWe purposively sampled 18 PhD prepared Nurse Scientists based on a variety geographic locations, titles, and years in the field and who conduct research. We conducted semi-structured interviews over the virtual platform, WebEx. Interviews, averaging 1 h in length, were conducted between April and May 2021. We analyzed interviews using deductive and inductive content analysis. ResultsWe found five key factors affecting VA Nurse Scientists. Each factor emerged as an important issue influencing whether Nurse Scientists reported being successful, supported, and productive in their research. These include having: 1) mentorship, 2) supportive leadership 3) available resources, 4) respect and understanding from clinical and research colleagues who understand a Nurse Scientist's role in research, and 5) a career pathway. ConclusionsVA Nurse Scientists are leaders and innovators who generate evidence to improve health outcomes and promote equity in health and health care of Veterans, their families, and caregivers. Results from this project suggest that many Nurse Scientists need additional mentorship, resources, and networks to advance their development, increase their funding success, and maximize the impact of their role, ultimately enhancing care of Veterans and their families.

Care(lessness) in precarious journalism, before and during the pandemic: Freelancers’ work-life experiences and coping strategies

Since the COVID-19 pandemic, interest in care as a potential remedy for a variety of issues and crises, such as improving global health justice or creating more “caring” educational systems, has increased across academic disciplines. This article contributes to this literature from the perspective of journalism studies. It explores whether the notion of care captures and addresses one facet of the contemporary news industry crisis, namely the precarity of journalists. I focus on the work-life narratives of a small group of freelance journalists in Germany and Canada before and during the COVID-19 pandemic. Applying a care lens articulates the struggles the freelancers experience regarding income, social security, housing, and childcare as a result of careless states and careless markets. Furthermore, the care practices journalists use as coping strategies merge mutual aid for fellow freelancers or members of their local communities with entrepreneurial networking for professional survival. However, such informal care practices cannot make up for structural gaps in support. Waged work—outside journalism—in the formal labor market, performed by the freelancers themselves or their life partners, turned out to be more important for coping with precarity. Overall, the pandemic meant more continuity than change for the care struggles as well as coping strategies of the journalists examined here. Nevertheless, those with residential property, gainfully employed life partners, and established care networks fared best, hinting at the crucial role of privilege in shaping the work experiences of precarious journalists during crises.

The Work-Life Experiences of Black African Immigrant Nurses in Vancouver: Everyday Racisms and Acts of Resistance

This analysis is based on semi-structured interviews examining the work–life experiences of Black African immigrant nurses in Vancouver, British Columbia, conducted from June 2013 to June 2014. The article argues that nurses experience systemic barriers in which their sense of Canadian belonging and professionalism are called into question by patients, colleagues, and managers. Using the framing device of everyday racism, findings suggest that nurses navigate and counter these socio-cultural barriers by repurposing their daily actions into powerful subversive acts of resistance. The article uses the concept of everyday racism to relate the day-to-day experiences recounted by Black nurses to the larger macrostructural contexts that define the intersecting inequalities they describe. Grounded in Black Canadian feminist theory, this article contends that the lives of Black nurses offer critical insights to challenge structures of dominance. This article builds on existing scholarship discussing experiences of racism among Black and largely Caribbean nurses in Canada. The contribution is important because it offers the opportunity to analyze the lived realities of continental African nurses in Vancouver, in the historical context of a racialized Canadian state policy.

Using Swanson’s theory to improve quality of work life to strengthen the healthcare sector in Ukraine and South Africa

South Africa and Ukraine share similar challenges for staff in the healthcare sector. Health care workers in South Africa have borne the brunt of the COVID-19 pandemic whereas in Ukraine health care workers, amidst the war have had to show valour and a tough spirit in caring for their patients under very trying circumstances. Arising from the above tragedies, health care workers have shown incredible bravery both in Ukraine and in South Africa, however they display extreme burn out. In Ukraine, nurses are working in the conflict zone and have to manage complex patient mental and physical health issues. Some have even been subjected to violence from traumatized patients. This article assesses the healthcare situation both in Ukraine and South Africa and provides a descriptive report utilizing The Swanson's theory of caring. The elements of Swanson’s theory consisting of maintaining belief, knowing, being with, doing for, and enabling can be linked to characteristics such as supporting patients and colleagues, being sensitive, affectionate and empathetic while feeling a sense of responsibility towards the department and patients. The study, based at selected South African public central hospitals in two provinces, adopted a descriptive exploratory paradigm. Qualitative techniques were used to administer an interview schedule to 322 frontline participants. The results revealed that despite high commitment levels, the participants still faced challenges that impact their daily work life. The study conducted in South Africa on Quality of Work life (QWL) experiences of frontline healthcare workers leaves recommendations for the Ukrainian health care sector.

고령 발달장애인 근로자의 노화 경험과 고령화 대책으로써 직업의 의미: 장애 당사자와 가족 관점에서 근거 이론적 접근

This study examines the experiences of aging and Work life among elderly individuals
 with developmental disabilities and analyzes the meaning of employment and support
 measures as strategies for addressing their aging process. To achieve this, in-depth
 interviews were conducted with employed individuals with developmental disabilities
 aged 40 and above, as well as with families of elderly individuals with developmental
 disabilities. The research findings reveal the following key elements: as causal conditions,
 the phenomenon of aging in individuals with developmental disabilities; as contextual
 conditions, the social realities perceived by elderly individuals with developmental
 disabilities; as the central phenomenon, perceptions regarding aging among individuals
 with developmental disabilities; as intervening conditions, responses to the aging process
 in individuals with developmental disabilities; as strategies for action/interaction, coping
 mechanisms for aging among individuals with developmental disabilities; and as outcomes,
 changes resulting from the Work life of elderly individuals with developmental disabilities
 and their demands for support in achieving a stable life in old age. The derived categories
 were structured and examined in relation to the conditions and categories using the paradigm analysis framework of grounded theory. Based on these findings, policy
 implications and recommendations for practice are suggested to promote a stable and
 fulfilling life in old age for individuals with developmental disabilities, drawing on the
 foundations of grounded theory literature.

Feeling like the enemy: the emotion management and alienation of hospital doctors.

Globally, an epidemic of psychological distress, burnout, and workforce attrition signify an acute deterioration in hospital doctors' relationship with their work-intensified by COVID-19. This deterioration is more complicated than individual responses to workplace stress, as it is heavily regulated by social, professional, and organizational structures. Moving past burnout as a discrete "outcome," we draw on theories of emotion management and alienation to analyze the strategies through which hospital doctors continue to provide care in the face of resource-constraints and psychological strain. We used Mobile Instant Messaging Ethnography (MIME), a novel form of remote ethnography comprising a long-term exchange of digital messages to elicit "live" reflections on work-life experiences and feelings. The results delineate two primary emotion-management strategies-acquiescence and depersonalization-used by the hospital doctors to suppress negative feelings and emotions (e.g., anger, frustration, and guilt) stemming from the disconnect between professional norms of expertise and self-sacrifice, and organizational realities of impotence and self-preservation. Illustrating the continued relevant of alienation, extending its application to doctors who disconnect to survive, we show how the socio-cultural ideals of the medical profession (expertise and self-sacrifice) are experienced through the emotion-management and self-estrangement of hospital doctors. Practically, the deterioration of hospital doctors' relationship with work is a threat to health systems and organizations. The paper highlights the importance of understanding the social structures and disconnects that shape this deteriorating relationship and the broad futility of self-care interventions embedded in work contexts of unrealized professional ideals, organizational resource deficits and unhappy doctors, patients, and families.

Predictors of Nursing Faculty Job and Career Satisfaction, Turnover Intentions, and Professional Outlook: A National Survey.

Retaining talented and experienced nurses in clinical practice and academia is crucial for maintaining continuity, ensuring high-quality care and education, and fostering a positive work environment. Although factors influencing nursing staff retention are well documented, little is known about how workplace factors impact nursing faculty retention outcomes. A national survey involving 645 nursing faculty across Canada was undertaken. Multivariate regression analysis with interaction effects was conducted to determine the association between work-related factors (i.e., workplace culture and work-life imbalance) and faculty job and career satisfaction, turnover intentions, and professional outlook. Supportive workplace culture positively influenced faculty job and career satisfaction and professional outlook, while it negatively impacted turnover intentions. Conversely, work-life imbalance decreased faculty job and career satisfaction and professional outlook (i.e., confidence in nursing program, profession), and it increased intentions to leave the job. Our results offer insights into the work-life experiences of Canadian faculty members and shed light on key factors that impact their job-related outcomes. In the context of competing resources, every effort must be made to improve modifiable workplace factors such as the academic work environment and create targeted interventions and policies to promote faculty retention.

Nurses'ways of talking about their experiences of (in)justice in healthcare organizations: Locating the use of language as a means of analysis.

Nurses have their own ways of talking about their experiences of injustice in healthcare organizations. The aim of this article is to describe how nurses talk about their work-life experiences and discuss the discursive effects that arise from nurses'use of language regarding their political agency. To this end, we present the findings garnered from a study focused on exploring how nurses deploy their political agency to project their idea of social and political justice in public healthcare organizations and how they face the challenges and uncertainties of (re)thinking their institutional order when it does not resonate with their professional ethos. We then discuss the implications that nurses'use of language has in relation to their ability to deploy their political agency to oppose the forms of injustice they face in their daily practice. We conclude by stating that careful attention should be placed on understanding the discursive implications of nurses'use of language on their individual and collective emancipation in healthcare organizations.

Learning across working life: educative experiences and individuals’ participation

ABSTRACT Understanding what constitutes learning across working life and how negotiating worklife transitions can be best supported has never been more important for working age adults, their workplaces and communities. The kinds and frequencies of changes in occupational and workplace requirements have consequences for personal goals, workplace viability and communities’ economic and social wellbeing. Hence, for both individual and societal purposes we need to elaborate the goals for and processes of that learning and what constitutes educative worklife experiences. Drawing on a three-phase investigation of adults’ worklife learning the kinds and qualities of the educative experiences directly or indirectly guiding, supporting and extending individuals’ learning and development are elaborated. This includes pathways of experiences across working life: personal curriculums. The paper reports and discusses the data from: (i) worklife narratives and follow-up interviews, and (ii) 18-month monitoring of work and learning of a cohort of workers. It furthers the case for viewing lifelong learning and lifelong education as being distinct and sperate phenomena, the interdependence among the contributions of adults, their educational experiences and those provided by their communities, leading to the explanatory concepts of personal curriculum and educative experiences to illuminate and elaborate learning and development across working life.

We can work it out: A qualitative study of the work-life experiences of people living with type 2 diabetes.

People with type 2 diabetes experience a range of negative work-related outcomes at a time when people are expected to remain active within the labour market for longer. This study sought to identify the work-related challenges faced by people with type 2 diabetes and ways to address them. Recruitment was undertaken in two contexts and focussed on people living with type 2 diabetes of working age (18-67). A further inclusion criterion for participants was that they were registered as having at least one diabetes-related complication. Qualitative data was gathered via semi-structured interviews and interactive workshops and analysed using systematic text condensation. Three themes were identified. The first theme highlighted that participants did not generally believe that their diabetes caused them any problems in the context of work, though this was not fully supported in their own accounts. The second theme pointed to the positive value attached to work, simultaneously indicating that work could negatively impact diabetes management and general health. The final theme highlighted the ways that both participants and their healthcare providers considered diabetes in isolation from other aspects of life, potentially delaying remedial actions. Epidemiological data indicate that there are serious issues linked to living with type 2 diabetes and work-related outcomes. The extent to which these issues are recognized and understood may be obfuscated or contained by the value which people attach to work-life. More needs to be done to tease out work-related challenges for people with type 2 diabetes to better initiate timely remedial actions.

Well-being Human Resource Model In The Collaborative Economy: The Keystone of ESG Strategy In The Tourism Sector

Sharing Economy is widely used in recent years and describes the commercial activity through online platforms, where third parties transact with each other and provides access to available resources or to resources that they do not use enough, with mainly financial motivations. Furthermore, Sharing Economy in collaboration with ESG archetypes can contribute to the sustainability of tourism and enables to the social well-being and economic growth of the sector. Thus, the aim of this study is threefold: (i) to investigate the role of the Sharing Economy and ESG practices in the well-being of Human Resources Management (HRM) in the tourism sector, (ii) to illustrate the research trends in the topic and (iii) to build a pillar framework for a culture well-being for businesses in the sector, which will be based on the principles of both Sharing Economy and ESG archetypes. To approach the research topic a five-step bibliometric analysis with R package has been applied. The bibliometric tools of Biblioshiny and VOSviewer have been applied for the analysis and the visualization of the results that come from the consideration of 593 original articles. The data were retrieved from Scopus database. The analysis indicates the role of gig economy, as the most important in the improvement of the well-being of the workforce in the tourism sector. The rapid growth of the gig economy is changing the future of employment, while can reconsider the work-life experience by allowing the workforce to select where, when and with whom they want to work. Today, businesses have the comfort of recruiting highly qualified, on-demand staffing talent day-to-day or as seasonal needs arise. Therefore, findings of this study present that tourism industry can not only survive but thrive through gig economy and offer to its human resource a work environment that will be characterized by agility, safety, balance, and sustainability.

You've got mail! How work e-mail activity helps anxious workers enhance performance outcomes

Despite workplace anxiety being a common experience of daily work life that is increasingly reliant on technology, we lack knowledge of technology-based job demands that prompt its occurrence. Drawing on theorization on workplace anxiety and integrating literature on information and communication technologies, we consider telepressure and normative response pressure as internal and external between-person sources of daily workplace anxiety. We further present a model of how employees adaptively (vs. maladaptively) respond to workplace anxiety on days they experience workplace anxiety, where anxiety prompts: (a) work e-mail activity, a self-regulatory behavior facilitating performance outcomes; and (b) non-work e-mail activity, a behavior that disengages employees from their work, debilitating performance outcomes. Utilizing a multilevel, time-lagged experience sampling field study across 10 workdays (Level 1 N = 809; Level 2 N = 96), we identify telepressure as a significant contributor of daily workplace anxiety. Further, we found support for an adaptive function of workplace anxiety. On days employees experienced workplace anxiety, their personal initiative and citizenship behaviors were enhanced through behavioral regulatory activity manifested in work e-mail activity. This indirect effect was strengthened for employees perceiving higher (vs. lower) work e-mail centrality. This research advances understanding of the adaptive function of workplace anxiety, such that employees are active drivers of their daily experiences of workplace anxiety.

The Complexity of Burnout Experiences among Care Aides: A Person-Oriented Approach to Burnout Patterns.

Care aides working in nursing homes experience burnout attributed to various workplace stressors. Burnout dimensions (exhaustion, cynicism, and reduced professional efficacy) interact to form distinct burnout patterns. Using a person-oriented approach, we aimed to identify burnout patterns among care aides and to examine their association with individual and job-related factors. This was a cross-sectional, secondary analysis of the Translating Research in Elder Care 2019-2020 survey data collected from 3765 care aides working in Canadian nursing homes. We used Maslach Burnout Inventory to assess burnout and performed latent profile analysis to identify burnout patterns, then examined their associations with other factors. We identified an engaged pattern (43.2% of the care aide sample) with low exhaustion and cynicism and high professional efficacy; an overwhelmed but accomplished pattern (38.5%) with high levels of the three dimensions; two intermediate patterns-a tired and ineffective pattern (2.4%) and a tired but effective pattern (15.8%). The engaged group reported the most favorable scores on work environment, work-life experiences, and health, whereas the tired and ineffective group reported the least favorable scores. The findings suggest complex experiences of burnout among care aides and call for tailored interventions to distinct burnout patterns.