title: When it is more than a job: close relationships between home health aides and older clients.
abstract: OBJECTIVE
  A qualitative study was conducted to investigate the types of relationships that were formed between older clients and their home health aides and to identify structural characteristics and interactive processes that facilitated various types of relationships.
  
  
  METHODS
  Using semistructured interviews, members of 16 families and their home health aides described the relationships that developed between clients and aides and the conditions and contexts that facilitated or inhibited close relationship development.  Data were coded and analyzed using a multistage process.
  
  
  RESULTS
  Most relationships between aides and older clients were described as friendship or like one of the family, with friendship occurring most often.  Several structural conditions and numerous interactive friendship processes were identified.  The cognitive process of boundary setting discriminated between friendships and family-like relationships.
  
  
  CONCLUSIONS
  Results show support for socioemotional selectivity theory and highlight the benefits of close relationships for older homebound adults and their home health aides.
authors.affiliation: Department of Family and Human Development, Utah State University, USA.
authors.forename: K W
authors.initials: KW
authors.lastname: Piercy
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D006299:Health Services for the Aged; D018576:Home Health Aides / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D011369:Professional-Patient Relations; D014937:Work