title: Family caregiving at the intersection of private care by migrant home care workers and public care by nursing staff.
abstract: BACKGROUND
  This study evaluated private family caregiving at the intersection of private migrant home care and public nursing care on the hospitalization of an older patient.
  
  
  METHODS
  Seventy-three individuals were interviewed, including older hospitalized patients, their family members, accompanying migrant home care workers, and nursing personnel.
  
  
  RESULTS
  There was no clear consensus concerning the role of family members. Although family members emphasized care management as their main role, the other three groups emphasized that the family members' mere physical presence was their main role. All four groups identified potential barriers to family caregiving, rather than motives for family caregiving, hence pointing to a potential discrepancy between expected and performed family caregiving roles.
  
  
  CONCLUSIONS
  An indication of the lack of clarity concerning family caregiving roles stems from the finding that family members were frequently viewed as unengaged and neglectful, yet at times they were criticized for being overly involved in patient care. Implications for the care of hospitalized older adults are discussed.
authors.affiliation: Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan 52900, Israel. liatayalon0@gmail.com
authors.forename: Liat
authors.initials: L
authors.lastname: Ayalon
authors.forename: Sara
authors.initials: S
authors.lastname: Halevy-Levin
authors.forename: Zvi
authors.initials: Z
authors.lastname: Ben-Yizhak
authors.forename: Gideon
authors.initials: G
authors.lastname: Friedman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006699:Home Care Services; D018576:Home Health Aides / Q000523:psychology*; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D024802:Nurse's Role; D009740:Nursing Staff / Q000523:psychology*; D024382:Professional Role; D011368:Professional-Family Relations; D036301:Qualitative Research; D012380:Role; D011795:Surveys and Questionnaires; D014171:Transients and Migrants