Who Meets the Emotional Support Needs of Home Healthcare Workers? Characterizing Help-Seeking Practices and Preferences in the Workplace

Abstract

Home healthcare workers (HHCWs) experience high levels of occupational stress, yet their help-seeking practices and preferences for emotional support in the workplace are not well understood. This study was conducted in November and December 2021 at one large home care organization, using a cross-sectional web-based survey to report HHCWs’ (n = 249; 118 personal support workers, 44 nurses, and 87 rehabilitation providers) current and preferred sources of emotional support at work and perceived barriers. All groups relied heavily on supervisors and expressed comfort sharing with their peers. Respondents reported reluctance to burden others with emotional sharing, not having enough time to seek or use resources, and a desire for more connection with leaders and peers. To meet the emotional support needs of this workforce, organizations can enhance training offered to key organizational leaders and leverage existing members of their workplace support network to provide stronger organization-based support, normalize help-seeking, and sustain a healthy workforce.

Keywords

home care home care workers mental health help-seeking

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References

Akoo

McMillan

Price

Ingraham

Ayoub

Rolle Sands

Shankland

Bourgeault

(2023). “I feel broken”: Chronicling burnout, mental health, and the limits of individual resilience in nursing. Nursing Inquiry, 31(2), Article e12609. https://doi.org/10.1111/nin.12609

Albott

Wozniak

McGlinch

Wall

Gold

Vinogradov

(2020). Battle buddies: Rapid deployment of a psychological resilience intervention for health are workers during the COVID-19 pandemic. Anesthesia and Analgesia, 131(1), 43–54. https://doi.org/10.1213/ANE.0000000000004912

Aquilia

Grimley

Jacobs

Kosturko

Mansfield

Mathers

Parniawski

Wood

Niederhauser

(2020). Nursing leadership during COVID-19: Enhancing patient, family and workforce experience. Patient Experience Journal, 7(2), 136–143. https://doi.org/10.35680/2372-0247.1482

Billings

Abou Seif

Hegarty

Ondruskova

Soulios

Bloomfield

Greene

(2021). What support do frontline workers want? A qualitative study of health and social care workers’ experiences and views of psychosocial support during the COVID-19 pandemic. PLoS One, 16(9), e0256454. https://doi.org/10.1371/journal.pone.0256454

Billings

Ching

B. C. F.

Gkofa

Greene

Bloomfield

(2020). Healthcare workers’ experiences of working on the frontline and views about support during COVID-19 and comparable pandemics: A rapid review and meta-synthesis. BMC Health Serv Res, 21(923). https://doi.org/10.1186/s12913-021-06917-z

Brookman

Sayin

F. K.

Denton

Davis

Zeytinoglu

I. U.

(2022). Community-based personal support workers' satisfaction with job-related training at the organization in Ontario, Canada. Health Science Reports, 5(1), Article e478. https://doi.org/10.1002/hsr2.478

Franzosa

Tsui

Baron

(2019). Who's Ccring for Us?: Understanding and Addressing the Effects of Emotional Labor on Home Health Aides' Wewl-being. The Gerontologist, 59(6), 1055–1064. https://doi.org/10.1093/geront/gny099

Franzosa

Wyte-Lake

Tsui

E. K.

Reckrey

J. M.

Sterling

M. R.

(2022). Essential but excluded: Building disaster preparedness capacity for home health care workers and home care agencies. Journal of the American Medical Directors Association, 23(12), 1990–1996. https://doi.org/10.1016/j.jamda.2022.09.012

Gebhard

Herz

(2023). How to address the health of home care workers: A systematic review of the last two decades. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 42(4), 689–703. https://doi.org/10.1177/07334648221141084

10.

Gilmour

(2018). Formal home care use in Canada. https://www150.statcan.gc.ca/n1/en/pub/82-003-x/2018009/article/00001-eng.pdf?st=DAqdjJTB

11.

Godfrey

K. M.

Scott

S. D.

(2020). At the heart of the pandemic: Nursing peer support. Nurse Leader, 19(2), 188–193. https://doi.org/10.1016/j.mnl.2020.09.006

12.

Gray

Senabe

Naicker

Kgalamono

Yassi

Spiegel

J. M.

(2019). Workplace-based organizational interventions promoting mental health and happiness among healthcare workers: A realist review. International Journal of Environmental Research and Public Health, 16(22), 4396. https://doi.org/10.3390/ijerph16224396

13.

Greenberg

Docherty

Gnanapragasam

Wessely

(2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ, 368, m1211. https://doi.org/10.1136/bmj.m1211

14.

Hill

(1998). What sample size is “enough” in internet survey research. Interpersonal Computing and Technology: An electronic journal for the 21st century, 6(3–4), 1–12.

15.

Howe

A. S.

Jules

Tan

J. K.

Khan

A. K.

Edwards

King

E. C.

Nizzer

Gohar

Yazdani

Chattu

Sinclair

Kay

Nowrouzi-Kia

(2024). The effects of occupational and mental stress among home care rehabilitation professionals working during the COVID-19 pandemic: An exploratory qualitative study. Home Health Care Management & Practice, 36(3), 230–242. https://doi.org/10.1177/108482232312252

16.

Hsieh

H. F.

Shannon

S. E.

(2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687

17.

Janssen

L. M.

Abbott

K. M.

(2023). It hits me right here at my heart: Promoting emotional health of home care workers. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 42(4), 680–688. https://doi.org/10.1177/07334648221127690

18.

Knaak

Mantler

Szeto

(2017). Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions. Healthcare Management Forum, 30(2), 111–116. https://doi.org/10.1177/0840470416679413

19.

Lindy

D. C.

Russell

Gonzalez

Kissi

Robinson-Miles

E. M.

Knapp

(2025). Experiences of behavioral health social work managers facilitating covid support groups for non-medical community-based agency workers: A qualitative study. Clinical Social Work Journal. https://doi.org/10.1007/s10615-025-00985-y

20.

McKay

S. M.

Mondor

Warren

Bronskill

Guilcher

Senthinathan

Zagrodney

Nichol

King

(2024). How did home care service delivery change in Ontario from 2013 – 2022? A retrospective study using administrative data. Canadian association of health services & policy research (CAHSPR) annual conference. Ottawa, CA.

21.

Moll

S. E.

(2014). The web of silence: A qualitative case study of early intervention and support for healthcare workers with mental ill-health. BMC Public Health, 14(138), 1–13. https://doi.org/10.1186/1471-2458-14-138

22.

Muller

A. E.

Hafstad

E. V.

Himmels

J. P. W.

Smedslund

Flottorp

Stensland

S. O.

Stroobants

Van de Velde

Vist

G. E.

(2020). The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research, 293, Article 113441. https://doi.org/10.1016/j.psychres.2020.113441

23.

Nizzer

Baliga

McKay

S. M.

Holness

D. L.

King

E. C.

(2024). Sustaining a workforce: Reflections on work from home and community care nurses transitioning out of the COVID-19 pandemic. Sage Open Nursing, 10, 23779608241264162. https://doi.org/10.1177/23779608241264162

24.

Nizzer

Moreira

N. A.

Mohammed

Bruno

McKay

S. M.

Holness

D. L.

King

E. C.

(2025). Workplace challenges and support needs experienced by nurse leaders in home and community care during the COVID-19 pandemic: A qualitative study. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 62, 469580251329794. https://doi.org/10.1177/00469580251329794

25.

Nizzer

Ruco

Moreira

N. A.

Holness

D. L.

Nichol

K. A.

King

E. C.

McKay

S. M.

(2023). “You have to be careful about every detail” how the COVID-19 pandemic shaped the experiences of Canadian personal support workers working in home care. Journal of Occupational and Environmental Medicine, 65(9), e604–e609. https://doi.org/10.1097/JOM.0000000000002911

26.

Pereira

Radovic

Haykal

K. A.

(2021). Peer support programs in the fields of medicine and nursing: A systematic search and narrative review. Canadian Medical Education Journal, 12(3), 113–125. https://doi.org/10.36834/cmej.71129

27.

QSR International Pty Ltd . (2012). NVivo (version 11). QSR International Pty Ltd.

28.

R Core Team . (2022). R: A language and environment for statistical computing: R Foundation for Statistical Computing. URL. https://www.R-project.org/

29.

Rickwood

Deane

Wilson

Ciarrochi

(2005). Young people's help seeking for mental health problems. Australian E-Journal for the Advancement of Mental Health (AeJAMH), 4(3), 218–251. https://doi.org/10.5172/jamh.4.3.218

30.

Sayin

F. K.

Denton

Brookman

Davies

Zeytinoglu

I. U.

(2022). Violence, harassment, and turnover intention in home and community care: The role of training. Healthcare, 11(1), 103. https://doi.org/10.3390/healthcare11010103

31.

Shahidi

F. V.

Gignac

M. A. M.

Oudyk

Smith

P. M.

(2021). Assessing the psychosocial work environment in relation to mental health: A comprehensive approach. Annals of Work Exposures and Health, 65(4), 418–431. https://doi.org/10.1093/annweh/wxaa130

32.

Sharma

Minh Duc

N. T.

Luu Lam Thang

Nam

N. H.

S. J.

Abbas

K. S.

Huy

N. T.

Marusic

Paul

C. L.

Kwok

Karbwang

de Waure

Drummond

F. J.

Kizawa

Taal

Vermeulen

Lee

G. H. M.

Gyedu

K. G.

Karamouzian

(2021). A consensus-based checklist for reporting of survey studies (CROSS). Journal of General Internal Medicine, 36(10), 3179–3187. https://doi.org/10.1007/s11606-021-06737-1

33.

Sovold

L. E.

Naslund

J. A.

Kousoulis

A. A.

Saxena

Qoronfleh

M. W.

Grobler

Munter

(2021). Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Front Public Health, 9, Article 679397. https://doi.org/10.3389/fpubh.2021.679397

34.

Statistics Canada . (2021). Mental health among health care workers in Canada during the COVID-19 pandemic. https://www150.statcan.gc.ca/n1/daily-quotidien/210202/dq210202a-eng.htm

35.

Statistics Canada . (2022). Experiences of health care workers during the COVID-19 pandemic, September to November 2021. https://www150.statcan.gc.ca/n1/daily-quotidien/220603/dq220603a-eng.htm

36.

van der Rijt

Van den Bossche

van de Wiel

M. W. J.

De Maeyer

Gijselaers

W. H.

Segers

M. S. R.

(2013). Asking for help: A relational perspective on help seeking in the workplace. Vocations and Learning, 6(2), 259–279. https://doi.org/10.1007/s12186-012-9095-8

37.

Weerdt

C. V. D.

Baratta

(2015). Changes in working conditions for home healthcare workers and impacts on their work activity and on their emotions. Production, 25(2), 344–353. https://doi.org/10.1590/0103-6513.108412

38.

Wulf

I. C.

(2022). Help-seeking and help-outreach intentions of healthcare workers—the role of mental health literacy and stigma in the workplace. Frontiers in Education, 7, 856458. https://doi.org/10.3389/feduc.2022.856458

39.

Yamauchi

Shimazaki

Yanagisawa

Suka

(2023). Formal and informal help-seeking intentions/behaviors among students and workers during the COVID-19 pandemic: A scoping review. Environmental Health and Preventive Medicine, 28, 53. https://doi.org/10.1265/ehpm.23-00095

40.

Zace

Hoxhaj

Orfino

Viteritti

A. M.

Janiri

Di Pietro

M. L.

(2021). Interventions to address mental health issues in healthcare workers during infectious disease outbreaks: A systematic review. J Psychiatr Res, 136, 319–333. https://doi.org/10.1016/j.jpsychires.2021.02.019

41.

Zeytinoglu

I. U.

Denton

Brookman

Davies

Sayin

F. K.

(2017). Health and safety matters! associations between organizational practices and personal support workers' life and work stress in Ontario, Canada. BMC Health Services Research, 17(1), 427. https://doi.org/10.1186/s12913-017-2355-4