Execution of Home Help During the COVID-19 Epidemic

V magistrskem delu raziskujem izvajanje pomoči na domu v času epidemije covida-19. V teoretičnem uvodu predstavim staranje prebivalstva, družbeni položaj in potrebe starih ljudi, dolgotrajno oskrbo, pomoč na domu, tudi za ljudi z demenco, socialno delo s starimi ljudmi in socialno delo z ljudmi z demenco. V raziskavo sem vključila socialne delavke oziroma delavce, ki delajo na področju pomoči na domu v Sloveniji. Želela sem ugotoviti, kako so izvajalci pomoči na domu prilagodili izvajanje oskrbe zaradi epidemije, kako se je zaradi epidemije spremenilo socialno delo v organizacijah, ki izvajajo pomoč na domu, kakšno je mnenje socialnih delavk in delavcev o ukrepih in napotkih za izvajanje pomoči na domu v času epidemije ter kakšne so bile spremembe v stiskah in počutju uporabnikov pomoči na domu v času epidemije. Izvedla sem kvalitativno raziskavo, v katero sem vključila osem socialnih delavk, in rezultati so pokazali, da se je izvajanje pomoči na domu v času epidemije spremenilo na vseh področjih. Spremenilo se je neposredno izvajanje oskrbe, izvajalci pomoči na domu pa so spremenili izvajanje nekaterih storitev. Prav tako se je spremenilo sodelovanje z uporabniki in svojci ter socialno delo v organizacijah, ki izvajajo pomoč na domu, in sodelovanje z drugimi institucijami. Sprejeti so bili določeni ukrepi in napotki, ki so vplivali na izvajanje pomoči na domu. Nekateri ukrepi so dodatno otežili samo izvajanje oskrbe, napotki, namenjeni izvajalcem pomoči na domu, pa so bili posredovani pozno, zaradi česar so jih izvajalci predčasno oblikovali sami na podlagi splošnih priporočil. Uporabniki pomoči na domu so zaradi sprememb, ki jih je prinesla epidemija, doživljali stiske in spremembe v počutju, za kar so potrebovali dodatno pomoč. Predlagam, da se večja pozornost nameni pomoči na domu, saj je izvajanje storitve zelo pomembno za življenje starih ljudi v skupnosti. Storitev se mora izvajati po načelih socialnega dela.In the master\u27s thesis, I have researched the execution of home help during the COVID-19 epidemic. In the theoretical introduction, I present the ageing of the population, social status and needs of older people, long-term care, home help, including for people with dementia, social work with the older people, and social work with people with dementia. In the research, I included social workers working in the field of home help in Slovenia. My research goal was to find out how have home help providers adapted the provision of care due to the epidemic, how the epidemic affected social work in organizations providing home help, the opinions of social workers regarding measures and guidelines for home help during the epidemic, and changes in the distress and well-being of those receiving home help during the epidemic. In a qualitative survey involving eight social workers, I discovered that the execution of home help during the epidemic has changed in all areas. The direct provision of care has changed, and home help providers have changed the provision of some services. Cooperation with beneficiaries and relatives has also changed, as has social work in organizations providing home help and cooperation with other institutions. Certain adopted measures and instructions affected the implementation of home help. There were some measures that made providing care even more challenging, while guidance for home help providers was provided late, leading to early formulation of guidance by the providers themselves based on general recommendations. Beneficiaries of home help experienced distress and changes in well-being due to changes caused by the epidemic, for which they required additional assistance. I propose devoting more attention to home help as the provision of the service is significant for the lives of older people in the community. The service must be provided according to the principles of social work