How client death impacts home care aides' workforce outcomes: an exploratory analysis of return to work and job retention.

Home health aides face a range of stressors that may result in departing the workforce. One stressor that has emerged in multiple qualitative studies as potentially influencing retention is client death. Using 2019 data from a single agency in New York City employing approximately 1700 aides, we used logistic and linear regression to explore case and aide factors associated with workforce outcomes after client death. We found that longer case length (Beta = 0.01, p  < .001) was associated with longer return to work for aides experiencing client death and longer job tenure (Beta = -0.002, p  = .002) was associated with shorter return to work ( n  = 67). We found no difference in retention between aides who experienced client death and those who did not ( n   216). This analysis suggests the importance of research on the period of time following client death and of offering support to aides after clients die, particularly after longer cases.