Background: In the healthcare sector, many workers are believed to be “double duty carers” (DDCs) - individuals providing care both at work and home. DDCs often work in paid care work while providing unpaid care to family/friends outside of work. The COVID-19 pandemic places additional stressors on these vulnerable carers. Caring is an emerging global health issue involving the straining of roles due to the pandemic. Informal or unpaid caring is globally known to be a women's health issue given the gendered nature of caring, resulting in women shouldering greater physical, social, and emotional costs. Purpose: The aim of this study was to understand the impact of COVID-19 on DDCs through the perspective of employers and DDCs. The knowledge generated illuminates how the paid and unpaid caring has been affected by the pandemic, what supports, or coping strategies are being utilized by DDCs. Methods: This mixed-methods study comprises two phases; a quantitative survey for employers and qualitative interview for DDCs. The survey investigates how workplace supports have been impacted by the pandemic, while the interview investigates DDCs’ experiences/coping strategies during the pandemic. Finally, triangulation of the data from the two phases will be used to create evidence-based policy recommendations to enhance DDC supports. Results: Healthcare employers were observed to be cognizant of DDCs’ diminishing wellness during the COVID-19 pandemic; yet, less than half supported their carer-employees. DDCs had increased care demands both at work and at home and experienced a lack of access to their usual support system and support services. The data from both phases helped elucidate recommendations and areas of concern for DDC support that can serve as important implications for carer-friendly workplace policies (CFWP). Conclusion: By exploring the intersection of perspectives from employers and DDCs, this study will contribute to evidence-informed guidelines for CFWP during a pandemic. / Thesis / Master of Science (MSc) / The term ‘double duty carer’ (DDC) refers to individuals, often women, that are provide care both at home and at work. DDCs are an important workforce that are vulnerable to negative physical and mental health consequences which are exacerbated during the COVID-19 pandemic. The purpose of this study is to examine the impact of the pandemic on DDCs’ caring responsibilities and supports from the perspectives of healthcare employers and DDCs. Findings showed that the COVID-19 pandemic made paid and unpaid caring much more demanding, inflicted poor health consequences upon DDCs and made supports difficult to access. DDCs are experiencing increased role strain and having to invest more hours in paid and unpaid care. The findings of this study can be used to improve DDC support and strengthen the collaborative relationships among healthcare employers and DDCs.

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