1
|
The Impact of Caregiving on Successful Ageing of Informal Carers: A Qualitative Study among Respiratory Patients' Caregivers. Healthcare (Basel) 2023; 11:healthcare11050715. [PMID: 36900720 PMCID: PMC10001331 DOI: 10.3390/healthcare11050715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/14/2023] [Accepted: 02/24/2023] [Indexed: 03/06/2023] Open
Abstract
Providing intensive informal caregiving can cause caregivers' overburden, possibly impacting successful ageing factors such as physical and mental health and social life. This article aimed to investigate how informal caregivers experience the impact of providing care for chronic respiratory patients on the process of caregiver ageing. A qualitative exploratory study was performed using semi-structured interviews. The sample comprised 15 informal caregivers who provided intensive care for patients with chronic respiratory failure for more than six months. They were recruited while accompanying the patients on their examination for chronic respiratory failure in Special Hospital for Pulmonary Disease in Zagreb between January 2020 and November 2020. Semi-structured interviews were used with informal caregivers, and interview transcripts were analysed by the inductive thematic analysis method. Similar codes were organised into categories, and categories were grouped into themes. Two themes were identified in the domain of physical health relating to informal caregiving activities and inadequate treatment of their difficulties, three themes were in the domain of mental health relating to satisfaction with the recipient of care and feelings, and two themes were in the domain of social life, relating to social isolation and social support. Informal caregivers of patients with chronic respiratory failure experience a negative impact on the factors that contribute to the successful ageing of informal caregivers. The results of our research suggest that caregivers need support in maintaining their own health and social inclusion.
Collapse
|
2
|
Categorizing national caregiver recommendations to support family caregivers and address unmet needs. Nurs Outlook 2022; 70:837-845. [PMID: 36400579 DOI: 10.1016/j.outlook.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 07/21/2022] [Accepted: 07/31/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Recognizing family caregivers as vital providers of long-term assistance to loved ones with chronic illness, several national organizations developed recommendations to improve support for family caregivers. PURPOSE This article categorizes these recommendations to advance family-centered nursing practice, develop health policies, and advocate for family caregiver support. METHODS Six reports of caregiver recommendations published in the United States from 2016 to 2021 were analyzed using thematic analysis. FINDINGS The 108 recommendations were organized into five categories: policy; caregiver assessment and support; health professional practices; public awareness; advance care planning. DISCUSSION Ensuring economic security, establishing a national data collection strategy, addressing caregivers' diverse needs, improving access to health care and support services, and increasing public awareness were highlighted. CONCLUSION The recommendations provide a roadmap for nurses at all levels of practice to advocate for a national agenda to develop, fund, and implement inclusive health care policies and interventions to address unmet caregiver needs and maximize support.
Collapse
|
3
|
Anderson JG, Jao YL. The Impact of the COVID-19 Pandemic on Family-Focused Care of People With Alzheimer's Disease and Related Dementias. JOURNAL OF FAMILY NURSING 2022; 28:179-182. [PMID: 35822485 DOI: 10.1177/10748407221108200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
|
4
|
Jung MY, Matthews A, Park C, Corte C, Gorman G, Kim S. Impact of Quality of Communication With Clinicians on Depression, Anxiety, and Quality of Life Among Korean Family Caregivers in End-of-Life Care Settings. Am J Hosp Palliat Care 2021; 39:1137-1144. [PMID: 34907792 DOI: 10.1177/10499091211060509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Min Young Jung
- Department of Population Health Nursing Science, College of Nursing, 16100The University of Illinois Chicago, Chicago, IL USA
| | - Alicia Matthews
- Department of Population Health Nursing Science, College of Nursing, 16100The University of Illinois Chicago, Chicago, IL USA
| | - Chang Park
- Department of Population Health Nursing Science, College of Nursing, 16100The University of Illinois Chicago, Chicago, IL USA
| | - Colleen Corte
- Department of Population Health Nursing Science, College of Nursing, 16100The University of Illinois Chicago, Chicago, IL USA
| | - Geraldine Gorman
- Department of Population Health Nursing Science, College of Nursing, 16100The University of Illinois Chicago, Chicago, IL USA
| | - Sujeong Kim
- Department of Family Health Nursing, College of Nursing, 26713The Catholic University of Korea,Seocho-gu, Seoul, Korea
| |
Collapse
|
5
|
Development of Training in Problem Solving for Caregivers of Childhood Brain Tumor Survivors. Cancer Nurs 2021; 45:E746-E757. [DOI: 10.1097/ncc.0000000000001041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
6
|
Implementing a Comprehensive Caregiver Assessment and Tailored Family Care Plan Is Essential to a Successful Discharge Home. Rehabil Nurs 2021; 46:297-299. [PMID: 34730899 DOI: 10.1097/rnj.0000000000000348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
7
|
Parmar J, Anderson S, Duggleby W, Holroyd-Leduc J, Pollard C, Brémault-Phillips S. Developing person-centred care competencies for the healthcare workforce to support family caregivers: Caregiver centred care. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1327-1338. [PMID: 32949440 DOI: 10.1111/hsc.13173] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 07/30/2020] [Accepted: 08/19/2020] [Indexed: 06/11/2023]
Abstract
Family caregivers (FCGs) are an integral part of the healthcare system. Currently, FCGs provide 70%-90% of the care required by community-dwelling children and adults living with complex chronic conditions and frailty. Despite FCG's contributions and the growing proportion of distressed caregivers, support for FCGs has not been a health system priority. Researchers have proposed training to enhance the competencies of health providers to work effectively with FCGs. In the absence of best practices for the competency indicators for caregiver-centred care, we have developed a competency framework for training the health workforce to support FCGs. The objectives in this paper are fourfold: (a) a brief review of stakeholder engagement that led to the development of the competencies the health workforce needs to support FCGs, (b) a description of the process used to name the competency domains, (c) a report on the Modified Delphi process (conducted 2019) used to validate the domain indicators, and (d) a description of the competency framework. We adopted a caregiver and a multilevel interdisciplinary stakeholder codesign approach throughout the competency development process. The competency domains include: (a) Recognising the Caregiver Role, (b) Communicating with FCGs, (c) Partnering with FCGs, (d) Fostering Resilience in FCGs, (e) Navigating Health and Social Systems and Accessing Resources, and, (f) Enhancing the Culture and Context of Healthcare. Our Caregiver-Centred Care Competencies for the health workforce are only a first step in supporting FCGs in their vital roles. There are few education and training resources to enable and empower health providers to support FCGs, there is an urgent need to develop training resources for the health workforce to recognise and support FCGs.
Collapse
Affiliation(s)
- Jasneet Parmar
- Department of Family Medicine, University of Alberta, Edmonton, AB, Canada
- Edmonton Zone Home Living, Alberta Health Services, Edmonton, AB, Canada
| | - Sharon Anderson
- Department of Family Medicine, University of Alberta, Edmonton, AB, Canada
| | - Wendy Duggleby
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Jayna Holroyd-Leduc
- Department of Medicine, Brenda Strafford Foundation Chair in Geriatric Medicine, University of Calgary, Calgary, AB, Canada
| | - Cheryl Pollard
- Bachelor of Science in Nursing, McEwan University, Edmonton, AB, Canada
| | - Suzette Brémault-Phillips
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, USA
| |
Collapse
|
8
|
Family Physician's and Primary Care Team's Perspectives on Supporting Family Caregivers in Primary Care Networks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063293. [PMID: 33806725 PMCID: PMC8005195 DOI: 10.3390/ijerph18063293] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 03/14/2021] [Accepted: 03/18/2021] [Indexed: 12/24/2022]
Abstract
Background. Research, practice, and policy have focused on educating family caregivers to sustain care but failed to equip healthcare providers to effectively support family caregivers. Family physicians are well-positioned to care for family caregivers. Methods. We adopted an interpretive description design to explore family physicians and primary care team members’ perceptions of their current and recommended practices for supporting family caregivers. We conducted focus groups with family physicians and their primary care team members. Results. Ten physicians and 42 team members participated. We identified three major themes. “Family physicians and primary care teams can be a valuable source of support for family caregivers” highlighted these primary care team members’ broad recognition of the need to support family caregiver’s health. “What stands in the way” spoke to the barriers in current practices that precluded supporting family caregivers. Primary care teams recommended, “A structured approach may be a way forward.” Conclusion. A plethora of research and policy documents recommend proactive, consistent support for family caregivers, yet comprehensive caregiver support policy remains elusive. The continuity of care makes primary care an ideal setting to support family caregivers. Now policy-makers must develop consistent protocols to assess, and care for family caregivers in primary care.
Collapse
|
9
|
Lavin J, Lavin C, Bai X, Mastropaolo S, Feldman D. Determining the Effect of Group Flower Arranging Sessions on Caregiver Self-Efficacy and Stress Levels in an In-Patient Hospice. OMEGA-JOURNAL OF DEATH AND DYING 2020; 84:491-511. [PMID: 31948364 DOI: 10.1177/0030222819900441] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study was designed to promote enhanced self-efficacy and decreased stress levels for family caregivers at a hospice care hospital, thus increasing their quality of life. This is achieved through group flower arranging sessions. The objectives are to (a) enhance self-efficacy scores for family caregivers of Calvary patients, (b) decrease stress levels for family caregivers of Calvary patients, and (c) disseminate results to other hospices. The results show that the flower arranging sessions resulted in significantly increased self-efficacy and decreased stress and associated problems for the caregiver participants. Implications and suggestions for future research are discussed.
Collapse
Affiliation(s)
- Joanne Lavin
- Nursing Programs, CUNY School of Professional Studies, New York, NY, USA
| | | | - Xin Bai
- Department of Teacher Education/Educational Technology, York College, CUNY, Jamaica, NY, USA
| | | | | |
Collapse
|
10
|
Beverly CJ, Harden JT. Gerontological nursing: Growth, adaptation and change after John A. Hartford Foundation investments. Geriatr Nurs 2020; 41:21-28. [DOI: 10.1016/j.gerinurse.2020.01.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
11
|
Using a Nursing Salon to Identify and Develop an Initiative for Family Caregivers of Older Adults. J Nurs Adm 2019; 50:40-44. [PMID: 31809455 DOI: 10.1097/nna.0000000000000837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The purpose of the Aging Well Nursing-Interprofessional Salon was to explore current local community healthcare issues for older adults and to develop innovative strategies that support and enhance their health. An initiative emerged from the salon that focuses on identifying caregivers to ensure their awareness of available support resources. We are in the process of developing a pilot plan that includes collaboration of PhD and doctorate of nursing practice students, nursing faculty, and community agencies that support older adults.
Collapse
|
12
|
SanGiacomo N, Toth J, Hobbie W, Broden E, Ver Hoeve E, Knafl KA, Barakat L, Ogle S, Deatrick JA. Challenges to Family Management for Caregivers of Adolescent and Young Adult Survivors of Childhood Brain Tumors [Formula: see text]. J Pediatr Oncol Nurs 2019; 36:402-412. [PMID: 31046569 PMCID: PMC6791045 DOI: 10.1177/1043454219844229] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Due to the complexity of cancer late effects, the education required to provide anticipatory guidance and support to the caregivers of adolescent and young adult (AYA) survivors of childhood brain tumors can be difficult. Therefore, identifying challenges to family management (FM) could be helpful in anticipating complications with the integration of tumor and treatment late effects into family life. Building on previous research that described FM for children with chronic conditions, children who survived cancer, and the Family Management Styles Framework, the purpose of this study was to identify FM challenges for caregivers of AYA survivors of childhood brain tumors to guide clinical practice and research. Directed content analysis was used to identify FM challenges in data from semistructured interviews with 45 maternal caregivers for AYA survivors of childhood brain tumors living with them. Caregivers were largely White (89%) with an average age of 52 years, educated beyond the high school level (67%), and were partnered or married (53%). On average, caregivers had been caring for the AYA for 21 years since diagnosis, and 56% of their survivors had moderate functional restrictions. A primary and a secondary analyst were assigned to the data for each interview and completed a single summary matrix. A list of challenges was created by the research team based on Family Management Styles Framework, the literature, and clinical expertise. Seven core challenges to FM were identified: ensuring survivor well-being, supporting survivor independence, encouraging sibling well-being, planning family activities, sustaining parents as caregivers, attending to survivor late effects, and providing support and advocacy.
Collapse
Affiliation(s)
- Nicole SanGiacomo
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, PA, USA
| | - Jennifer Toth
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, PA, USA
| | - Wendy Hobbie
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
| | | | - Elizabeth Ver Hoeve
- University of Pennsylvania, Philadelphia, PA, USA
- University of Arizona, Tucson, AZ, USA
| | | | - Lamia Barakat
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, PA, USA
| | - Sue Ogle
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
| | | |
Collapse
|