| BMC Geriatrics | |
| Hope and connection: the experience of family caregivers of persons with dementia living in a long term care facility | |
| Cheryl Nekolaichuk2  Dawn Schroeder1  Wendy Duggleby1  | |
| [1] Faculty of Nursing, University of Alberta, Alberta, Canada;Division of Palliative Care Medicine, Department of Oncology, University of Alberta, Alberta, Canada | |
| 关键词: Dementia; Caregivers; Connection; Hope; | |
| Others : 856703 DOI : 10.1186/1471-2318-13-112 |
|
| received in 2013-04-15, accepted in 2013-10-14, 发布年份 2013 | |
PDF
|
|
【 摘 要 】
Background
Hope is a psychosocial resource that is essential for the psychological, spiritual, and physical well-being of family members caring for persons with dementia. A significant positive relationship has been found between hope and well-being in family caregivers of persons with dementia living in the community. However, the hope experience of family caregivers of persons living with dementia in long-term care (LTC) facilities has not been explored. The purpose of this study was to explore the hope experience of family caregivers of persons with dementia living in a LTC facility.
Methods
Twenty-three open-ended face to face interviews were conducted with 13 family caregivers of residents with dementia in a LTC facility. Family was broadly defined to include relatives and friends. Seven of these participants also reflected on their hope in diaries over a two week period. Interview transcripts and journal texts were analyzed using Thorne’s interpretive description approach.
Results
The over-arching theme was “hope and connection”. Participants lost hope and felt despair when they perceived they were unable to connect with their family member in the LTC facility. They regained their hope when a connection could be made. Several sub-themes were identified including: accepting where we are, living life in the moment, believing in something, standing together, and balancing dual worlds.
Conclusions
Hope was important and essential for family caregivers of persons with dementia residing in a LTC facility. The overarching theme of “hope and connection” underscores the importance of maintaining relationships and connection between family members and the person in LTC. Given the paucity of hope research conducted within this population, the study findings provide a foundation for future research.
【 授权许可】
2013 Duggleby et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20140723035644421.pdf | 207KB |
【 参考文献 】
- [1]Williams SW, Williams CS, Zimmerman S, Munn J, Dobbs D, Sloane PD: Emotional and physical health of informal caregivers of reisidents at the end of life: the role of social support. J Gerontol B Psychol Sci Soc Sci 2008, 63B(3):S171-S183.
- [2]Supporting Informal Caregivers - The heart of home care[https://secure.cihi.ca/free_products/Caregiver_Distress_AIB_2010_EN.pdf webcite]
- [3]Duggleby W, Williams A, Wright K, Bollinger S: Renewing everyday hope: the hope experience of family caregivers of persons with dementia. Issues Ment Health Nurs 2009, 30(8):514-521.
- [4]Duggleby W, Williams A: Living with hope: developing a psychosocial supportive program for rural women caregivers of persons with advanced cancer. BMC Palliat Care 2010, 9:1-8. BioMed Central Full Text
- [5]Irvin BL, Acton GJ: Stress, hope, and well-being of women caring for family members with Alzheimer's disease. Holist Nurs Pract 1997, 11(2):69-79.
- [6]Peacock S, Duggleby W, Kopp P: The lived experience of family caregivers who provided end-of-life care to persons with advanced dementia. J of Supp and Palli Care 2013, 1-10. doi:10.1017/S1478951512001034. Published online: March 19, 2013
- [7]Kao H, McHugh ML: The role of caregiver gender and caregiver burden in nursing home placements for elderly Taiwanese survivors of stroke. Res Nurs Health 2004, 27(2):121-134.
- [8]Gaughler JE, Anderson KA, Zarit SH, Pearlin LI: Family involvement in nursing homes: effects on stress and well-being. Aging Ment Health 2004, 8(1):65-75.
- [9]Ross M, Creswell J, Dalziel WB: Family caregiving in long-term care facilitites. Clin Nurs Res 2001, 10(4):347-363.
- [10]Thompson G, Menec V, Chochinov HM, McClement S: Family satisfaciton with care of a dying loved one in nursing homes. What makes a difference? J Gerontol Nurs 2008, 34(12):37-44.
- [11]Strang V, Koop P, Dupuis-Blanchard S, Nordstrom M, Thompson B: Family caregivers and transition to long-term care. Clin Nurs Res 2006, 15(1):27-45.
- [12]Thorne S: Interpretive Description. Walnut Creek CA: Left Coast Press Inc.; 2008.
- [13]Marcel G: Homo viatro: Introduction to a metaphysics of hope. New York: Harper and Row; 1962.
- [14]Duggleby W, Holtslander L, Kylma J, Duncan V, Hammond C, Williams A: Metasynthesis of the hope experience of family caregivers of persons with chronic illness. Qual Health Res 2010, 20(2):148-158.
- [15]Farran CJ, Herth K, Popovich JM: Hope and hopelessness: Critical Clinical Constructs. Thousand Oaks CA: Sage Publications; 1995.
- [16]Jevne R: Interdisciplinary perspectives on hope. In Hope: The simplicity and complexity. Edited by Eliott JA. New York: Nova Science Publishers, Inc; 2005.
- [17]Holtslander L, Duggleby W: The hope experience of older bereaved women who cared for a spouse with terminal cancer. Qual Health Res 2009, 19(3):388-400.
- [18]Duggleby W, Bally J, Cooper D, Doell H, Thomas R: Engaging hope: the experiences of male spouse of women with breast cancer. Oncol Nurs Forum 2012, 39(4):400-406.
PDF