Korean Family Caregivers' Perceptions of Care in Dementia Care Units

Abstract

With the demanding level of care needed for people with dementia, more Korean families are institutionalizing their relatives with dementia. This presents particular concerns for the Korean culture that values family responsibility for elder care. The purpose of this study was to describe Korean family members perceptions of stress and satisfaction with care, the caregiving role, the family-staff relations. A purposive sample of 94 family members in 10 long-term care dementia care facilities in Korea participated in the study. Family Perceptions of Care Tool and Family Perceptions of Caregiving Role developed by Maas and Buckwalter (1990) were used to investigate Korean family caregivers perceptions of care. Findings from the study can be summarized as follows: a) family caregivers showed the lowest satisfaction level for staff management effectiveness, especially for facility s resources available for care, and (b) family caregivers showed the highest stress from staff members control on caregiving, feeling the same responsibilities after placement, and guilt over their placement. The results contribute to the understanding of Korean family caregivers perceptions of caregiving and the care relationship after institutionalizing their elderly persons with dementia.

Development and Validation of the Scale for Partnership in Care—for Family (SPIC-F)

“…This tool measures family's perceptions of care in four aspects (staff consideration, management effectiveness, physical care, activities). The Cronbach's α was 0.94 in Park's [45] study and 0.88 in this study.…”

“…Prior to the EFA, we performed the KMO test and Bartlett's sphericity test. The KMO value was 0.94, indicating adequacy for factor analysis [45], and Bartlett's sphericity value was also statistically significant (χ 2 = 2252.85, p < 0.001).…”

“…Criterion validity was tested using the Family Perceptions of Care Tool (FPCT) originally developed by Mass and Buckwalter [44] and translated into Korean by Park [45]. It was used as evidence that families with a good cooperative relationship with the facility staff have high satisfaction with care provided by the facility [18,[46][47][48].…”

Delusions of Korean patients with Alzheimer's disease: Study of drug‐naïve patients

“…“Family support first” healthcare‐seeking behavior in dementia care, in turn, leads to delay in seeking help until their parent's aberrant behaviors become intolerable 14 . However, this tradition has been drastically declining in Korea in recent years, as a result of industrialization, 15 but there is still a considerable portion of patients with mild to severe AD who visit dementia clinics with never medicated status. Therefore, we can design a delusion study in psychotropic(drug)‐naïve probable AD patients, which will thus overcome the psychotropic medication effects on delusions.…”

Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities

“…were collected. The duration of caregiving at home, duration of the visits, and number of visits per month were classified as described in previous studies [21,30].…”