Self-Perceived Needs of Primary Caregivers of Home-Hospice Clients

Decker, Susan; Young, Eva

doi:10.1207/s15327655jchn0803_4

Cited by 24 publications

(21 citation statements)

References 17 publications

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“…Our results are congruent with the hospice and palliative care philosophy of promoting holistic well-being of patients and their families. Types of strain evident in this quantitative study also resonate with domains emerging from qualitative interviews with family caregivers at end of life (e.g., Decker & Young, 1991;Jansma, Schure, & de Jong, 2005).…”

Section: Discussionsupporting

confidence: 60%

“…All three appraisals predicted higher cumulative strain. These results argue for greater consideration of caregivers' appraisals in end-of-life research, an argument also made by others (e.g., Decker & Young, 1991;Haley et al, 1996;Oberst et al, 1989). Appraisals can be used to identify caregivers who are likely to experience greater strain.…”

Section: Conclusion About Caregiver Appraisalssupporting

confidence: 54%

“…Intrapsychic resources may lower psychological strain by reducing perceived stressfulness of care tasks (Haley et al, 1996), supporting an optimistic outlook (Given et al, 1993), or enhancing caregivers' self-esteem or mastery (Braithwaite, 2000;Pearlin et al, 1990). They may lower social strain by reducing feelings of role captivity (Decker & Young, 1991;Pearlin et al) or helping caregivers seek social support (Aneshensel et al, 1995). Intrapsychic resources may lower spiritual strain by providing a sense of meaning or purpose.…”

Section: Conclusion About Caregiver Resourcesmentioning

confidence: 99%

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Levels, Types, and Predictors of Family Caregiver Strain During Hospice Home Care for an Older Adult

Townsend

Ishler

Shapiro

et al. 2010

Journal of Social Work in End-Of-Life & Palliative Care

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Academic researchers and professionals from a hospice organization collaborated to assess physical, emotional, social, economic, and spiritual strain stemming from providing care to a terminally ill older relative among 162 family caregivers to older adults newly admitted to hospice home care. The study investigated predictors of the different types of strain, as well as cumulative strain. Hierarchical multiple regressions revealed that caregivers' age and race, hospice patients' major illnesses (particularly cancer), caregivers' appraisals of their situation, and resources were significant risk or protective factors for caregiver strain, although the predictors varied by type of strain and amount of strain. Discussion focuses on the importance of identifying family caregivers at risk of higher strain during hospice home care and implications for family caregiver interventions.

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Section: Discussionsupporting

confidence: 60%

Section: Conclusion About Caregiver Appraisalssupporting

confidence: 54%

Section: Conclusion About Caregiver Resourcesmentioning

confidence: 99%

See 1 more Smart Citation

Levels, Types, and Predictors of Family Caregiver Strain During Hospice Home Care for an Older Adult

Townsend

Ishler

Shapiro

et al. 2010

Journal of Social Work in End-Of-Life & Palliative Care

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“…Family caregivers not only assist in care alongside providers of palliative care services but also provide the bulk of support within the home (Decker & Young, 1991;Ferrell, 1998;Kurtz et al, 1995;Rhodes & Shaw, 1999). Without the input of family caregivers, the well-being of the majority of individuals with a life-threatening illness would be compromised (Stetz & Brown, 1997).…”

mentioning

confidence: 99%

A Critical Review of Supportive Interventions for Family Caregivers of Patients with Palliative-Stage Cancer

Hudson

2004

Journal of Psychosocial Oncology

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ABSTRACT. The impact of supporting a dying family member has frequently been reported as extremely challenging. In addition, family members of dying cancer patients have consistently identified a need for additional guidance and support from health care professionals. Provision of high-quality palliative care services should include strategic support for families of patients confronted with a life-threatening diagnosis. To date, however, few published strategies clearly identify the most effective means of providing family support. The author seeks to provide a critical evaluation of past supportive interventions for family caregivers of dying cancer patients. The report confirms an urgent need for new supportive-care strategies for families to be tested. In addition, the review offers recommendations for designing and evaluating future family caregiver interventions. Psychoeducational interventions evaluated via randomized controlled trials are considered to be a priority.

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“…In the circumstances, the caregiver has many needs. It leads to stress for the caregiver if their needs related to the responsibility of caregiving are not met [20,21]. Sintayehu, et al 2015 reported that overall prevalence of mental distress among caregiver 56.7%.…”

Section: Normal Line Of Defensementioning

confidence: 99%

Conceptual Framework for Nurses in the Use of the Neuman Systems Model on Caregivers of People Suffering by Schizophrenia

Bademli¹,

Duman²

2017

Int Arch Nurs Health Care

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framework and providing a holistic viewpoint [1]. While developing the systems model, Neuman used Gestalt, systems and stress adaptation theories. The Neuman Systems Model has a dynamic structure that provides a systems-based holistic viewpoint and is based on the protection of environmental factors in relation to the system, which is oriented to the state of wellness, and the system balance with regard to these factors [2]. The Neuman Systems Model shows a comprehensive conceptual structure related to stressors, reactions given against stressors and protective interventions. In the model, the system approach is taken as basis and it is explained how the system remains in balance against the stressors. In the Neuman systems model, the patient is considered a system and it is clarified that the system has its lower segments and these segments are interrelated. According to Neuman, a human being is an ever-changing open system that is in mutual interaction with the environment. The Neuman client system may be an individual, a family, a group or a community. The client system is addressed in a holistic manner in the model and is considered as the combination of five variables that affect each other, namely the physical, psychological, socio-cultural, developmental, and spiritual variables [2,3].Neuman describes a human being as a basic structure surrounded by successive rings as a system. The successive rings in the model constitute the lines of defense. The lines of defense are defined as flexible lines of defense, normal lines of defense, and the lines of AbstractNursing knowledge is shaped by nursing conceptual models and nursing theories. Nursing theories and models explain the basic metaparadigm concepts related to nursing discipline and the correlation between these concepts, and focus on the role of nursing. Models bring a point of view on nursing and direct nursing practices. Conceptual models in nursing bring a common meaning to the basic concepts of nursing. It is important to use the nursing model as guideline in the practices. In this study, the philosophical and theoretical basis of the Neuman Systems Model, the model's description, and its use on caregivers of patients with schizophrenia took place. The Neuman Systems model provides the nurse with a conceptual framework and contributes to provide a holistic care while working with caregivers of patients with schizophrenia. The Neuman Systems model provides the nurse with a comprehensive assessment in terms of caregiving and explains how the primary, secondary and tertiary prevention interventions can be used in problem-solving. Using the Neuman Systems Model to help understand the environmental forces that impact the client system will offer nurses insight into the family's coping ability. At this point, the Neuman Systems Model provides nurses with a comprehensive viewpoint regarding how schizophrenia affects caregivers, and helps nurses plan and implement interventions to empower coping of the caregivers of schizophrenic patients.

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Self-Perceived Needs of Primary Caregivers of Home-Hospice Clients

Cited by 24 publications

References 17 publications

Levels, Types, and Predictors of Family Caregiver Strain During Hospice Home Care for an Older Adult

Levels, Types, and Predictors of Family Caregiver Strain During Hospice Home Care for an Older Adult

A Critical Review of Supportive Interventions for Family Caregivers of Patients with Palliative-Stage Cancer

Conceptual Framework for Nurses in the Use of the Neuman Systems Model on Caregivers of People Suffering by Schizophrenia

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