No abstract

This evaluation study measured the effect of respite on family caregivers of the elderly. The specific aims were: (a) to learn the effect of respite on the evaluation variables of caregiver quality of life, mood, and response to caregiving; (b) to learn relations between the demographic variables and the evaluation variables; and (c) to examine respite to identify benefits other than those being directly measured. Subjects were 130 caregivers, with 6- and 12-month data on a small subsample of the 130. Interviews with caregivers and satisfaction surveys supported respite as an effective intervention. Quantitative analysis showed that none of the evaluation variables changed statistically. The caregiver mood variable evidenced positive changes; other variables changed negatively. Research issues, such as the short time subjects were in the respite program and the lack of sensitive measurement tools, are discussed. Clinical implications for community health nurses are also discussed.

Negotiation was important in these dyadic care relationships, and thus attention to assisting CGs and CRs to develop negotiation skills is needed. More research is needed to substantiate and expand this theory of CG and CR dyadic identity development, and to examine linkages between negotiated processes and outcomes.

Spirituality is a part of holistic care for clients and families. This qualitative, descriptive study examined spirituality in 60 caregivers and 60 care receivers, equally divided between Caucasians and African Americans. Themes were coping (subthemes of formal religion and social support) and meaning (subthemes of positive attitude, retribution or reward, and all encompassing). Needs of caregivers and care receivers include opportunities for formal religion (communion, prayer), social support (visiting, respite), and interactions to assist them find meaning in their caregiving and care receiving. Implications for nurses include collaborating with clergy to support the spiritual needs of caregivers and care receivers.