A Unitary Caring Theory Perspective of Family Caregiving for Patients Hospitalized With a Stroke in Saudi Arabia

Alselami, Seham; Butcher, Howard K.

doi:10.1177/08943184211070608

Cited by 4 publications

(7 citation statements)

References 35 publications

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“…In our study, religion was one of the significant strategies that assisted families in navigating their uncertainty. The findings of this study are consistent with previous qualitative research in Middle Eastern culture 12,32. Participants also referred to health care teams as a helpful source in dealing with their uncertainty.…”

Section: Discussionsupporting

confidence: 89%

“…The findings of this study are consistent with previous qualitative research in Middle Eastern culture. 12,32 Participants also referred to health care teams as a helpful source in dealing with their uncertainty. The role of health care providers in uncertainty was discussed in prior literature.…”

Section: Discussionmentioning

confidence: 99%

“…11 Uncertainty is a common theme across the experiences of family caregivers caring for persons after a stroke. 9,[12][13][14][15] Family caregivers experience uncertainty regarding stroke signs and symptoms, sur-vivors' recovery process, and resources for poststroke care. 12 Caregivers' uncertainty remains heightened in the early poststroke period because of the difficulty of predicting how long physical or cognitive impairment will remain.…”

Section: What This Article Addsmentioning

confidence: 99%

“…9,[12][13][14][15] Family caregivers experience uncertainty regarding stroke signs and symptoms, sur-vivors' recovery process, and resources for poststroke care. 12 Caregivers' uncertainty remains heightened in the early poststroke period because of the difficulty of predicting how long physical or cognitive impairment will remain. 2,16 The experience of uncertainty in family caregivers is associated with feelings of constant worry, fear of leaving survivors alone, and social isolation.…”

Section: What This Article Addsmentioning

confidence: 99%

“…It arises when events are characterized by lack of information, ambiguity, unpredictability or inconsistency, and complexity 11. Uncertainty is a common theme across the experiences of family caregivers caring for persons after a stroke 9,12–15. Family caregivers experience uncertainty regarding stroke signs and symptoms, survivors' recovery process, and resources for poststroke care 12.…”

Section: Introductionmentioning

confidence: 99%

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The Uncertainty in Family Caregivers of Hospitalized Persons With a Stroke in Saudi Arabia

Alselami,

Butcher,

Longo

2023

Advances in Nursing Science

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Uncertainty is a universal experience of family caregivers caring for persons with a stroke and affects caregivers' readiness to care for their family members with a stroke. Guided by the unitary caring theory and unitary-caring hermeneutic-phenomenological research method, this study was conducted among 15 family caregivers of persons in the hospital who have survived strokes through in-depth semi-structured interviews. Five essences emerged from the analysis: living in a dark reality; yearning for professional support; enduring a life full of tribulations; attempting resolution; and creating new patterns of living. Each of the 5 essences was interpreted from Smith's unitary caring theory perspective.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: What This Article Addsmentioning

confidence: 99%

Section: What This Article Addsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Uncertainty in Family Caregivers of Hospitalized Persons With a Stroke in Saudi Arabia

Alselami,

Butcher,

Longo

2023

Advances in Nursing Science

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Psychological aspects of caregiving after stroke: a systematic scoping review and thematic synthesis of theories

Harcourt,

Brown,

Bowen

2024

Preprint

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Informal caregiving comprises a core part of stroke survivors rehabilitation. Providing informal care can encompass positive elements, yet adopting and sustaining this role can affect carers physical and mental health. Understanding carers experiences is important for clinical psychologists, to highlight their potential role in supporting carers unmet needs. Theories of stroke informal carers experiences exist, yet no previous attempt has been made to identify, organise and describe them, and synthesise their key themes. This PRISMA-ScR guided scoping review aimed to identify theories of stroke informal caregiving and generate new knowledge of the experience and psychological impact of caregiving, to guide stroke service improvements. Six databases were systematically searched, identifying relevant theoretical and empirical papers. Seventeen papers, presenting thirteen distinct theories, were included and the theories thematically synthesised. Two overarching themes were developed, Systemic and Cultural factors and A staged process, containing three main themes, Adjustment to aspects of post-stroke life, Emotional and psychological aspects of caregiving, Carer Needs and four subthemes constituting relevant stroke pathway stages. Substantial theoretical knowledge exists that was useful in generating key themes of the experiences and psychological impact of caregiving across the stroke pathway, to guide clinical psychology practice and future research directions.

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Employers’ perspectives on disability inclusion: exploring the dynamics between professed beliefs and actual practices

Alammar,

Alfayez,

Fallatah

2024

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PurposeTo examine the gap between employers’ espoused theories and theories-in-use regarding PwD inclusion in the Saudi Arabian workforce and identify factors that can bridge this gap.Design/methodology/approachA qualitative grounded theory approach was employed, involving in-depth interviews with 24 employers in various industries in Saudi Arabia. Data were analyzed using open coding, followed by the identification of second-order themes and aggregate dimensions.FindingsThe research reveals a significant gap between employers’ espoused beliefs, such as the value of diversity and social responsibility, and their theories-in-use, which reflect concerns about costs, accessibility and the competence of PwD. The study also highlights transformative incidents – education, leadership, cultural shifts, breaking of misconceptions and exposure to PwD – that can bridge this gap.Practical implicationsThe findings suggest that merely creating policies is insufficient for meaningful change. Organizations and policymakers should adopt double-loop learning to challenge underlying assumptions and integrate practical, culturally informed strategies to support PwD inclusion in the workplace.Originality/valueThis study contributes to the limited research on employer attitudes toward PwD in Saudi Arabia and the broader Middle Eastern context. It offers actionable insights through transformative incidents that help organizations align their stated values with actual practices, promoting a more inclusive and innovative work environment.

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A Unitary Caring Theory Perspective of Family Caregiving for Patients Hospitalized With a Stroke in Saudi Arabia

Cited by 4 publications

References 35 publications

The Uncertainty in Family Caregivers of Hospitalized Persons With a Stroke in Saudi Arabia

The Uncertainty in Family Caregivers of Hospitalized Persons With a Stroke in Saudi Arabia

Psychological aspects of caregiving after stroke: a systematic scoping review and thematic synthesis of theories

Employers’ perspectives on disability inclusion: exploring the dynamics between professed beliefs and actual practices

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