Diverse Family Structures and the Care of Older Persons

Roberto, Karen A.; Blieszner, Rosemary

doi:10.1017/s0714980815000288

Cited by 31 publications

(28 citation statements)

References 103 publications

(110 reference statements)

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“…This was partially a consequence of the growing number of divorces and reconstituted families. (Chambers, 2012; Roberto & Blieszner, 2015) It is also notable that family members are not necessarily the people who live in the same household. Currently, older people often live on their own or with a spouse.…”

Section: Introductionmentioning

confidence: 99%

Family composition and living arrangements—Cross‐sectional study on family involvement to self‐managed rehabilitation of people with coronary artery disease

et al. 2020

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It has been extensively acknowledged that family relationships and the progress and treatment of illnesses have a connection. Several assessment tools and interventions have been developed to advance family health and healing (Årestedt, Persson, & Benzein, 2014; Bell, 2009; Wright & Leahey, 2013). To understand the meaning of family in the life of a person with a severe illness, we need to define what a family is, the concept of which is far-reaching and subjectively defined. Family can include various people besides those with whom we are connected by biological or legal ties; for some, emotional ties or concrete support have greater significance. How we define the concept of family has changed over time. Family compositions have become more diverse, and the traditional nuclear family is less common. In the last century, there have been considerable changes in family structure in Western societies. This was partially a consequence of the growing number of divorces and reconstituted families. (Chambers, 2012; Roberto & Blieszner, 2015) It is also notable that family members are

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Section: Introductionmentioning

confidence: 99%

Family composition and living arrangements—Cross‐sectional study on family involvement to self‐managed rehabilitation of people with coronary artery disease

et al. 2020

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“…The new demographics and advances in medicine have led to an ever-higher percentage of older people, many of whom are dependents (Spain's Ministry of Labor & Social Affairs, 2004). This phenomenon, together with a transformation of the family structure (Roberto & Blieszner, 2015), the mass inclusion of women in the labour market and an increase in the migrant collective (Muñoz-Comet, 2012), has changed the way Spanish households deal with caring. For some years now, the informal care provided by family members for attending to disabled older people is being "replaced" by the care provided by immigrant women caregivers.…”

Section: Introductionmentioning

confidence: 99%

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

2019

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AimTo analyse the perception that immigrant women caregivers have of their relationship with the person receiving the care and their family and the possible impact those relationships may have on a caregiver's health.DesignA qualitative study was conducted.MethodsThirty‐four semi‐structured interviews were applied in the Spanish city of Salamanca from November 2015–November 2016. The “interpretative hermeneutics” technique was used as the framework for the analysis.ResultsThe discourse studied indicated that the immigrant women's cultural background, as well as their gender's assumed stereotypes, gave rise to an emotional attachment to the person receiving the care, which could generate a burden. Most of the women interviewed reported situations of abuse from the old people under their care. The fact that increasingly more old people are being cared for by immigrant women renders it necessary for social and health policies to consider this collective.

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“…Older patients may be cared for by family members despite the differing standards of family involvement and role‐sharing across family structures . Older patients prefer to receive daily care from spouses/partners rather than from healthcare providers . Various family structural factors may influence the care of older family members , and family members’ roles in caring for older patients include providing continuity of care, performing care according to patients’ needs and helping to mobilise family members as needed .…”

Section: Introductionmentioning

confidence: 99%

Family functioning evaluated by family members of older patients and nurses in emergency departments

Demidenko

Routasalo

Helminen

et al. 2017

Scandinavian Caring Sciences

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The functioning of families in emergency departments (EDs) encompasses the level at which the families of older patients perform as a whole during the ED stay. Currently, little is known about how the families of older patients function in EDs. In this study, family functioning included the subareas of family strengths, structural factors and relationships both inside and outside the family. The study aimed to describe family functioning in EDs as evaluated by both the family members (n = 111) of older patients and nurses (n = 93). The data were collected from four Estonian hospitals, and the scale used was the Family Functioning, Health and Social Support scale. The results showed that both the family members and nurses evaluated family functioning and all its subareas as being moderate. Family structural factors were found to be associated with the family members' social status. The scores in the subareas were higher when older patients had received help from family members before the ED visit. The family members and nurses differed significantly in the scores they gave for family functioning in general and for all the subareas. No association was found between family functioning as rated by nurses and the families' demographic characteristics. These results suggest that nurses should pay more attention to family functioning in general and to the structural factors within the family, including internal relationships, while older patients are in the ED. Comprehensive knowledge about how families function during an ED stay may help nurses to better meet the needs of older patients and their families and help them to prepare families to provide aftercare at home. Our findings support the idea that healthcare organisation and delivery should be more family centred.

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Diverse Family Structures and the Care of Older Persons

Cited by 31 publications

References 103 publications

Family composition and living arrangements—Cross‐sectional study on family involvement to self‐managed rehabilitation of people with coronary artery disease

Family composition and living arrangements—Cross‐sectional study on family involvement to self‐managed rehabilitation of people with coronary artery disease

The dark side of the work of immigrant women caregivers in Spain: Qualitative interview findings

Family functioning evaluated by family members of older patients and nurses in emergency departments

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