Emotional Safety in the Context of Dementia: A Multiperspective Qualitative Study

Kuske, Silke; Borgmann, Sandra Olivia; Wolf, Florian; Bleck, Christian

doi:10.3233/jad-201110

Cited by 6 publications

(2 citation statements)

References 31 publications

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“…Coexisting with anomie also involved unsettled feelings of helplessness, self‐deprecation, and fear, which increased stress and a desire for isolation. Negative emotions can result in a cycle of negative feedback that is not productive for individuals navigating early symptoms of dementia (Kuske et al., 2021). An interpretive qualitative meta‐synthesis found that providing PLWD with emotion‐focused coping strategies could help reduce stress associated with negative emotions in early dementia (Bjørkløf et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Coexisting with anomie: Experiences of persons living with early‐stage dementia: A grounded theory study

Kung,

Huang,

Hsu

et al. 2023

Int J Mental Health Nurs

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Individuals in the early stages of dementia often endure elevated levels of stress and anxiety, which can hinder their ability to adapt to the progression of dementia. To mitigate the negative impacts of dementia more effectively, it is necessary to explore the trajectory of the adaptation process of persons living with dementia. This study aimed to construct a theoretical framework for the adaptation process of individuals in the early stages of dementia. Participants were dyads of persons diagnosed with mild dementia or mild cognitive impairment (≥ 60 years of age) and their primary family caregivers. This longitudinal study used a grounded theory approach to explore the adaptation trajectory changes in persons with mild dementia over a 3‐year period. Data were collected from dyads with face‐to‐face interviews. Analysis of the interview data revealed the core category was ‘Coexisting with anomie: Progressive disappointment and striving’, which was comprised of three categories: awareness of alienation, unsettled feelings, and restorative avoidance coping. Categories changed depending on levels of cognition and constituted progressive and cyclical dynamic processes. Four contextual factors positively or negatively influenced adaptation: level of insight about dementia, personal traits, caregiving style of the caregiver, and level of social interactions. These findings provide a new perspective about the mental health of persons in early‐stage dementia. Understanding coexisting with anomie and related influencing factors could facilitate the development of support interventions by mental health nursing staff, which could improve emotional safety, promote psychological well‐being, and increase quality of life for persons living with dementia.

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Section: Discussionmentioning

confidence: 99%

Coexisting with anomie: Experiences of persons living with early‐stage dementia: A grounded theory study

Kung,

Huang,

Hsu

et al. 2023

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Thus, the interviewees first filled out the informed consent forms and were informed that they could exit the interview at any time. The researcher applied the probability and purposeful sampling method for selecting the experts [31,32] In the present study, the theoretical saturation approach was used to end the interview; in this approach, the researcher immediately analyzed the interviews and performed the next one based on the output of the previous interview [33][34][35]. In this regard, the researcher attained theoretical saturation after 12 interviews.…”

Section: Qualitative Studymentioning

confidence: 99%

A Mimic Model Approach for Impact Assessment of Mining Activities on Sustainable Development Indicators

et al. 2023

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Mining activities are usually associated with negative outcomes. Therefore, it is crucial to identify and assess these outcomes by the mining company to achieve proper management. The present study has been defined to discover the outcomes of mining activities and their testing in one of the open pit mines of Iran. The present research has been defined into two sections, qualitative and quantitative. The corresponding data of the qualitative section were derived through analysis of the hidden contents of semi-structured interviews with experts and a review of the literature using the Maxqda 2022 software in the forms of open coding and axial coding. In the quantitative section of the study, data were collected via the standard questionnaire and analyzed using the SPSS26 and Mplus software. By coding the interviews and existing documents, 62 primary codes were extracted and classified into 5 main criteria (environmental, health, social, economic, and cultural) in the form of axial coding. The analysis results of the collected questionnaires showed that mining activities had the highest impact on the environment (86.32) and individual health (80.86), while the lower impact was on their economic situation (54.55). The findings of this study showed that there is a significant difference between men and women in terms of the environmental (p = 0.013) and economic (p = 0.01) indicators. While men believed that the mining activity had caused permanent environmental impacts on their living area, women recognized the mining activities as the cause of economic weakness in their families. Results from the present study could be effective in formulating the controlling strategies for potential negative outcomes of mining and achieving effective sustainable development.

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Person–Environment Exchange Processes in Transition into Dementia: A Scoping Review

Niedoba

Oswald

2023

The Gerontologist

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Background and Objectives The important role that the environment plays in the lives of older people is widely acknowledged. To date little is known about person-environment processes during early stages of dementia. This scoping review aims to provide an overview of the processes involved during early dementia and the relationship to different dimensions of their life space. Research Design and Methods A scoping review was conducted according to the Johanna Briggs Institute Manual, which involved searching for research on early dementia and the environment across three databases. Results 1358 records were screened, of which 284 sources were included in a first categorization of the diverse relationships that exist between the environment and the person living with early dementia. Finally, 102 sources were selected that describe person-environment exchange processes of agency, belonging, or stress. People living with dementia actively shape, use, seek out, and avoid their environment as a reaction to both declining abilities and environmental barriers. Specifically, feelings of connectedness and familiarity are important. Discussion and Implications Taking both an environmental gerontology perspective and a processual, i.e., transition perspective broadens the understanding of the experience and behavior of people living with early dementia. They constantly interact with and shape their environment and desire a sense of belonging. This sense of belonging might be threatened by dementia but can be actively reinforced by people living with dementia. These person-environment processes and their dynamics over time should be further investigated. Especially, quantitative data and data on the socioeconomic environments are lacking.

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Emotional Safety in the Context of Dementia: A Multiperspective Qualitative Study

Cited by 6 publications

References 31 publications

Coexisting with anomie: Experiences of persons living with early‐stage dementia: A grounded theory study

Coexisting with anomie: Experiences of persons living with early‐stage dementia: A grounded theory study

A Mimic Model Approach for Impact Assessment of Mining Activities on Sustainable Development Indicators

Person–Environment Exchange Processes in Transition into Dementia: A Scoping Review

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