Finding a balance point: A process central to understanding family caregiving in Taiwanese families

Shyu, Yea‐Ing Lotus; Archbold, Patricia G.; Imle, Margaret A.

doi:10.1002/(sici)1098-240x(199806)21:3<261::aid-nur9>3.0.co;2-f

Cited by 33 publications

(47 citation statements)

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“…One explanation for the similarity of findings may be that many of the Taiwanese families who participated in this study were middle-class and well-educated as compared to participants in previous Taiwanese studies. They may already have adopted Western values and beliefs (Shyu, Archbold, & Imle, 1998). As a result, the findings may not reflect how the adaptation occurs and is perceived in more traditional Taiwanese families.…”

Section: Discussionmentioning

confidence: 89%

Individual and family adaptation in Taiwanese families of individuals with severe and persistent mental illness (SPMI)

Hsiao

Riper

2009

Research in Nursing & Health

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The purpose of this study was to examine individual and family adaptation in Taiwanese families of persons with severe and persistent mental illness. Mediating effects of social support and meaning of family caregiving on the relationship between pile-up of demands and family adaptation were also assessed. Data were collected from 84 families using mailed questionnaires and analyzed using principal component analysis and mixed linear modeling. Adaptation was associated with lower pile-up of demands, greater social support, and more positive interpretation of family caregiving. Partially mediating effects of social support and meaning of family caregiving were supported. The results imply a need for developing culturally sensitive interventions to decrease family demands and amplify individual, family, and community strengths and resources.

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Section: Discussionmentioning

confidence: 89%

Individual and family adaptation in Taiwanese families of individuals with severe and persistent mental illness (SPMI)

Hsiao

Riper

2009

Research in Nursing & Health

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“…This need for effort was underpinned by frequent descriptions of balancing as a dynamic process which was "fluid" (Shyu, Archbold, & Imle, 1998), "shifting" (Clare, 2002 "ongoing" (Brodsky, 1999) and "circular" (Pearce, Clare, & Pistrang, 2002). Shyu et al (1998), for example, described the balancing act of those caring for frail elderly relatives as being "like adjusting the shouldering point of a carrying pole according to the weight of the loads while walking." Moreover, as discussed above, even where reached, people saw the state of balance as fragile and in need of constant maintenance.…”

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confidence: 99%

Balance, Balancing, and Health

2011

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In this article we explore the concept of balance in the context of health. We became interested in balance during a grounded theory study of lay conceptualizations of cancer risk, in which participants were concerned with having a good life, which relied heavily on balancing processes. This led us to the qualitative literature about balance in the context of health, which was large and in need of synthesis. We identified 170 relevant studies and used Thomas and Harden's technique of "thematic synthesis" to identify key balance-related themes and to develop these into more abstract analytic categories. We found that balance and balancing were salient to people in three health-related contexts: health maintenance, disease or disability management and lay or professional caregiving. In each of these contexts, balance or imbalance could be a state or a process. In addition, those using the word had either an internally-or externally focused orientation to the world around them. Clinicians and public health practitioners might benefit from using these insights in their research and communication.Keywords communication, medical; concept analysis; health and well-being; health promotion; qualitative analysis Qualitative research sheds light on the ways in which people understand and experience health, disease and health care. Qualitative researchers elicit rich accounts of people's beliefs about specific diseases and experiences of particular illnesses and also empirically examine more abstract concepts such as risk (e.g., Hay, Shuk, Cruz, & Ostroff, 2005), health (e.g., Smith-DiJulio, Windsor, & Anderson, 2010), disability (e.g., Lutz & Bowers, 2005), community (e.g., Wong, 2 Sands, & Solomon, 2010), and quality of life (e.g., Hendry & McVittie, 2004). Such concepts are central to communication and have a powerful capacity to organize thought and shape behavior but their meanings cannot be assumed. This makes the systematic and comparative study of concepts is necessary (Quinton, 1988). Qualitative research also allows us to explore lay knowledge and its meanings. As Popay and Williams have argued in relation to public health:If research in the field of public health is to develop more robust and holistic explanations for patterns of health and illness in contemporary society, then it must utilize and build on lay knowledge-the meanings health, illness, disability and risk have for people (Popay & Williams, 1996, p. 760).In this research we explored the meanings of one abstract concept with particular salience in health: balance. We became interested in this concept while conducting a grounded theory study into lay people's conceptualizations of cancer risk. The central question in the study was: how do lay people understand the risk of getting cancer? We found that people thought of cancer risk only when cancer was personally salient. Their focus was not on disease but rather on having a good life, and this relied on balancing processes.In retrospect, this is unsurprising, given that balance is a concept th...

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“…This study also highlighted how DPNs made detailed readjustments to homecare arrangements prior to discharge, taking into consideration family lifestyles. Shyu et al (1998) reported that most family caregivers of frail, older people often fail to find a balance between caregiver and other roles. The DPNs' detailed readjustments may be vital for a successful discharge planning process and prevent the client/ family from returning to the hospital prematurely.…”

Section: Discussionmentioning

confidence: 99%

Creating an agreed discharge: discharge planning for clients with high care needs

Tomura

Yamamoto‐Mitani

Nagata

et al. 2011

Journal of Clinical Nursing

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Finding a balance point: A process central to understanding family caregiving in Taiwanese families

Cited by 33 publications

References 0 publications

Individual and family adaptation in Taiwanese families of individuals with severe and persistent mental illness (SPMI)

Individual and family adaptation in Taiwanese families of individuals with severe and persistent mental illness (SPMI)

Balance, Balancing, and Health

Creating an agreed discharge: discharge planning for clients with high care needs

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