Mid‐range theory building and the nursing theory‐practice gap: a respite care case study

Nolan, Mike; Grant, Gordon

doi:10.1111/j.1365-2648.1992.tb01876.x

Cited by 40 publications

(43 citation statements)

References 15 publications

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“…More specifically, the transition into residential care has been argued to be shaped by how the older person perceives their relocation. For example, perceptions of the legitimacy, desirability and reversibility of the move, as well as individuals' perceived control, degree of choice and active acceptance of the placement have been argued to influence this transition (Chenitz, 1983;Nolan & Grant, 1992). Specific processes involved in the transition to residential care have been suggested as: 'initial reaction' or emotional responses to the move, 'transitional influences' such as life experience and the meaning attached to the relocation, 'adjustment', where the individual comes to terms with moving, and 'acceptance' whereby the transition *Corresponding author.…”

Section: Transition Into Residential Carementioning

confidence: 99%

A narrative exploration of older people's transitions into residential care

Lee

Simpson

Froggatt

2013

Aging & Mental Health

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Section: Transition Into Residential Carementioning

confidence: 99%

A narrative exploration of older people's transitions into residential care

Lee

Simpson

Froggatt

2013

Aging & Mental Health

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“…Providing carers with respite recognises that they may need time to rest and be away from their caring responsibilities [14,15]. It has also been argued that respite helps the carer continue caring and may delay nursing home placement [16].…”

Section: Introductionmentioning

confidence: 99%

“…It has also been argued that respite helps the carer continue caring and may delay nursing home placement [16]. Initially respite was regarded solely as a break for carers but it is now recognised that respite should at least be framed around the needs and wishes of the cared for [17] and to be successful respite should be a positive experience for the cared for as well as the carer [14]. Indeed the cared for may benefit from time apart from their carer [12] and respite can give the cared for increased opportunities for a greater range of activities, greater independence and improved quality of life [18].…”

Section: Introductionmentioning

confidence: 99%

Respite: carers’ experiences and perceptions of respite at home

2012

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BackgroundInformal carers play an important role in supporting people with long-term conditions living at home. However, the caring role is known to have adverse effects on carers such as poorer emotional health and social isolation. A variety of types of respite may be offered to carers but little is known about the benefits of respite, carers’ experiences with it, or their perceptions of care workers. This study therefore investigated these experiences and perceptions.MethodRecorded, semi-structured interviews were undertaken with twelve carers receiving weekly four-hourly respite. Carers were either caring for a person over sixty or were over sixty themselves. Interviews were analysed thematically.Results and DiscussionRespite sometimes alleviated carers’ constant sense of responsibility for their cared for. Trust, whether in the service provider or individual care workers, was essential. Carers lacking this trust tended to perceive respite as less beneficial. Low expectations were common with carers often unwilling to find fault. Care workers were frequently seen as very kind with some carers valuing their company. Care workers who were flexible, communicated well and responded to the cared for’s needs were valued. Stimulation of the cared for during respite was very important to most carers but the perceived benefits for carers were often very individual. Many carers used respite to catch up with routine, domestic tasks, rarely using it to socialise.ConclusionsFor many carers, respite was a way of maintaining normality in often difficult, restricted lives. Respite allowed continuation of what most people take for granted. Carers frequently viewed respite as intended to improve their cared for’s quality of life, rather than their own. This centrality of the cared for means that carers can only really benefit from respite if the cared for is happy and also seen to benefit. Future research should investigate the perspectives of carers and their cared for, focussing on different demographic groups by features such as age, gender, ethnicity and diagnostic groups. However, without greater clarity about what respite is intended to achieve, clear evidence of a positive impact of this intervention may remain difficult to identify.

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“…To a large extent, carers remain hidden until they require specific health and/or social services, at which point care is often crisis‐oriented ( Eliopoulos 1990, Allen et al . 1992 , Nolan & Grant 1992).…”

Section: Discussionmentioning

confidence: 99%

The role of telematics in assisting family carers and frail older people at home

Hanson

Clarke

2000

Health &Amp; Social Care in the Community

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The response of human femoral cortical bone to lateral impact were investigated both analytically and experimentally. In the analytical part of this investigation the Timoshenko beam theory was used for predicting the propagation of flexural stress waves along the specimens. The final solution was given in integral form and the results were obtained with the aid of a digital computer. In the experimental part of this investigation the employed specimens were obtained by cutting a human femur shaft along its length and the specimens were machined to have a uniform rectangular cross-section. Flexural stress waves in cortical bone were generated by impacting transversely 4.8 mm diameter spherical projectiles, fired from an air gun with the appropriate velocities. Stress waves were detected at two stations (positions) on the beam specimens by means of foil strain gages. These gages were suitably connected with a digital storage oscilloscope to detect the flexural stress waves produced by the lateral impact. Force history was recorded also on a storage oscilloscope by means of a sandwiched quartz crystal arrangement, of high frequency response, placed at the impact point of the specimen. A comparison was made between the corresponding analytical results and experimental data. Significant agreement was observed between them, as shown in the figures of this article.

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Mid‐range theory building and the nursing theory‐practice gap: a respite care case study

Cited by 40 publications

References 15 publications

A narrative exploration of older people's transitions into residential care

A narrative exploration of older people's transitions into residential care

Respite: carers’ experiences and perceptions of respite at home

The role of telematics in assisting family carers and frail older people at home

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