Resilience in Family Caregivers of Asian Older Adults With Dementia

Duangjina, Thitinan; Fink, Anne; Gruss, Valerie

doi:10.1097/ans.0000000000000471

Cited by 6 publications

(1 citation statement)

References 47 publications

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“…In different situations, adversities provoke reactions to deal with and overcome this problem. Family conflicts, caregiving tasks, role reversals, stigma, social stress, gender role identity, and rigid expectations were necessary precursors to the development of caregivers’ resilient potential [ 92 ].…”

Section: Discussionmentioning

confidence: 99%

Resilience in Older People: A Concept Analysis

Lima,

Figueira,

Carvalho

et al. 2023

Healthcare

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(1) Background: Resilience has been presented as a potential protective factor to be promoted in difficult experiences in older people. However, further clarification of the concept of resilience for this population is required, as this is of critical interest for nursing care. (2) Aim: To develop the concept of resilience in older people to establish the elements that refer to the nursing outcome. Personal resilience (1309) from the Nursing Outcomes Classification (NOC), specifically in older people. (3) Methods: Concept analysis using Beth Rodgers’ evolutionary model. The attributes, antecedents, consequents, and empirical elements were described in the integrative review, with searches in PubMed, CINAHL, PsycINFO, LILACS, and Embase databases. A total of 2431 citations have been identified, and 110 studies were included. (4) Results: The concept of “resilience in older people” is composed of two attributes, available resources and positive behaviors, and is defined as positive attitudes of older people with the assistance of resources available from experiences of adversity. Conclusion: This analysis and concept development of resilience in older people provided sensitive indicators for nursing care in the context of adversity, considering available resources and with positive attitudes during this phase of life span.

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Section: Discussionmentioning

confidence: 99%

Resilience in Older People: A Concept Analysis

Lima,

Figueira,

Carvalho

et al. 2023

Healthcare

View full text Add to dashboard Cite

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Resilience in family caregivers of Asian older people with dementia: An integrative review

Duangjina,

Hershberger,

Gruss

et al. 2024

Journal of Advanced Nursing

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AimTo identify factors associated with resilience in family caregivers of Asian older people with dementia based on Luthar and Cicchetti's definition of resilience.DesignIntegrative review of resilience in family caregivers of Asian older people with dementia reported by studies with quantitative and qualitative research designs.Data SourcesDatabases used for the literature search included CINAHL, PubMed, EMBASE, PsycINFO and Google Scholar.Review MethodsA total of 565 potentially relevant studies published between January 1985 and March 2024 were screened, and 27 articles met the inclusion criteria.ResultsFamily caregivers were most commonly adult children of care recipients, female and providing care in their home. Two themes emerged from the review: factors associated with adversity (dementia severity, caregiver role strain, stigma, family stress, female gender, low income and low education) and factors associated with positive adaptational outcomes (positive aspect of caregiving, social support and religiosity/spirituality).ConclusionIn our review of Asian research, four new factors—caregiver role strain, stigma, family stress and positive aspects of caregiving—emerged alongside those previously identified in Western studies. A paradigm shift was observed from a focus on factors associated with adversity to factors associated with positive adaptational outcomes, particularly after the issuance of the WHO's 2017 global action plan for dementia. However, a gap remains between WHO policy recommendations and actual research, with studies often neglecting to address gender and socioeconomic factors.ImpactThe review findings will broaden healthcare providers' understanding of resilience in dementia caregivers and use them to develop comprehensive programmes aimed at reducing factors associated with adversity and enhancing those associated with positive adaptational outcomes. This approach can be customized to incorporate Asian cultural values, empowering caregivers to navigate challenges more effectively.No Patient or Public ContributionThis paper is an integrative review and does not include patient or public contributions.

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Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review

Seo,

Park,

Choi

et al. 2024

Int J Older People Nursing

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BackgroundDue to rapid increases in the number of Korean people with dementia, dementia has become a priority health issue in South Korea. Likewise, the well‐being of family caregivers of people with dementia has also become an issue of concern. However, little is known about the resilience of Korean family caregivers because there is a lack of review studies from a Korean cultural perspective about the resilience of family caregivers of people with dementia.ObjectivesThe purpose of this scoping review was to investigate quantitative studies related to resilience theories, measurement instruments, correlates and resilience interventions for family caregivers of people with dementia.MethodThis review was conducted according to the Joanna Briggs Institute based on Arksey and O'Malley. Nine databases were searched to retrieve evidence published in English or Korean between January 2000 and September 2022. Studies with a quantitative research design reporting the resilience of family caregivers of people with dementia based on a resilience theory framework were included.ResultsA total of 13 studies were included in this review. All studies used either a modified McCubbin and McCubbin's family stress, adjustment and adaptation model or Walsh's family resilience model. All resilience instruments were used without cross‐cultural adaptation. Family adaptation, social support, life satisfaction, family (di)stress and caregiver burden were associated with resilience among family caregivers. A few family resilience‐enhancing programmes showed a positive effect on caregiver resilience.ConclusionThis review noted that all the resilience measures documented in this study need to test for cultural adaptation in a Korean context. Further research is required to develop and implement family‐based, culturally tailored interventions to effectively enhance Korean resilience for family caregivers of people with dementia.Implications for PracticeGerontological nurses should include Korean family caregivers in their nursing care and assess whether family caregivers have depression or suicidal thoughts to promote better health outcomes for caregivers and their family members.

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Resilience in Family Caregivers of Asian Older Adults With Dementia

Cited by 6 publications

References 47 publications

Resilience in Older People: A Concept Analysis

Resilience in Older People: A Concept Analysis

Resilience in family caregivers of Asian older people with dementia: An integrative review

Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review

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