Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

Shen, Mei‐Hsing; Yang, Ching‐Tzu; Wu, Chi‐Chuan; Huang, Huei‐Ling; Lin, Yueh‐E; Shyu, Yea‐Ing Lotus; Chung, Sheng-Ying

doi:10.1111/jnu.12554

Cited by 10 publications

(6 citation statements)

References 32 publications

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“…Finally, the implementation of care models to promote self-care seems to have a positive impact on caregivers, contributing to improving their self-efficacy and competence without increasing their perceived burden . In fact, family-centered intervention programs are beneficial for increasing the confidence, knowledge and skills of family caregivers of chronically ill patients ( 54 , 55 ). The inclusion of informal caregivers in care provision is particularly important, as they are often challenged by a lack of information sharing, frequent role confusion and disorganized care planning ( 56 , 57 ).…”

Section: Discussionmentioning

confidence: 99%

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

Cano,

Alves,

João

et al. 2023

Front. Public Health

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IntroductionThe strong association between age and the increasing prevalence of chronic diseases, makes it imperative to promote self-care throughout life. Systematic knowledge on the health findings of person-centered care models may contribute to designing effective healthcare strategies to promote empowerment for self-care in long-term care.ObjectiveTo assess the association between the implementation of person-centered care models that promote self-care training in long-term care and health-related outcomes, among adults with chronic illness.MethodsA rapid review of the literature was performed following the Cochrane rapid review methodology. The electronic databases CINAHL, MedicLatina, MEDLINE, and Psychology and Behavioral Sciences Collection were searched for randomized experimental studies, published between 2017 and 2022, that implemented interventions based on person-centered models to promote self-care in adults aged ≥18 years with chronic diseases and needing long-term health care. Verification of the eligibility of the articles and the extraction of data were performed by two independent investigators. Quantitative data on the health-related variables assessed were collected and, through narrative synthesis, health outcomes were grouped into individual, institutional and societal levels.ResultsEight studies, mostly conducted in European countries, were included. All satisfied more than 60% of the methodological quality score. A large variability among studies was found regarding the number of participants, the data collection period and duration of the intervention, the samples selected and the care model implemented. A high number of health-related outcomes (n = 17) were analyzed in the studies, using 52 different instruments. The main health-related outcomes were multidimensional, with implications at the individual, institutional and societal levels. The promotion of overall health and wellbeing (n = 4), the implementation of patient-centered care models (n = 1), the positive and more frequent interactions with health professionals (2), the decrease on staff psychosocial distress (n = 1), and the absence of added costs (n = 1), while improving family caregivers’ skills (n = 1) were the main health-related outcomes described.ConclusionThere is a need to develop robust experimental studies focused on the views and experiences of all stakeholders and conducted in different countries and cultures. Short-, medium- and long-term health outcomes should be measured using internationally accepted and validated scales for chronic patients.

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Section: Discussionmentioning

confidence: 99%

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

Cano,

Alves,

João

et al. 2023

Front. Public Health

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“…The general susceptibility of the population to COVID-19 and considerable variations in the incubation period of the virus supplies new challenges to the diagnosis and treatment of orthopedic disorders. Fracture patients often do not comply due to swelling and pain, which prolongs the recovery of the joint function (9,10). And, elderly patients that recuperate over a long period are highly susceptible to respiratory failure, urinary, and genital tract infection, stones, bedsores, body temperature disorders, deep vein thrombosis, and other complications.…”

Section: Introductionmentioning

confidence: 99%

The patterns and management of fracture patients under COVID-19 outbreak in China

Yu¹,

Wu²,

Zhuang³

et al. 2020

Ann Transl Med

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Background: Currently, the perioperative care of fracture patients is compromised due to the outbreak of COVID-19 in China and the world. This study aims to assess the clinical features of fracture patients at our hospital during the COVID-19 outbreak and formulate the medical steps to ensure the effective treatment of fracture patients with minimal risk of infection to healthcare workers.Methods: One hundred twelve patients with different fractures that were admitted to the orthopedics department of our hospital from January 24 to March 9 in 2020 were reviewed. Data including age, gender, injury location, admission time, operation time, discharge time were compared with fracture patients from the same period in 2019Results: Compared to the same period in 2019, there is a 42% decrease in the number of fracture patients in 2020. Specifically, the incidences of forearm, thigh, hand, and foot fractures have increased during the COVID-19 outbreak, while other parts are less affected. The time from injury to hospitalization, the surgery wait time and time of discharge after surgery for patients with hip fractures were 2.9±7.1, 2.0±1.7 and 7.7± 4.0 days respectively in 2019, which changed to 2.0±5.0, 4.5±4.0 and 10.6±4.2 days in 2020. Following the orthopedic treatment regimen followed at our hospital, all patients had non-life-threatening limb fractures.Six patients were operated in a negative pressure room, and emergency screening was completed for six patients. No patients were positive for COVID-19, and all were discharged safely without infection or other serious complications.Conclusions: Hip fractures are highly prevalent during this epidemic. However, mandatory screening delays surgery by more than 48 hours. The orthopedic department should prioritize screening of emergency patients to minimize the risk of infection among other patients and medical personnel.

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“…A grounded theory approach (Glaser & Strauss, 1967) was selected to better understand the interactions and conceptualise the process of family caregiving provided by multiple family caregivers for older adults following hip‐fracture surgery. This was part of a larger study on family caregiving following hip fracture (Shen et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

Strategies for managing group caregiving following hip‐fracture surgery among family members: A grounded theory study

Teng

Shyu

Liang

et al. 2023

Int J Older People Nursing

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Background Family members in many countries often share caregiving responsibilities for an older relative recovering from an injury. However, few studies have examined strategies employed when multiple family members provide care for an older relative recovering from hip‐fracture surgery. Objective This study aimed to understand family group caregiving strategies when two or more family members provide caregiving for an older relative recovering from hip‐fracture surgery. Methods This study used a grounded theory design. Semistructured interviews were conducted over 1 year with 13 Taiwanese family caregivers from five families. Caregivers shared caregiving responsibilities for an older relative (62–92 years of age) recovering from hip‐fracture surgery. Transcribed interviews were analysed using open, axial and selective coding. Results The core category describing caregiving among family members was ‘Preventive Group Management: strategies for family group caregiving’. Three strategies were employed: explicit division of labour (two stem/patriarchal families and one older two‐generation/democratic family); disconnected caregiving (one nuclear/noncommunicative family) and patriarchal caregiving (one extended/traditional Chinese family). Strategies reflected family type, structure, cultural values, communication patterns and available outside support. Components of family group caregiving involved family type's division of labour, approaches to caregiving and implementation challenges and allowed family caregivers to maximise safety and stability and prevent harmful events during their relative's recovery from surgery. Conclusions There was no one‐size‐fits‐all approach for the strategies of family group caregiving. Components of Preventive Group Management varied with family type, cultural values, communication patterns and available outside support. Healthcare professionals should be sensitive to the dynamics of family caregivers. Implications for Practice Enhance group management for family caregivers by developing interventions to optimize collaboration, thereby better addressing the needs of older adults recovering from hip fracture surgery.

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Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

Cited by 10 publications

References 32 publications

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

The patterns and management of fracture patients under COVID-19 outbreak in China

Strategies for managing group caregiving following hip‐fracture surgery among family members: A grounded theory study

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