Differences in Making The Decision to Place A Family Member in a Special Care Unit: A Thematic Analysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/159449
Type:
Presentation
Title:
Differences in Making The Decision to Place A Family Member in a Special Care Unit: A Thematic Analysis
Abstract:
Differences in Making The Decision to Place A Family Member in a Special Care Unit: A Thematic Analysis
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Butcher, Howard, PhD, RN, CS
Title: Assistant Professor
Contact Address:College of Nursing -324 NB, 324 NB, Iowa City, IA, 52242, USA
Co-Authors:Sara Sanders, PhD, LSW, Assistant Professor; Meridean Maas, PhD, RN, FAAN, Professor
The decision to place a family member with Alzheimer's disease (AD) in a Special Care Unit (SCU) is a pivotal and potentially traumatic event for family caregivers. There are very few in-depth qualitative studies which have investigated the experience of making the decision to place a family member in an SCU. A random stratified sample of (N=30) family caregivers who made the decision to placed in a SCU were selected from an original study of 256 family caregivers for thematic analysis. The 30 family caregivers (M=6, F=24) were from a larger quasi-experimental 5 year multiple site investigation across three Midwestern states designed to evaluate the effectiveness of the Family Involvement in Care (FIC) program. The sample was stratified according to ethnicity, gender, and relationship to the care recipient. In a semi-structured in-depth baseline interview, family members described their thoughts and feelings about making the decision to place a family member in a SCU. The transcribed interviews were analyzed using Luborski's method for thematic analysis by three independent researchers. After mutual consensus, 1565 themes or descriptive statements were identified and synthesized into 22 topics or categories. The 22 topics were then synthesized into 4 patterns. The four patterns (moving toward the unavoidable decision; struggling with the decision; seeking reassurance; and remaining connected) describe the experience of making a decision placing a family member in a SCU. The differences among the 22 topics according to gender was then compared using Nvivo, a qualitative data management program. Female caregivers were twice more likely to: express feeling of suffering from guilt and concerns about safely; and were four times more likely to feel support helped make the decision. Interestingly, no men expressed that they learned from the experience and there were no statements by men indicating that their family member received better care at home. The meaning and implications of these findings will be discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDifferences in Making The Decision to Place A Family Member in a Special Care Unit: A Thematic Analysisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159449-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Differences in Making The Decision to Place A Family Member in a Special Care Unit: A Thematic Analysis </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Butcher, Howard, PhD, RN, CS</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value"> Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing -324 NB, 324 NB, Iowa City, IA, 52242, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sara Sanders, PhD, LSW, Assistant Professor; Meridean Maas, PhD, RN, FAAN, Professor </td></tr><tr><td colspan="2" class="item-abstract">The decision to place a family member with Alzheimer's disease (AD) in a Special Care Unit (SCU) is a pivotal and potentially traumatic event for family caregivers. There are very few in-depth qualitative studies which have investigated the experience of making the decision to place a family member in an SCU. A random stratified sample of (N=30) family caregivers who made the decision to placed in a SCU were selected from an original study of 256 family caregivers for thematic analysis. The 30 family caregivers (M=6, F=24) were from a larger quasi-experimental 5 year multiple site investigation across three Midwestern states designed to evaluate the effectiveness of the Family Involvement in Care (FIC) program. The sample was stratified according to ethnicity, gender, and relationship to the care recipient. In a semi-structured in-depth baseline interview, family members described their thoughts and feelings about making the decision to place a family member in a SCU. The transcribed interviews were analyzed using Luborski's method for thematic analysis by three independent researchers. After mutual consensus, 1565 themes or descriptive statements were identified and synthesized into 22 topics or categories. The 22 topics were then synthesized into 4 patterns. The four patterns (moving toward the unavoidable decision; struggling with the decision; seeking reassurance; and remaining connected) describe the experience of making a decision placing a family member in a SCU. The differences among the 22 topics according to gender was then compared using Nvivo, a qualitative data management program. Female caregivers were twice more likely to: express feeling of suffering from guilt and concerns about safely; and were four times more likely to feel support helped make the decision. Interestingly, no men expressed that they learned from the experience and there were no statements by men indicating that their family member received better care at home. The meaning and implications of these findings will be discussed. </td></tr></table>en_GB
dc.date.available2011-10-26T22:01:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:01:30Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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