The Transition Experience of Spousal Caregivers of Congestive Heart Failure Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/304089
Category:
Abstract
Type:
Presentation
Title:
The Transition Experience of Spousal Caregivers of Congestive Heart Failure Patients
Author(s):
Hansen-Kyle, Linda L.; Roth, Patricia
Lead Author STTI Affiliation:
Zeta Mu
Author Details:
Linda L. Hansen-Kyle, PhD, RN, CCM, kyleriders@sbcglobal.net; Patricia Roth, EdD, RN;
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose:

Congestive Heart Failure (CHF) is becoming epidemic worldwide. Although symptom management is a major issue as patients decline, the inability to predict the terminal phase of CHF leads to decreased referrals to hospice care. Few studies have explored the transition of spouses of patients with CHF on entry to hospice settings through the experience of care giving, death and bereavement. The purpose of this in-process study is to explore the transition experience of spousal caregivers of patients with CHF from the point of hospice referral and terminal decline to 12 months after death. Study aims include: 1) Describe the transition process of the spousal caregiver, and 2) Examine caregiver quality of life, resilience, spirituality, and bereavement over time.

Methods:

This mixed methods study utilizes qualitative interviews and quantitative scales to uncover the journey of caregivers. Use of qualitative and quantitative methods facilitates triangulation and identifies overlapping components. Grounded theory method and dimensional analysis were selected to uncover the dominant transition process. Audio recorded open-ended spousal interviews are conducted within 4-6 weeks of the patient’s death. Participants are re-interviewed at 3-4, 7-8 and 11-12 months. Interview data are transcribed, coded and analyzed to derive major themes. Participants are asked to complete four scales on quality of life, resilience, spirituality and bereavement at 3-4 and 11-12 months. Descriptive, correlational, and serial measurement techniques will be used to analyze the quantitative data.

Results:

Qualitative and quantitative results are compared and integrated for contextual information and interpretation. Preliminary results are not available as data collection is in process.

Conclusion:

Results from this research expands the theoretical basis that informs further research of the transition experiences of spousal caregivers. Increased knowledge of spousal caregivers’ transitions during the end of life and bereavement phases will assist health care providers in facilitating this life journey.

Keywords:
hospice; Caregiver transition; end of life care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Transition Experience of Spousal Caregivers of Congestive Heart Failure Patientsen_GB
dc.contributor.authorHansen-Kyle, Linda L.en_GB
dc.contributor.authorRoth, Patriciaen_GB
dc.contributor.departmentZeta Muen_GB
dc.author.detailsLinda L. Hansen-Kyle, PhD, RN, CCM, kyleriders@sbcglobal.net; Patricia Roth, EdD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304089-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b> <p><b></b>Congestive Heart Failure (CHF) is becoming epidemic worldwide. Although symptom management is a major issue as patients decline, the inability to predict the terminal phase of CHF leads to decreased referrals to hospice care. Few studies have explored the transition of spouses of patients with CHF on entry to hospice settings through the experience of care giving, death and bereavement. The purpose of this in-process study is to explore the transition experience of spousal caregivers of patients with CHF from the point of hospice referral and terminal decline to 12 months after death. Study aims include: 1) Describe the transition process of the spousal caregiver, and 2) Examine caregiver quality of life, resilience, spirituality, and bereavement over time. <p><b>Methods: </b> <p><b></b>This mixed methods study utilizes qualitative interviews and quantitative scales to uncover the journey of caregivers. Use of qualitative and quantitative methods facilitates triangulation and identifies overlapping components. Grounded theory method and dimensional analysis were selected to uncover the dominant transition process. Audio recorded open-ended spousal interviews are conducted within 4-6 weeks of the patient’s death. Participants are re-interviewed at 3-4, 7-8 and 11-12 months. Interview data are transcribed, coded and analyzed to derive major themes. Participants are asked to complete four scales on quality of life, resilience, spirituality and bereavement at 3-4 and 11-12 months. Descriptive, correlational, and serial measurement techniques will be used to analyze the quantitative data. <p><b>Results: </b> <p><b></b>Qualitative and quantitative results are compared and integrated for contextual information and interpretation. Preliminary results are not available as data collection is in process. <p><b>Conclusion: </b> <p>Results from this research expands the theoretical basis that informs further research of the transition experiences of spousal caregivers. Increased knowledge of spousal caregivers’ transitions during the end of life and bereavement phases will assist health care providers in facilitating this life journey.en_GB
dc.subjecthospiceen_GB
dc.subjectCaregiver transitionen_GB
dc.subjectend of life careen_GB
dc.date.available2013-10-22T20:28:56Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:28:56Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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