2.50
Hdl Handle:
http://hdl.handle.net/10755/622160
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Listen to Me: Noncaregiving Adult Children's Needs From Healthcare Providers
Other Titles:
Promoting Health Globally
Author(s):
Wells, Munira; Kartoz, Connie Rutan
Lead Author STTI Affiliation:
Lambda Iota
Author Details:
Munira Wells, PhD, RN, Professional Experience: Munira Wells is a registered nurse whose clinical expertise is in the care of adult patients. She is currently Assistant Professor at Seton hall University where she teaches nursing theory and research to both undergraduate and graduate nursing students. Her area of research is transcultural nursing. She has most recently presented on the topic of adult children with aging parents at an international conference. Author Summary: Munira Wells is a registered nurse with over twenty years of experience in the care of critically ill patients. She completed her PhD from Seton Hall University. Her research is in the field of transcultural nursing with a particular interest in transnational migration of nurses as well as the care of patients from diverse backgrounds. She is a Robert Wood Johnson Foundation/ New Jersey Nursing Initiative Scholar.
Abstract:

Purpose: Based on findings from a phenomenological study, the purpose of this abstract is to present the ways in which nurses can assist non caregiving adults to navigate a life-stage that involves independent but aging parents. Extended lifespans, globalization and transnational migration will significantly reshape twenty-first century societies (Horn & Schweppe, 2015; The United Nations, 2015). In the United States, more than half the population may live up to 80 years of age, with much of that time in a relative state of good health (Arias, 2015). Adult children can expect to spend time as equal adults in this non-caregiving relationship with their aging parents. For adults with healthy and moderate to highly functioning, independent parents, this time is not defined by the stress associated with caregiver burden, but it does have its own characteristics that impact upon the emotional and physical health of these aging families. It is important for healthcare systems and specifically nurses to recognize this new aspect of the family life course. As healthy aging is a relatively new phenomenon, little is known about the lived experience of adult children with aging parents. There is however, data to suggest that the quality of the pre-caregiving intergenerational relationship and planning for caregiving can improve clinical outcomes for the aging family during caregiving (Quinn, Clare & Woods, 2012; Fowler & Afifi, 2011).

Methods: A descriptive phenomenological approach was used to analyze interview data obtained from study participants (N=16). After IRB approval, purposive and snow ball sampling yielded sixteen participants who met inclusion criteria (English speaking, non-caregiving adult children with at least one living parent over the age of 65). Upon data saturation, the sample consisted mainly of females (75%), aged 30 to 60s, and living in the east coast of the US. Three of the participants had parents that lived transnationally in Asia (1) and Europe (2). Two in-depth, semi-structured interviews, ranging from 45 to 90 minutes were conducted and transcripts were analyzed independently by the two investigators. Joint review confirmed emerging themes.

Results: Data analysis revealed that despite self-identifying as individuals who were not caregivers, adults did, in fact, provide care to aging parents. While asserting that parents were independent, participants described activities that ranged from minor chores (taking parent shopping) to larger, more time consuming activities (accompanying parent to medical appointments and managing finances). Participants also engaged in a constant, often unconscious, evaluation of changes in parents’ functionality and health, resulting in feelings of worry and concern related to potential loss of parental good health and independence. In addition, participants identified shortcomings in a healthcare system that often provides care in silos and communication between parents, healthcare providers and adult children is fragmented or absent. Lack of communication was a particular issue for participants whose parents lived internationally. Adult children want healthcare providers to avoid making assumptions about their aging parents, and to actively acknowledge individual and cultural differences. The creation of a new role of care navigator was raised by several participants. Lastly, the need for health care providers to identify and assist in self-care activities of adults with aging parents emerged.

Conclusion: These findings confirm previous studies that show adult children spend time assessing their parents for possible needs (Fingerman, Sechrist & Birditt, 2013) and also support the idea that definitions of caregiving are variable (Van Durme, Macq, Janmart & Gobert, 2012). The desire for more effective communication suggests that adult children welcome input as they anticipate a potentially stressful demand for care and support of parents. This also raises significant questions of how nurses will communicate with adult children living internationally. As globalization and expanded lifespans are likely to continue, nurses who understand the needs of aging families from a global perspective will be most likely to provide effective anticipatory guidance for this life stage. Confirmation of findings with more globally diverse researchers and participants may provide insights into interventions to reduce strain and improve clinical outcomes in aging families across the globe.

Keywords:
Aging Families; Anticipatory Guidance; Intergenerational Relationships
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17M13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleListen to Me: Noncaregiving Adult Children's Needs From Healthcare Providersen_US
dc.title.alternativePromoting Health Globallyen
dc.contributor.authorWells, Muniraen
dc.contributor.authorKartoz, Connie Rutanen
dc.contributor.departmentLambda Iotaen
dc.author.detailsMunira Wells, PhD, RN, Professional Experience: Munira Wells is a registered nurse whose clinical expertise is in the care of adult patients. She is currently Assistant Professor at Seton hall University where she teaches nursing theory and research to both undergraduate and graduate nursing students. Her area of research is transcultural nursing. She has most recently presented on the topic of adult children with aging parents at an international conference. Author Summary: Munira Wells is a registered nurse with over twenty years of experience in the care of critically ill patients. She completed her PhD from Seton Hall University. Her research is in the field of transcultural nursing with a particular interest in transnational migration of nurses as well as the care of patients from diverse backgrounds. She is a Robert Wood Johnson Foundation/ New Jersey Nursing Initiative Scholar.en
dc.identifier.urihttp://hdl.handle.net/10755/622160-
dc.description.abstract<p><strong>Purpose: </strong><span>Based on findings from a phenomenological study, the purpose of this abstract is to present the ways in which nurses can assist non caregiving adults to navigate a life-stage that involves independent but aging parents. Extended lifespans, globalization and transnational migration will significantly reshape twenty-first century societies (Horn & Schweppe, 2015; The United Nations, 2015). In the United States, more than half the population may live up to 80 years of age, with much of that time in a relative state of good health (Arias, 2015). Adult children can expect to spend time as equal adults in this non-caregiving relationship with their aging parents. For adults with healthy and moderate to highly functioning, independent parents, this time is not defined by the stress associated with caregiver burden, but it does have its own characteristics that impact upon the emotional and physical health of these aging families. It is important for healthcare systems and specifically nurses to recognize this new aspect of the family life course. As healthy aging is a relatively new phenomenon, little is known about the lived experience of adult children with aging parents. There is however, data to suggest that the quality of the pre-caregiving intergenerational relationship and planning for caregiving can improve clinical outcomes for the aging family during caregiving (Quinn, Clare & Woods, 2012; Fowler & Afifi, 2011).</span></p> <p><strong>Methods: </strong>A descriptive phenomenological approach was used to analyze interview data obtained from study participants (N=16). After IRB approval, purposive and snow ball sampling yielded sixteen participants who met inclusion criteria (English speaking, non-caregiving adult children with at least one living parent over the age of 65). Upon data saturation, the sample consisted mainly of females (75%), aged 30 to 60s, and living in the east coast of the US. Three of the participants had parents that lived transnationally in Asia (1) and Europe (2). Two in-depth, semi-structured interviews, ranging from 45 to 90 minutes were conducted and transcripts were analyzed independently by the two investigators. Joint review confirmed emerging themes.</p> <p><strong>Results: </strong>Data analysis revealed that despite self-identifying as individuals who were not caregivers, adults did, in fact, provide care to aging parents. While asserting that parents were independent, participants described activities that ranged from minor chores (taking parent shopping) to larger, more time consuming activities (accompanying parent to medical appointments and managing finances). Participants also engaged in a constant, often unconscious, evaluation of changes in parents’ functionality and health, resulting in feelings of worry and concern related to potential loss of parental good health and independence. In addition, participants identified shortcomings in a healthcare system that often provides care in silos and communication between parents, healthcare providers and adult children is fragmented or absent. Lack of communication was a particular issue for participants whose parents lived internationally. Adult children want healthcare providers to avoid making assumptions about their aging parents, and to actively acknowledge individual and cultural differences. The creation of a new role of care navigator was raised by several participants. Lastly, the need for health care providers to identify and assist in self-care activities of adults with aging parents emerged.</p> <p><strong>Conclusion: </strong>These findings confirm previous studies that show adult children spend time assessing their parents for possible needs (Fingerman, Sechrist & Birditt, 2013) and also support the idea that definitions of caregiving are variable (Van Durme, Macq, Janmart & Gobert, 2012). The desire for more effective communication suggests that adult children welcome input as they anticipate a potentially stressful demand for care and support of parents. This also raises significant questions of how nurses will communicate with adult children living internationally. As globalization and expanded lifespans are likely to continue, nurses who understand the needs of aging families from a global perspective will be most likely to provide effective anticipatory guidance for this life stage. Confirmation of findings with more globally diverse researchers and participants may provide insights into interventions to reduce strain and improve clinical outcomes in aging families across the globe.</p>en
dc.subjectAging Familiesen
dc.subjectAnticipatory Guidanceen
dc.subjectIntergenerational Relationshipsen
dc.date.available2017-07-25T20:17:42Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T20:17:42Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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