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A grounded theory longitudinal study of carers' experiences of caring for people with dementia

Lin, Mei-Chun; Macmillan, Maureen; Brown, Norrie

Authors

Mei-Chun Lin

Maureen Macmillan

Norrie Brown



Abstract

Introduction Increasingly the provision of care for older people with dementia has shifted from institutions to the community. This has resulted in an increase in burden and a reduction in autonomy for those who care for these individuals.


Aims This study sought to identify, describe and explore the changes in the carers’ experiences of looking after a relative living with dementia, and the effects of caring on the carers’ autonomy and health over time.


Research Methods A longitudinal, grounded theory approach in three phases was used. In-depth interviews were conducted with six spouses at the beginning, at six months and at eighteen months. A constant comparative analysis of taped and transcribed interviews was used.


Findings Four categories emerged: My Life Changed, Commitment, Responsibility and Duty, and Support. The core category My Life Changed was identified as representing the beginning of the caregiving journey; and the learning from experience that occurred as a consequence of that journey, offering a new perspective on the experience of carers. Commitment refers to a deepened and sustained element; Responsibility and Duty increases over time and finally Support refers to the fluctuating nature of help provided by formal and informal sources. All participants experienced changes in the caregiving journey; the degree and nature of necessary adaptations varied.


Conclusions A Theory of Caring emerged, but what changes were experienced did not appear to conform to any fixed pattern. All carers learned by experience to manage their situations. For all carers their autonomy and health was challenged

Citation

Lin, M., Macmillan, M., & Brown, N. (2012). A grounded theory longitudinal study of carers' experiences of caring for people with dementia. Dementia, 11, 181-197. https://doi.org/10.1177/1471301211421362

Journal Article Type Article
Publication Date 2012-03
Deposit Date Feb 22, 2013
Print ISSN 1471-3012
Electronic ISSN 1741-2684
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 11
Pages 181-197
DOI https://doi.org/10.1177/1471301211421362
Keywords carer; caring experience; dementia; grounded theory;
Public URL http://researchrepository.napier.ac.uk/id/eprint/5889
Publisher URL http://dx.doi.org/10.1177/1471301211421362



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