Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency

Aims and objectives. To understand the process of adaptation to dependency in older adults and their families. Background. Dependency and family care giving are attracting the attention of policymakers, service providers and researchers. Design. An interpretative synthesis of qualitative studies has...

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Autores: Abad Corpa, Eva, Gonzalez Gil, Teresa, Martinez Hernandez, Antonio, Barderas-Manchado, Ana M, De la Cuesta Benjumea, Carmen, Monistrol Ruano, Olga, Mahtani Chugani, V.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2012
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/467281
Acceso en línea:https://doi.org/10.1111/j.1365-2702.2012.04207.x
https://hdl.handle.net/10459.1/467281
Access Level:acceso abierto
Palabra clave:Adaptation
Aged
Caregiver
Dependency
Geriatric
Older adults
Qualitative research
Synthesis research
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spelling Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependencyAbad Corpa, EvaGonzalez Gil, TeresaMartinez Hernandez, AntonioBarderas-Manchado, Ana MDe la Cuesta Benjumea, CarmenMonistrol Ruano, OlgaMahtani Chugani, V.AdaptationAgedCaregiverDependencyGeriatricOlder adultsQualitative researchSynthesis researchAims and objectives. To understand the process of adaptation to dependency in older adults and their families. Background. Dependency and family care giving are attracting the attention of policymakers, service providers and researchers. Design. An interpretative synthesis of qualitative studies has been conducted. Methods. An extensive search without time and idiom limitations was conducted using the main databases (MEDLINE, CINAHL, EMBASE, PsycINFO, SSCI, LILACS, CUIDEN, Cochrane Library and JBI): personal communication from expert panel was used to detect filters strategies to find qualitative studies; these strategies were combined with search terms for dependence in older adults. The studies (2164 potentially relevant papers) were judged by two reviewers based on reading title, abstract, keywords and/or full text (English, Spanish, French and Portuguese) to determine their inclusion. After, 203 papers were critically appraised by two reviewers (disagreements were resolved by discussions). Finally, the synthesis of the 20 studies with best interpretative character was carried out based on the principles and procedures of Grounded Theory. Results. The findings were related to the process of adaptation to dependency, the factors and the strategies used, the emotions, perceptions and feelings of care givers and older adults. The central category that emerged was Caring to achieve the maximum independence possible, and this could be seen as a transition period in which older adults and their families progressed in a mutually determined adaptation process. This category is made up of several redefinitions of concepts, phases, adaptation strategies and final responses to the process. Conclusions. The findings show the interconnected nature of physical, material, social and emotional aspects of care; and the profound social impact of providing and receiving care. Relevance to clinical practice. The nurses can assist families and older adults to enhance adaptation to dependency, anticipating and helping to redefine the concepts of care.This article forms part of the field work of the project entitled ‘A synthesis of qualitative studies on the process of adaptation to dependency in elderly persons and their families’, financed by the Health Research Ministry (PI07/90871) after a rigorously peer reviewed funding process. The project also received financial support from the Murcia Health Service.Wiley2012info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionhttps://doi.org/10.1111/j.1365-2702.2012.04207.xhttps://hdl.handle.net/10459.1/467281reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésVersió postprint del document publicat a https://doi.org/10.1111/j.1365-2702.2012.04207.xJournal of Clinical Nursing, 2012, vol. 21, núm. 21-22, p. 3153-3169(c) Blackwell Publishing, 2012info:eu-repo/semantics/openAccessoai:repositori.udl.cat:10459.1/4672812026-06-24T12:42:17Z
dc.title.none.fl_str_mv Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
title Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
spellingShingle Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
Abad Corpa, Eva
Adaptation
Aged
Caregiver
Dependency
Geriatric
Older adults
Qualitative research
Synthesis research
title_short Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
title_full Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
title_fullStr Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
title_full_unstemmed Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
title_sort Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency
dc.creator.none.fl_str_mv Abad Corpa, Eva
Gonzalez Gil, Teresa
Martinez Hernandez, Antonio
Barderas-Manchado, Ana M
De la Cuesta Benjumea, Carmen
Monistrol Ruano, Olga
Mahtani Chugani, V.
author Abad Corpa, Eva
author_facet Abad Corpa, Eva
Gonzalez Gil, Teresa
Martinez Hernandez, Antonio
Barderas-Manchado, Ana M
De la Cuesta Benjumea, Carmen
Monistrol Ruano, Olga
Mahtani Chugani, V.
author_role author
author2 Gonzalez Gil, Teresa
Martinez Hernandez, Antonio
Barderas-Manchado, Ana M
De la Cuesta Benjumea, Carmen
Monistrol Ruano, Olga
Mahtani Chugani, V.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Adaptation
Aged
Caregiver
Dependency
Geriatric
Older adults
Qualitative research
Synthesis research
topic Adaptation
Aged
Caregiver
Dependency
Geriatric
Older adults
Qualitative research
Synthesis research
description Aims and objectives. To understand the process of adaptation to dependency in older adults and their families. Background. Dependency and family care giving are attracting the attention of policymakers, service providers and researchers. Design. An interpretative synthesis of qualitative studies has been conducted. Methods. An extensive search without time and idiom limitations was conducted using the main databases (MEDLINE, CINAHL, EMBASE, PsycINFO, SSCI, LILACS, CUIDEN, Cochrane Library and JBI): personal communication from expert panel was used to detect filters strategies to find qualitative studies; these strategies were combined with search terms for dependence in older adults. The studies (2164 potentially relevant papers) were judged by two reviewers based on reading title, abstract, keywords and/or full text (English, Spanish, French and Portuguese) to determine their inclusion. After, 203 papers were critically appraised by two reviewers (disagreements were resolved by discussions). Finally, the synthesis of the 20 studies with best interpretative character was carried out based on the principles and procedures of Grounded Theory. Results. The findings were related to the process of adaptation to dependency, the factors and the strategies used, the emotions, perceptions and feelings of care givers and older adults. The central category that emerged was Caring to achieve the maximum independence possible, and this could be seen as a transition period in which older adults and their families progressed in a mutually determined adaptation process. This category is made up of several redefinitions of concepts, phases, adaptation strategies and final responses to the process. Conclusions. The findings show the interconnected nature of physical, material, social and emotional aspects of care; and the profound social impact of providing and receiving care. Relevance to clinical practice. The nurses can assist families and older adults to enhance adaptation to dependency, anticipating and helping to redefine the concepts of care.
publishDate 2012
dc.date.none.fl_str_mv 2012
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1111/j.1365-2702.2012.04207.x
https://hdl.handle.net/10459.1/467281
url https://doi.org/10.1111/j.1365-2702.2012.04207.x
https://hdl.handle.net/10459.1/467281
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a https://doi.org/10.1111/j.1365-2702.2012.04207.x
Journal of Clinical Nursing, 2012, vol. 21, núm. 21-22, p. 3153-3169
dc.rights.none.fl_str_mv (c) Blackwell Publishing, 2012
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Blackwell Publishing, 2012
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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