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1. 'Research protocol: a synthesis of qualitative studies on the process of adaptation to dependency in elderly persons and their families'

Author

Abad Corpa, Eva, González Gil, Teresa, Barderas Manchado, Ana M., Cuesta-Benjumea, Carmen de la, Monistrol Ruano, Olga, Mahtani-Chugani, Vinita, Martínez Hernández, Antonio, Group RETICEF-evidencia, Instituto de Salud Carlos III, Universidad de Alicante. Departamento de Psicología de la Salud, and Calidad de Vida, Bienestar Psicológico y Salud

Subjects
Gerontology, Applied psychology, Dependency, Psychological, MEDLINE, Dependency, Pilot Projects, CINAHL, PsycINFO, lcsh:Geriatrics, Cochrane Library, Grounded theory, Study Protocol, Clinical Protocols, Adaptation, Psychological, Humans, Medicine, Qualitative Research, Aged, business.industry, Methodology, Dependency (Psychology), lcsh:RC952-954.6, Data extraction, Qualitative synthesis, Enfermería, Family Relations, Geriatrics and Gerontology, business, Coding (social sciences), Qualitative research
Abstract

BACKGROUND: Dealing with dependency in the elderly and their families leads us to explore the life experience of those involved together with the processes of adaptation to this condition. A number of original studies have been published which, following a qualitative methodology, have dealt with both dimensions. METHODS/DESIGN: OBJECTIVES: 1) To present a synthesis of the qualitative evidence available on the process of adaptation to dependency in elderly persons and their families; 2) to conduct an in-depth study into the experiences and strategies developed by both to optimise their living conditions; 3) to enable standards of action/intervention to be developed in the caregiving environment.A synthesis of qualitative studies is projected with an extensive and inclusive bibliography search strategy. The primary search will focus on the major databases (CINAHL, MEDLINE, EMBASE, PsycInfo, PSICODOC, Cochrane Library, JBI, EMBASE, LILACS, CUIDEN, CUIDEN qualitative, CUIDATGE, British Nursing Index, SSCI). The secondary search will be conducted in articles taken from the references to studies identified in the articles and reports and the manual search in congresses and foundation papers. Article quality will be assessed by the guide proposed by Sandelowski & Barroso and data extraction done using the QARI data extraction form proposed by the Joanna Briggs Institute for Evidence-Based Practice.The synthesis of the findings will be based on the principles and procedures of grounded theory: coding, identification and relationship between categories, and synthesis using constant comparison as a strategy. DISCUSSION: This synthesis of qualitative evidence will enable us to detect health needs as perceived by the receivers in their own interaction contexts. We should like to thank the Health Research Spain Fund for financing this Project entitled "A synthesis of qualitative studies on the process of adaptation to dependency in elderly persons and their families", (PI07/90871 Health Ministry) after a peer-reviewed funding process. Sí

Published
2010
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2. Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults' adaptation to dependency.

Author

Abad-Corpa, Eva, Gonzalez-Gil, Teresa, Martínez-Hernández, Antonio, Barderas-Manchado, Ana M, De La Cuesta-Benjumea, Carmen, Monistrol-Ruano, Olga, and Mahtani-Chugani, Vinita

Subjects
PHYSIOLOGICAL adaptation, AUTONOMY (Psychology), PSYCHOLOGY of caregivers, CARING, CINAHL database, EMOTIONS, HUMAN comfort, MEDICAL databases, INFORMATION storage & retrieval systems, MEDICAL information storage & retrieval systems, PSYCHOLOGY information storage & retrieval systems, MEDLINE, SYSTEMATIC reviews, QUALITATIVE research, ADAPTABILITY (Personality) in old age, INDEPENDENT living
Abstract

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. [ABSTRACT FROM AUTHOR]

Published
2012
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