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"I didn't want to be in charge and yet I was": Bereaved caregivers' accounts of providing home care for family members with advanced cancer.
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- Author(s): Mohammed S;Mohammed S;Mohammed S; Swami N; Swami N; Pope A; Pope A; Rodin G; Rodin G; Rodin G; Rodin G; Hannon B; Hannon B; Hannon B; Nissim R; Nissim R; Nissim R; Hales S; Hales S; Hales S; Zimmermann C; Zimmermann C; Zimmermann C; Zimmermann C; Zimmermann C
- Source:
Psycho-oncology [Psychooncology] 2018 Apr; Vol. 27 (4), pp. 1229-1236. Date of Electronic Publication: 2018 Mar 01.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Wiley Country of Publication: England NLM ID: 9214524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1611 (Electronic) Linking ISSN: 10579249 NLM ISO Abbreviation: Psychooncology Subsets: MEDLINE
- Publication Information: Original Publication: Chichester, W. Sussex, England : Wiley, c1992-
- Subject Terms: Adult Children* ; Caregivers* ; Spouses*; Neoplasms/*nursing; Adult ; Aged ; Aged, 80 and over ; Attitude to Health ; Bereavement ; Death ; Female ; Grounded Theory ; Home Care Services ; Hospice and Palliative Care Nursing ; Humans ; Male ; Middle Aged ; Neoplasms/pathology ; Palliative Care ; Qualitative Research
- Abstract: Objective: To describe bereaved caregivers' experiences of providing care at home for patients with advanced cancer, while interacting with home care services.
Methods: Caregivers of patients who had completed a 4-month randomized controlled trial of early palliative care versus standard oncology care were recruited 6 months to 5 years after the patient's death. All patients except one (control) had eventually received palliative care. In semi-structured interviews, participants were asked about their experiences of caregiving. Grounded theory guided all aspects of the study.
Results: Sixty-one bereaved caregivers (30 intervention, 31 control) were interviewed, including spouses (33), adult children (19), and other family (9). There were no differences in themes between control and intervention groups. The core category of Taking charge encompassed caregivers' assumption of active roles in care, often in the face of inadequate formal support. There were 4 interrelated subcategories: (1) Navigating the system-navigating the complexities of the home care system to access resources and supports; (2) Engaging with professional caregivers-interacting with visiting personnel to advocate for consistency and quality of care; (3) Preparing for death-seeking out information about what to expect at the end of life; and (4) Managing after death-managing multiple administrative responsibilities in the emotionally charged period following death.
Conclusions: Caregivers were often thrust into assuming control in order to compensate for deficiencies in formal palliative home care services. Policies, quality indicators, and guidelines are needed to ensure the provision of comprehensive, interdisciplinary home palliative care.
(Copyright © 2018 John Wiley & Sons, Ltd.) - Contributed Indexing: Keywords: cancer; family caregivers; home care; oncology; palliative care; qualitative research
- Publication Date: Date Created: 20180202 Date Completed: 20190422 Latest Revision: 20190422
- Publication Date: 20240105
- Accession Number: 10.1002/pon.4657
- Accession Number: 29388714
- Source:
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