Journal List > Korean J Adult Nurs > v.31(1) > 1116757

Park, Go, Jeong, and Han: Comparing the Needs of Family Caregivers and Program Providers in Long-Term Care in Terms of Family Support Program

Abstract

Purpose

This study aimed to compare the needs of family caregivers and program providers in family support program by exploring perspectives about the program in the longterm care system.

Methods

This was a secondary analysis study using the content analysis method. The data of 11 family caregivers and 7 program providers that were collected from focus group interviews in two primary studies were used. Each data was collected in April and May 2015. The units of analysis were dyads of family caregivers and program providers.

Results

The data were deductively analyzed within three main categories: program purpose, program content, and program method. Within the main categories, ten subcategories represented the essential elements for developing a family support program. There were differences between family caregivers and program providers in terms of the contents and intentions of the family support program. Family caregivers wanted to receive help from the family support program in a passive manner, while program providers expected the family support program to improve families’ ability to solve their own problems.

Conclusion

Based on the results of this study, it is important to establish the strategies of customized and flexible program considering the needs of the caregivers to make family support program more effective. Further, it is necessary to fill the gap between the needs of the two groups and focus on family-centered approaches to conduct family support program more effectively.

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Table 1.
Characteristics of Family Caregivers of Elderly in Long-Term Care (N=11)
Group No Gender Age (year) Relationship Caregiving duration (month) Longterm care grade
1 1 Man 82 Spouse 36 3
2 Man 75 Spouse 36 3
3 Woman 57 Spouse 88 1
4 Woman 59 Daughter 12 2
5 Woman 54 Daughter 38 3
6 Man 57 Son 38 3
2 1 Man 72 Spouse 77 3
2 Man 83 Spouse 27 3
3 Woman 50 Son-in-law 12 2
4 Man 66 Son 78 3
5 Woman 58 Daughter 36 2
Table 2.
Characteristics of the Family Support Program Provider (N=7)
No Gender Age (year) Work experiences (year) Profession
1 Woman 44 16 Nurse
2 Woman 49 20 Nurse
3 Woman 58 30 Nurse
4 Woman 42 15 Social worker
5 Woman 35 10 Social worker
6 Woman 35 11 Nurse
7 Woman 40 10 Nurse
Table 3.
Categories, Subcategories, Themes, and Codes of the Findings
Categories Subcategories Data 1: Family caregiver Data 2: Program provider
Themes Codes Themes Codes
Program purpose Caregiver support Being comforted Calming down Healing wounded heart Being a supporter Providing psychological support
Providing physical support
Caregiver education Preparing for caregiving Beginning care without prior preparation Preparing for uncertainty Correcting care mistakes Breaking the vicious circle
Providing the correct knowledge for caring
Social connection Creating a communication channel Being compassionated Connecting with outside Guiding to a society Contacting with isolated family caregivers
Revitalizing mind
Program contents Health management Taking care of myself Concerning health Health counseling service Assessing healthy lifestyles
Having time for oneself Checking the health
Exercising together Linking health service resources
Emotional management Dealing with stress Controlling emotion Having long-time solution Overcoming negative Recognizing stress symptoms
thinking Finding root causes of an emotion
Improving care skills Skills training for caregiver Having know-how for caring Learning of coping strategy Helping with activities of daily living
Using situation sensitive methods Solving real-life problem
Resource utilization Getting help Having information for resource Connecting social services Providing appropriate service information
Connecting to Resources Developing the ability to use resources
Program methods Promoting programs Preunderstanding the program Feeling afraid to participate Motivating family caregiver Feeling concern about adapt of program in caring life
Misunderstanding the program Explanating to facilitate program participation
Unfamiliar feeling about support program
Diversification of media Easy program Being understandable Utilizing various materials Visualizing information
Being applicable to real-life situation Demonstrating practice Providing assistive materials that can be used in caring life
Family-centered program Customizing program Tailoring to individual needs Flexible program Providing individualized program
Participating at preferred time Situation-oriented program
Counseling for caregiver issues
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