Abstract
Purpose
The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance.
Methods
Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea.
Results
Five themes were identified: 'Obtaining a care-helper certification for employment', 'Taking care of the elderly in their homes', 'Difficulties due to life changes', 'Difficulties due to reduced wages' and 'Dissatisfaction with the Long-term Care Insurance operating system'.
Conclusion
The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.
References
1. Baik YW, Choi SI. Research about stress of a family caregiver who supports elderly for a long-term care. J Welf Aged. 2010. 49:215–240.
2. Biegel D, Sales E, Schulz R. Family caregiving in chronic illness. 1991. Newbury Park, London, and New Deli: Sage Publication.
3. Burgener S, Twigg P. Relationships among caregiver factors and quality of life in care recipients with irreversible dementia. Alzheimer Dis Assoc Disord. 2002. 16:88–102.
4. Cantor MH, Brennan M. Social care of the elderly: The effects of ethnicity, class, and culture. 2000. New York: Springer.
5. Chang WS. The study of care-giver's education and management of long-term care insurance. J Welf Aged. 2009. 43:263–266.
6. Colaizzi PF. Valle RS, King M, editors. Psychological research as the phenomenologist views it. Existentialphenomenological alternatives for psychology. 1978. New York: Oxford University Press.
7. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approach. 1981. San Francisco, CA: Jossey-Bass.
8. Jeong HJ. Phenomenological study of the spousal caregiving experience for the patients with early dementia: Colaizzi's method of phenomenological interpretation. 2010. Seoul: Hanyang University;Unpublished master's thesis.
9. Joo KB, Kim KB. A study of care burden, burnout, and quality of life among family caregivers for the elderly. Korean J Women Health Nurs. 2008. 14:278–289.
10. Jung HJ. A phenomenological study on the experience of family caregivers of long-term bed ridden elderly patient. 2010. Busan: Catholic University of Pusan;Unpublished master's thesis.
11. Jung YI. National health insurance corporation, care-helper management system is therefore mandatory. Weekly Kunghyang. 2011. 10. 945.
12. Kim CJ, Hong SD. A study on the reforms of long-term care system in OECD countries-focusing on the institutionalization of rewards and supports for informal care. J Welf Aged. 2007. 35:231–251.
13. Kim JE. The certified family care-helper salary reduction debate. Hankookilbo. 2011. 06. 14. 23.
14. Kim SJ, Oh SE, Eun Y, Son HM, Lee MS. Focus groups as qualitative research. 2007. Seoul: Goonja.
15. Kim SY, Lee SH. A study on the lived experiences of the family caregivers in senile dementia. J Korean Acad Adult Nurs. 1998. 10:492–505.
16. Kong EH, Cho E, Song M. The burden and caregiving satisfaction of primary family caregivers of older adults with dementia: Cultural and non-cultural predictors. J Korean Gerontol Soc. 2009. 29:701–716.
17. Lee GE. A grounded theory approach to the adjustment process of the institutionalized elderly: The control of reluctance. J Korean Acad Nurs. 2002. 32:624–632.
18. Lee JS, Han EJ, Kang IO. The characteristics and service utilization of home care beneficiaries under the Korean long term care insurance. J Korean Acad Community Health Nurs. 2011. 22:33–44.
19. Lee KS. A study on the family's caregiving experience in the dementia. J Korean Acad Psychiatr Ment Health Nurs. 1996. 5:50–58.
20. Lee MJ. The status and problems educating caregiver in Korea. J Soc Occup Ther Aged Dement. 2008. 2:69–74.
21. Lee YJ, Kim JH, Kim KB. An ethnography on stigma of families having old people admitted to nursing home in Korea. J Korean Gerontol Soc. 2010. 30:1005–1020.
22. Lee YK. Development of reward system for family carer in elderly long-term care insurance. Health Welf Policy Forum. 2010. 165:96–104.
23. Lim SO. A study on the main issues and problems of long-term care insurance in Korea: Focusing on the classification system. Soc Welf Policy. 2010. 37:245–266.
24. Morse JM, Barrett M, Mayan M, Olson K, Spiers J. Verification strategies for establishing reliability and validity in qualitative research. Int J Qual Methods. 2002. 1(2):13–21.
25. National Health Insurance Corporation. Guidance on changes to the system of the family care-hepler. 2011. Seoul: Author.
26. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986. 8(3):27–37.
27. Sanders C. Application of Colaizzi's method: Interpretation of an auditable decision trail by a novice researcher. Contemp Nurse. 2003. 14:292–302.
28. Shin KL, Jang YJ, Kim YK, Lee GJ, Choi MM, Kim HY, et al. Qualitative research: Focus groups. 2004. Seoul: Hyunmoonsa.
29. Välimäki TH, Vehvilainen-Julkunen KM, Pietila AM, Pirttila TA. Caregiver depression is associated with a low sense of coherence and health-related quality of life. Aging Ment Health. 2009. 13:799–807.
30. Yun T. A study on development of home-based service under long-term care insurance for the elderly. 2011. Seoul: Yonsei University;Unpublished master's thesis.