The meaning of care dependency as shared by care givers and care recipients: a concept analysis (original) (raw)
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Adult Patients’ Experiences of Nursing Care Dependence
Journal of Nursing Scholarship, 2015
Purpose: Care dependence can be associated with suffering and humiliation. Nurses' awareness of patients' perception of care dependence is crucial to enable them in helping the dependent persons. This study aimed to describe adult patients' experience of nursing care dependence. Method: A metasynthesis was conducted to integrate qualitative findings from 18 studies published through December 2014 on adult patients' experiences of care dependency. Procedures included the Johanna Briggs Institute approach for data extraction, quality appraisal, and integration of findings. Findings: The experience of dependence revealed the concept of the embodied person, particularly in relation to care of the physical body. The relationship between the individual and nurses within the context of care had a major impact for dependent patients. When the care relation was perceived as positive, the experience led to the development of the person in finding new balances in life, but when it was perceived as negative, it increased patient' suffering. Conclusions: Care dependence is manifested mostly as bodily dependence and is consistent with its relational nature. The nurse-patient relationship is important to the dependent patients' experience. Clinical Relevance: A greater understanding of patients' experiences of dependence is crucial to enable nurses in improving care and decreasing patient suffering.
“Beyond the Boundaries of Care Dependence”
Cancer Nursing, 2019
Background: Dependence is a common life experience and innate condition for human beings due to their bodily and relational essence, but in contemporary society, it has become a stressful condition. Care dependence is central to nursing, and patients with advanced cancer are often dependent on care. Understanding nurses' perceptions of care dependence can contribute to awareness of the impact it has on nurses. Objective: The aim of this study was to explore palliative care nurses' experiences and perceptions regarding patient dependence. Methods: Sixteen nurses taking care of dependent patients in a palliative care center in Rome were interviewed. Giorgi's descriptive phenomenological method was used. Results: Nurses caring for dependent patients transcend the boundaries of dependence. Care dependence is an experience of powerlessness and regression. A patient's life in dependence is precarious, as they have to overcome the daily limits of life. Taking care of dependent patients requires nurses to manage the unmanageable and to know and to embrace change from within in order to build positive relations of personal closeness and reciprocal self-giving. Conclusions: Nurses should be aware that self-transcendence and the consequent positive relations could make the difference in the experience of care dependence and promote personal growth for both patient and nurse. Positive and transcending relationships can transform care dependence into the opportunity to find meaning and purpose in life. Implications for Practice: The study highlights what nurses feel in caring for dependent patients. Understanding nurses' perceptions is important to delineate a proper caring for dependent patients.
People dependent in self-care : implications for Nursing
2014
Theoretical framework: As a result of the growing ageing of the population and the subsequent increase in chronic diseases, we are faced with a significant number of people dependent in self-care. Therefore, to identify these populations and to create solutions adjusted to their specific circumstances and needs has become a major concern. Aim: This study aims to describe the dependence in self-care of dependent people within a family context and identify nursing intervention areas to support people dependent in self-care and their families. Methodology: In a quantitative, exploratory and descriptive study using a random, stratified and proportional sampling technique carried out in a specific region in northern Portugal, 241 families with dependent members were identified. Results: The dependent people were mainly female and of an older age group, predominantly pensioners/retirees. Data concerning the different levels of dependence in self-care showed that a significant percentage o...
Four Paradigm Cases of Dependency in Care Relations
Hypatia, 2021
Dependency functions as a keyword in care theory. However, care theorists have spelled out the ontological and moral ramifications of dependency in different and often conflicting ways. In this article, I argue that conceptual disputes about dependency betray a fundamental discordance among authors, rooted in the empirical premises of their arguments. Hence, although authors appear to share a vocabulary of dependency, they are not writing about quite the same phenomenon. I seek to elucidate these differences by teasing out and comparing different conceptions of dependency found in the literature. Borrowing a phrase from Eva Kittay, I trace four "paradigm cases" of dependency: the infant, the physically disabled person, the profoundly intellectually disabled person, and the refugee. These paradigm cases serve as the empirical touchstone from which theorists extract their conceptions of dependency. Each paradigm case, moreover, permits (or even implores) a particular ethical sensibility toward care. How we understand and value dependency thus seems to determine how we understand and value care, and vice versa. In this way, I contend, our normative orientation toward care might influence what sorts of dependency we see-and, by extension, which forms of dependency we fail to notice.
Further psychometric testing of the Dutch Care Dependency Scale on two different patient groups
International journal of nursing practice, 2002
The Care Dependency Scale (CDS) is an instrument for assessing functional care demands of psychogeriatric nursing home patients. The purpose of this study was to examine whether the CDS can be used on institutionalized elderly people other than psychogeriatric nursing home patients. Therefore, data were gathered on two different populations: residential home patients and somatic (high care) nursing home patients. Psychometric evaluations of the CDS were carried out for each population separately. These data offer additional support for the reliability of the scale in terms of internal consistency and inter-item correlation. The measures among separate groups of nurses show fair to moderate agreement. The criterion-related validity of the instrument was investigated by studying the relationship between the CDS and four other instruments. One of the main outcomes of the study is that the CDS can be used appropriately in residential home practice and in somatic nursing home practice.
Dependent person in self‐care: analysis of care needs
Scandinavian Journal of Caring Sciences
Background: The aim of this study was to assess the selfcare dependency levels of the dependent person at the time of home discharge and its relationship between (1) the degree of dependency of each self-care domain; (2) the previous dependency levels; and (3) the gender of the dependent person. It also aims to assess the relationship between the degree of dependency of each self-care domain, the length of admission, the length of dependency and the age of the dependent person at the time of discharge. Methods: A cross-sectional study was conducted. The sample comprised hospitalised adults and elderly in the medical services of a Portuguese hospital during the months of March, April and May of 2018. The data were collected by an interview conducted at the time of home discharge from the hospital medical ward. Results: The average age of dependent people of the sample is 80.7 years (AE10.1) with the majority being women (51.7%), with no statistical difference in the mean age according to gender (U = 2205.500; p > 0.05). They were hospitalised on average 11.4 days (AE33.2), most of them (44.0%) due to respiratory problems (85% of which were due to pneumonia). There were no statistically significant differences between the length of the hospital stay, the length of dependency and the participants' gender (U = 2200.500, p > 0.05; U = 1688.000, p > 0.05). Medication intake was the highest dependency domain amongst participants (41.3%), followed by instrumental activities of daily living (40.6%) and bathing (39.9%). Conclusion: The amount of support required may vary according to the domain that the person is dependent. Thus, it is important to use a robust and reliable assessment tool that will be able to assess the degree of dependency on the various domains of self-care.
Construct validity of the Nursing Care Dependency Scale
Journal of Clinical Nursing, 1999
· This paper describes the results of a study determining construct validity aspects of the Nursing Care Dependency (NCD) Scale. · This 15-item instrument has been developed recently for the assessment of the care dependency of dementia or learning-disabled inpatients.
Scandinavian Journal of Caring Sciences, 2003
Care dependency: testing the German version of the Care Dependency Scale in nursing homes and on geriatric wards The purpose of this study was the psychometric evaluation of the German version of the dependency scale in nursing homes and on geriatric wards. The 15-item scale was originally developed in the Netherlands for assessing the care dependency of demented and mentally handicapped patients. Data of 81 nursing home residents and of 115 geriatric patients were collected. Residents and patients were assessed several time by professionals and nonprofessionals. Reliability was determined by Cronbach's a, showing very good results with values of 0.94 and 0.98. Inter-rater and intrarater reliability show moderate to substantial Kappa values. Criterion validity was examined by comparing the data of the scale with the German nursing personal regulation and the German statutory insurance. The results show that the scores of the Care Dependency Scale correlate to the scores of the two classifications. In general, the German version of the scale can be recommended for use in nursing homes and on geriatric wards.