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Open Access Daughters of Cardiac Patients: The Process of Caregiving

Les filles de patients cardiaques: le processus de prestation de soins

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Abstract:

This prospective, exploratory study examined the caregiving role that adult daughters play when a parent is hospitalized for a cardiac condition. Specifically, the study addressed the development and evolution of the caregiving role during the hospital stay and in the post-discharge period. Data were collected from 9 daughters using participant observation and unstructured and semi-structured interviews. Daughters' caregiving was characterized by a non-linear process of "knowing" that included knowledge seeking, consolidation of knowledge, and acting on the knowledge. In a secondary process of self-assessment concerning their knowledge, the participants moved back and forth among the 3 dimensions. In addition, their level of involvement was defined by 4 different caregiving styles, based on the family's caregiving culture. Nurses might collaborate more effectively with women caring for a parent by determining their position in the "knowing" process and tailoring the intervention accordingly. Nurses should also be sensitive to families' opinions and traditions regarding caregiving.



Cette étude prospective et exploratoire examine le rôle de soignante joué par des femmes ayant un parent hospitalisé pour des problèmes cardiaques. De façon plus précise, l'étude se penche sur l'élaboration et l'évolution du rôle de soignante pendant la période d'hospitalisation et durant la période suivant l'hospitalisation. Des données ont été recueillies auprès de neuf femmes par le biais de commentaires émis par les participantes et d'entrevues non structurées et semi-structurées. La prestation de soins exécutée par des femmes ayant un parent cardiaque était caractérisée par un processus non linéaire d'acquisition de «compétences», lequel incluait la recherche de connaissances, la consolidation des connaissances et les interventions menées à partir de ces connaissances. Dans un processus secondaire d'auto-évaluation de leurs connaissances, les participantes circulaient d'une dimension à l'autre. De plus, leur degré d'engagement reflétait quatre styles distincts de soins, qui relevaient de la culture familiale en matière de prestation de soins. Les infirmières peuvent être plus efficaces dans leurs interventions auprès des femmes qui prennent soin d'un parent en déterminant la position de celles-ci dans le processus d'acquisition de «compétences» et en agissant en fonction de cette position. Les infirmières doivent également tenir compte des opinions et des traditions familiales face à la prestation de soins.

Keywords: CARDIAC ILLNESS; CAREGIVING; CAREGIVING DAUGHTERS; CAREGIVING PROCESS; DIFFERENCES LIEES AUX RAPPORTS SOCIAUX ENTRE LES SEXES; FAMILLE; FAMILY; FAMILY CAREGIVING; FEMMES PRENANT SOIN D'UN; GENDER DIFFERENCES; INFORMAL CARE; INFORMELS; MALADIE CARDIAQUE; MEMBRE DE LA FAMILLE; PARENT; PRESTATION DE SOINS; PRESTATION DE SOINS PAR UN; PROCESSUS DE PRESTATION DE SOINS; SOINS

Document Type: Research Article

Publication date: 2003-06-01

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