Factors influencing the transition experience of carers for persons with dementia, when the person with dementia moves into a care home: Systematic review and meta-synthesis

Pritty, Beth and De Boos, Danielle and Moghaddam, Nima (2019) Factors influencing the transition experience of carers for persons with dementia, when the person with dementia moves into a care home: Systematic review and meta-synthesis. Aging and Mental Health . ISSN 1360-7863

Full content URL: https://doi.org/10.1080/13607863.2019.1602591

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Factors influencing the transition experience of carers for persons with dementia, when the person with dementia moves into a care home: Systematic review and meta-synthesis
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Abstract

Aims: To understand factors influencing the experience of carers for people with dementia, when that person moves from living in the community to living in residential care. Specifically, we aimed to identify facilitators and inhibitors of carer adjustment during this transition.
Method: A systematic search of CINAHL, EMBASE, PubMed, and PsycINFO databases was conducted. Nine qualitative articles published between 2001–2017, based on the experiences of 141 carers, were included. Thematic analysis was applied to the data, with the concepts of transition inhibitors and facilitators being used to structure the analytic process.
Results: Analysis produced five themes, representing factors that could affect carer experiences of the focal transition-process: modifying the difficulty of this process according to their presence or absence. The themes were (1) Connection, pertaining to the carer feeling connected to the person with dementia and professionals during this transition; (2) Informed & Informing, relating to exchange of information between the carer and facility staff or health professionals; (3) The facility: welcoming & skilful, dealing with carer perceptions of the facility and their confidence in the staff; (4) It’s What You Make of It, discussing the meaning the carer made of the admission and the impact this had; and (5) Sharing Responsibility, addressing how carers were affected by the perceived sharing of responsibility for care-provision.
Conclusions: A supportive network has a significant role to play in facilitating this transition for carers. However, further research into what carers would find useful during this time is needed.

Keywords:dementia, carers, nursing home, transition, systematic review, meta-synthesis
Subjects:C Biological Sciences > C840 Clinical Psychology
B Subjects allied to Medicine > B741 Geriatric Nursing
B Subjects allied to Medicine > B701 Palliative Care Nursing
Divisions:College of Social Science > School of Psychology
ID Code:35686
Deposited On:16 Apr 2019 08:53

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