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A qualitative study of the processes by which carers of people with dementia derive meaning from caring |
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| Authors: | M G Cherry J R Ablett J M Dickson D Powell S Sikdar P Salmon |
| Institution: | 1. Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland;2. Liverpool Cancer Psychology Service, Linda Mccartney Centre, Royal Liverpool University Hospital, Liverpool, United Kingdom of Great Britain and Northern Ireland;3. Liverpool Cancer Psychology Service, Linda Mccartney Centre, Royal Liverpool University Hospital, Liverpool, United Kingdom of Great Britain and Northern Ireland;4. Division of Clinical Psychology, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland;5. Psychology Department (Building 30), Edith Cowan University, Joondalup, Australia;6. Arise Clinical Psychology Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland;7. Older Adults’ Mental Health Team, South Sefton Community Resource Centre, Liverpool, United Kingdom of Great Britain and Northern Ireland;8. Division of Clinical Psychology, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland |
| Abstract: | Background: Most individuals with dementia live in the community, receiving care from family or lay carers. Carers’ wellbeing, and the quality of the care they provide, partly depends on their ability to derive meaning from caring for someone with dementia. Both carers’ previous relationship with their relative and the caregiving process itself contribute to this sense of meaning. However, it remains unclear why some carers derive meaning from these sources, whereas others do not. Objective: To further explore the processes by which carers derive a sense of meaning from caring. Methods: Representative case sampling was used to recruit a purposive sample of 20 carers for individuals living with dementia. In-depth semi-structured interviews were audio-recorded and transcribed, and analysed using pluralist qualitative methodology. Results: A framework of three sources from which carers derived meaning from caring was identified, encompassing: carers’ perceptions of how ‘right’ or ‘symmetrical’ caring felt in light of their current and previous relationship with the person with dementia; maintenance of a ‘protected’ sense of self within the care relationship; and carers’ perceptions of their ‘social connectedness’ outside the relationships. Conclusion: Holistic assessment based on this framework could help to tailor individualised provision of support, foster resilience and safeguard carers’ well-being. |
| Keywords: | Dementia and cognitive disorders carers well-being meaning qualitative methods |