College of Health Sciences, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
J Adv Nurs. 2024 Jun;80(6):2308-2324. doi: 10.1111/jan.15999. Epub 2023 Dec 2.
To examine the concept of preparedness over time in research with informal caregivers of older adults.
Concept analysis.
Rodgers' evolutionary method of concept analysis was used to guide this theoretical paper due to the dynamic nature of preparedness, which is influenced by both context and time. Using Rodgers' inductive approach, concept elements were derived from a content analysis of included studies. In the final step, to generate hypotheses and implications regarding the concept, the conceptual structure of preparedness of informal caregivers of older adults was connected to a theoretical problem in the nursing discipline using the Caregiving Stress Process Framework.
Four databases (EBSCO CINAHL, Ovid MEDLINE, Ovid PsycINFO and Scopus) were searched in November 2022 and updated in September 2023. No date limits were set for searching, as the intent was to analyse possible variations of the concept over time.
The attributes of preparedness include self-confidence, having knowledge, skills and abilities to perform daily tasks, handling emotions and developed over time. These attributes can be compared with the stressors outlined in the Caregiving Stress Process Framework (i.e., the moment the caregiver identifies some 'stressor'; something that prevents them from feeling confident in their preparedness).
The concept of preparedness of informal caregivers of older adults is defined as caregiver's self-confidence about their current competence related to the knowledge, skills and abilities to perform daily tasks, and to handle emotions over time. To link the concept to a theoretical perspective, we propose adaptations to a well-known theory, the Caregiving Stress Process Framework. Future research on caregiving preparedness needs to avoid circular definitions and work with the attributes of preparedness to support caregivers.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This paper contributes to the development of interventions that focus on the health and preparedness of informal caregivers of older adults. Clarifying the concept of preparedness helps nurses to support caregivers since it is then known which aspects are included in the preparedness of caregivers (e.g., daily tasks and handling emotions). A more fulsome understanding of preparedness supports us to see beyond stressors of caregiving.
This study addresses informal caregivers of older adults' preparedness to provide care. We synthesized existing definitions that have been used in research with this population to propose a robust conceptualization of the concept of preparedness, which contributes to better understanding of how preparedness can be supported.
We were unable to locate a reporting method related to this kind of work (concept analysis).
Not applicable as no new data generated.
考察老年人非正式照护者相关研究中准备状态概念随时间的演变。
概念分析。
由于准备状态是一个受情境和时间影响的动态概念，因此采用了罗杰斯的进化方法对其进行概念分析。本理论论文基于该方法，使用了概念分析的归纳法，从纳入研究的内容分析中推导出概念要素。最后，通过将老年人非正式照护者的准备状态的概念结构与护理学科中的照护压力过程框架（Caregiving Stress Process Framework）中的一个理论问题联系起来，生成关于该概念的假设和推论，从而构建出该概念的理论框架。
2022 年 11 月在四个数据库（EBSCO CINAHL、Ovid MEDLINE、Ovid PsycINFO 和 Scopus）中进行了检索，并于 2023 年 9 月进行了更新。检索时没有设置时间限制，因为目的是分析该概念随时间的可能变化。
准备状态的属性包括自信、具备履行日常任务的知识、技能和能力、情绪处理能力，并随时间推移而发展。这些属性可以与照护压力过程框架中概述的压力源进行比较（即照护者识别出某些“压力源”，这些压力源使他们对自己的准备状态缺乏信心的时刻）。
老年人非正式照护者的准备状态概念被定义为照护者对自己当前履行日常任务和处理情绪的知识、技能和能力的胜任感，以及随着时间推移的胜任感。为了将该概念与理论视角联系起来，我们提出了对著名理论照护压力过程框架的适应性调整。未来关于照护准备状态的研究需要避免循环定义，并根据准备状态的属性来支持照护者。
对专业和/或患者护理的意义：本文有助于制定侧重于老年人非正式照护者健康和准备状态的干预措施。明确准备状态的概念有助于护士支持照护者，因为他们了解照护者准备状态所包含的各个方面（例如，日常任务和情绪处理）。更全面地了解准备状态可以帮助我们超越照护的压力源。
本研究关注老年人非正式照护者的照护准备状态。我们综合了在该人群研究中使用的现有定义，提出了一个关于准备状态概念的稳健概念化，这有助于更好地理解如何支持准备状态。
我们无法找到与这种工作（概念分析）相关的报告方法。
由于没有生成新数据，因此患者或公众没有做出贡献。
