Kokorelias Kristina M, Rittenberg Nira, Scali Orianna, Smith-Bayley Suzanne, Gignac Monique A M, Naglie Gary, Sheirs Jessica, Cameron Jill I
Department of Geriatric Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.
Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
PLoS One. 2025 Jan 22;20(1):e0308657. doi: 10.1371/journal.pone.0308657. eCollection 2025.
Health and social care systems must confront the challenge of supporting a growing elderly population and their caregivers. Family caregivers who are healthcare professionals are part of this context, but their caregiving experiences remain unclear.
This scoping review explored the experiences of healthcare professionals who are also family caregivers for older adults.
A scoping review methodology identified and summarized pertinent studies. Searches were conducted in Medline, Embase, PsycINFO, CINAHL, and AgeLine. We sought articles published from each journals' inception to October 19, 2023. Inclusion criteria were English-language studies about healthcare professionals caring for older adult family members. Diverse research designs were included. Data were extracted and synthesized according to key themes.
The review included 19 studies, highlighting four themes. Studies were published between 1994 and 2019, with most studies published before 2017. The overarching theme was "Expectations," where healthcare professional family caregivers faced multifaceted expectations from themselves, their families, and the healthcare system. Expectations also highlights the dual role of participants as both caregivers and healthcare professionals This complex interplay led to a theme related to personal consequences, including stress, guilt, and potential burnout, but also positive aspects of the dual roles. Studies described how dual roles could enhance the quality-of-care healthcare professional caregivers provided to their family members. Finally, support needs were identified, emphasizing the importance of workplace accommodations and support from the healthcare system and peers.
The experiences of healthcare professional family caregivers are shaped by unique expectations, resulting in both positive and negative consequences. The support needs of this group are multifaceted, requiring workplace accommodations and tailored support within the healthcare system. Further research is needed to delve deeper into the nuances of their experiences and develop targeted interventions to alleviate the stress and challenges they face in their dual roles. Understanding the evolving needs of healthcare professional family caregivers over time can inform support strategies along the caregiving trajectory.
卫生和社会护理系统必须应对支持不断增长的老年人口及其照顾者这一挑战。身为医疗保健专业人员的家庭照顾者是这一背景的一部分，但他们的照顾经历仍不明确。
本范围综述探讨了同时也是老年人家庭照顾者的医疗保健专业人员的经历。
采用范围综述方法识别并总结相关研究。在Medline、Embase、PsycINFO、CINAHL和AgeLine数据库中进行检索。我们检索了从各期刊创刊至2023年10月19日发表的文章。纳入标准为关于医疗保健专业人员照顾老年家庭成员的英文研究。纳入了多种研究设计。根据关键主题提取并综合数据。
该综述纳入了19项研究，突出了四个主题。研究发表于1994年至2019年之间，大多数研究发表于2017年之前。首要主题是“期望”，身为医疗保健专业人员的家庭照顾者面临来自自身、家庭和医疗保健系统的多方面期望。“期望”还凸显了参与者作为照顾者和医疗保健专业人员的双重角色。这种复杂的相互作用导致了一个与个人后果相关的主题，包括压力、内疚和潜在的职业倦怠，但也有双重角色的积极方面。研究描述了双重角色如何能够提高身为医疗保健专业人员的照顾者为其家庭成员提供的护理质量。最后，确定了支持需求，强调了工作场所便利措施以及医疗保健系统和同行支持的重要性。
身为医疗保健专业人员的家庭照顾者的经历受到独特期望的影响，产生了积极和消极的后果。该群体的支持需求是多方面的，需要工作场所便利措施以及医疗保健系统内的针对性支持。需要进一步研究以更深入地探究他们经历的细微差别，并制定有针对性的干预措施，以减轻他们在双重角色中面临的压力和挑战。了解身为医疗保健专业人员的家庭照顾者随时间推移不断变化的需求，可以为整个照顾过程中的支持策略提供参考。
