Care Transition Experiences of Spousal Caregivers: From a Geriatric Rehabilitation Unit to Home
Abstract
The purpose of this study was to develop a theoretical framework about caregivers' experiences and the processes in which they engaged during their spouses' transition from a geriatric rehabilitation unit to home. We used a constructivist grounded theory methodology approach. Forty-five interviews were conducted across three points in time with 18 older adult spousal caregivers. A theoretical framework was developed within which reconciling in response to fluctuating needs emerged as the basic social process. Reconciling included three subprocesses (i.e., navigating, safekeeping, and repositioning), and highlighted how caregivers responded to the fluctuating needs of their spouse, to their own needs, and to those of the marital dyad. Reconciling was situated within a context shaped by a trajectory of prior care transitions and intertwined life events experienced by caregivers. Findings serve as a resource for scientists, rehabilitation clinicians, educators, and decision makers toward improving transitional care for spousal caregivers.
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Prior research suggests that people with dementia and caregivers may experience a period of adjustment that limits their ability to recognize new safety risks and make plans to address them.
“Prior research suggests that PWD and caregivers may experience a period of adjustment that limits their ability to recognize new safety risks and make plans to address them.14, 29, 30”
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- Authors
- Byrne, K., Orange, J. B., & Ward-Griffin, C.
- Affiliations
- University of British Columbia (CA)
- Western University (CA)
- University of Western Ontario, London, Ontario, Canada
- Corresponding author
- Byrne, Kerry
- Venue
- Qualitative Health Research
- Publisher
- SAGE Publications
- Published
- 2011-04-27
- Volume
- 21
- Issue
- 10
- Pages
- 1371-1387
- ISSN
- 1049-7323 (ISSN-L)
- 1552-7557
- OpenAlex
- W2096591337
- Cited by
- 50
- References
- 69
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 6 · 2012: 2
- FWCI
- 7.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Qualitative Health Research (publishedVersion)
- PubMed (publishedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- Funders
- Alzheimer Society
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- spousal caregivers, care transitions, geriatric rehabilitation, older adults, caregiver experiences, marital dyads, caregiver needs, life events
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Continuity of Patient Care, Female, Health Services for the Aged, Home Nursing, Humans, Male, Rehabilitation Centers, Caregivers
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