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Semelhante a Four styles for ot audience cotton 1
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Four styles for ot audience cotton 1
- 1. Caregiving Styles Mary A Corcoran PhD, OT/L Professor and Associate Dean George Washington University
- 2. Why Study Caregiving Styles? “If you’ve seen one caregiver, you’ve seen one caregiver”
- 3. The Caregiving Style Studies Spouses (68) 5 years National Institute on Aging Adult children (33) 1 year Virginia Commonwealth, ARDRAF
- 4. Mixed Methods Design • QUAL-quant • Grounded theory Focusing on qualitative analysis today
- 5. Data • Qualitative • Long interview (250+ total hours) • Videotapes (33+ total hours) • Quantitative • Sociodemographics • Measures of well-being
- 6. Qualitative Analytic Approach Three iterative tasks Coding Describe what is going on Categories Identify larger “parts” Theme Develop a theory of caregiving style
- 7. Getting from Codes to Categories Coding – unlinked descriptions of data Categories – arrange codes as hierarchies Hierarchies of what?
- 8. Beliefs Meanings Actions Style
- 9. Categories: Elements of Style Beliefs What is …? Meanings The role signifies …? Actions Caregiving gets done by …?
- 11. Action: Taking Care of Self Looking at data as a whole, caregivers take care of self by Reducing demands of role Doing something important Getting healthy Staying connected
- 12. Taking Care of Self No Has strategies strategies Does not Does not Meets meet meet needs needs needs
- 13. Three groups Compare and contrast through axial coding Causes Consequences Context Conditions
- 14. Example: Exercise and Conditions No exercise CR not Help OK alone CR OK Exercise alone
- 16. Four Caregiving Styles Facilitating Directing Balancing Advocating
- 17. Facilitating Caregiver Priority Strategy Emotional Interaction Anything that health, identity of Cooperative involves self CR Needs Emotions Recognizes but Worries about doesn’t address ability to provide own needs best care
- 18. Directing Caregiver Priority Strategy Interaction Physical health of Verbal Limited or none CR Needs Emotions Recognized needs Frustrated and limited to work stressed
- 19. Balancing Caregiver Strategy Priority Environmental Interaction Maintaining the status quo controls, supervision, repetitive Parallel activities Emotions Needs Generally satisfied with care Has help and meets own needs provision
- 20. Advocating Caregiver Interaction Priority Strategy Range with Managing others Vigilance and purpose of to support CR advocacy assessment Emotions Needs Generally satisfied Has help and with care meets own needs provision
- 21. Conclusion • Caregivers may - demonstrate a mix of styles - change over time; circumstances • Understanding priorities of caregiver regarding self and care recipient is key
- 22. Caveats • Styles are a guide, not a prescription • Theory - Requires further testing
- 23. Reference Corcoran, M.A. (2011). Caregiving Styles: A Cognitive and Behavioral Typology Associated With Dementia Family Caregiving. The Gerontologist 51, 4, 463-472. doi:10.1093/geront/gnr002
Notas do Editor
- Using an inductive reasoning process, I wanted to develop a theory about caregiving style that was grounded in the data
- End goal is theory of style. What is a style? What are the essential ingredients for something to be a style? Pattern over time, but what else? Used the literature to define style = essential elements. Used these elements as a hierarchy for codes.
- If I looked at my participants as individuals (rather than clumping the data together as a whole) I saw there were three possible conditions. BTW, looking at things individually rather than as a block of data is part of what researchers mean when they say they are considering the context (contextualizing, placing in context).How did the cg talk about taking care of themselves? I asked specifically what they did to recharge their batteries and some had strategies and some didn’t …BTW, if I had not asked the batteries question, what would have been the effect on the trustworthiness of my analysis?
- (would need to double check the underlying logic of this illustration with author - Priorities lead to formulation of strategies and types of interaction. These affect 1) the way the CR deals with their needs 2) the CR’s emotions.) Facilitative - Seeks to maintain identity of CR (i.e., clothing, former roles)Self-image tied to “good caregiving”
- Priority is physical health of CRElaborate regimes of medication, nutrition, or use of supplementsAppearances important (keeps house clean, worries about being embarrassed)