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Me and You in Caregivinghood – Dyadic resistance resources and deficits out of the informal caregiver's perspective

Artikel i vetenskaplig tidskrift
Författare Mia M T Wennerberg
Solveig M Lundgren
Monica Eriksson
Ella Danielson
Publicerad i Aging and Mental Health
Volym 23
Nummer/häfte 8
Sidor 1041-1048
ISSN 1360-7863
Publiceringsår 2019
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 1041-1048
Språk en
Länkar https://doi.org/10.1080/13607863.20...
Ämnesord Dyadic tension management, health promotion, salutogenesis, specific and generalized resistance resources and deficits, theory-driven qualitative design
Ämneskategorier Folkhälsovetenskap

Sammanfattning

Objective: To present Specific and Generalized Resistance Resources (SRRs/GRRs) and Deficits (SRDs/GRDs) described by 32 informal caregivers as originating from themselves and their older adult carerecipients as dyads. Method: Salutogenic interviewing was used to assemble data from caregivers. A theory-driven, memo-guided and comparative analysis using within- and across- case analysis was applied to unravel resources and deficits influencing the outcomes when they managed tension associated with caregiving. Findings: Living in fellowship in a well-functioning dyad unites the essence of having access to dyadic SRRs/GRRs. Such access enables dyads to use their specific dyadic tension management to resolve challenges through cooperation, derives ‘positive’ life-experiences and preserves dyad functioning. Struggling alone in a malfunctioning dyad indicates the presence of dyadic SRDs/GRDs counteracting such a development. If these SRDs/GRDs accumulate, the dyad become less able to resolve challenges, ‘negative’ life-experiences accumulates, the carerecipient's capability to cooperate decreases, caregiver's workload increases, the dyad becomes increasingly malfunctioning and moves towards the point where caregiving ends due to lack of usable SRRs/GRRs. Conclusions: Findings reveals the complex duality of caregiving and the necessity to assess all available SRRs/GRRs and SRDs/GRDs for caregiving dyads, including out of the carerecipient's perspective. Appropriate ‘salutogenic’ support reduces SRDs/GRDs, makes available SRRs/GRRs usable or provides alternative SRRs/GRRs, thereby dyadic tension management and dyadic functionality is preserved during this phase of life labelled Caregivinghood. The study adds new knowledge to the salutogenic framework regarding central, theoretical concepts and suggests how data for health promoting initiatives conducted the ‘salutogenic way’ may be acquired.

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