Accommodating the stranger en casa: how Mexican American elders and caregivers decide to use formal care.
Accommodating the stranger en casa: how Mexican American elders and caregivers decide to use formal care.
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DOI：
10.1891/088971806780641791
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发表时间：
2006-01-01
影响因子：
0.6
通讯作者：
Phillips, Linda R
中科院分区：
文献类型：
--
作者：
Crist, Janice D;Garcia-Smith, Dianna;Phillips, Linda R
墨西哥裔美国老人有较高水平的功能障碍和慢性疾病，但他们使用正式的家庭护理服务比非西班牙裔白色老人少。本文介绍了墨西哥裔美国老人和他们的照顾者决定使用家庭护理服务的过程。访谈进行了墨西哥裔美国老人（n = 11）和家庭照顾者（n = 12）的样本23个人。新兴的实质性扎根理论包括三个阶段，描述了决定使用家庭护理服务的过程：照顾我们自己，承认选择，并成为赋权。这些过程描述了墨西哥裔美国家庭最终如何接受家庭护理服务，同时保持他们照顾老人的文化规范。该理论在这一过程中为老年人和照顾者提供了发言权，增加了现有的知识，并形成了支持传统墨西哥裔美国人家庭价值观的干预措施，如老年人尽可能长时间留在家里。该理论通过改善或维持老年人的健康和功能能力，减轻老年人的生活负担，降低医疗费用，满足了护理工作减少医疗差距的目标。
Mexican American elders have higher levels of functional impairment and chronic illness, yet they use formal home care services less than do non-Hispanic White elders. This article describes the processes by which Mexican American elders and their caregivers decide to use home care services. Interviews were conducted with Mexican American elders (n = 11) and family caregivers (n = 12) for a sample of 23 individuals. The emerging substantive grounded theory included three stages that described the process of deciding to use home care services: Taking Care of our Own, Acknowledging Options, and Becoming Empowered. The processes describe how Mexican American families eventually accept home care services while maintaining their cultural norm of taking care of elders. The theory gives voice to both elders and caregivers in this process, adds to extant knowledge, and shapes interventions to support traditional Mexican American family values such as elders' staying at home as long as possible. The theory meets nursing's goals of reducing health care disparities by improving or sustaining elders' health and functional ability, decreasing the caregiving burden, and reducing health care costs.