scholarly journals Self-Efficacy of Family Caregivers of Older Adults With Cognitive Impairment: A Concept Analysis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 75-75
Author(s):  
Tarik Khan ◽  
Karen Hirschman ◽  
Matthew D McHugh ◽  
Mary Naylor ◽  
Tarik S Khan
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Family Caregivers ◽  
Self Efficacy ◽  
Medical Information ◽  
Concept Analysis ◽  
Policy Implications ◽  
Care Access ◽  
Medical Issues ◽  
Definition Of

Abstract The purpose of this concept analysis is to address fundamental gaps in the understanding of self-efficacy in family caregivers of older adults with cognitive impairment, including updating the 26-year-old concept analysis with a contemporary definition. With the first of the baby boomers set to turn 75 in 2021, the growing number of Americans with Alzheimer’s disease is predicted to more than double over the next 30 years, while the pool of potential family caregivers is likely to diminish by half. Research demonstrates that increased self-efficacy can help family caregivers of older adults with Alzheimer’s and other types of cognitive impairment experience lower burden and depressive symptom severity. This study utilized Walker and Avant’s method of concept analysis, an eight-step iterative process that helps to clarify the meaning of ambiguous concepts. A literature review was conducted from July 1993 through March 2019 using PubMed/MEDLINE, Scopus, CINAHL, and Embase. Eight defining attributes of this concept were identified. The revised definition of self-efficacy in this population is “a family caregiver’s confidence in their ability to: manage behaviors and other caregiving stresses, control upsetting thoughts, acquire medical information, manage medical issues, obtain self-care, access community supports, assist with activities of daily living and other care, and maintain a good relationship with a relative, friend, or neighbor of an older adult with cognitive impairment.” Practice implications include tailoring interventions to improve family caregiver self-efficacy. Policy implications include fostering evidence-based health strategies through payment and delivery incentives that further support caregiver self-efficacy.

scholarly journals Self‐efficacy of family caregivers of older adults with cognitive impairment: A concept analysis

Nursing Forum ◽  
2020 ◽  
Author(s):  
Tarik S. Khan ◽  
Karen B. Hirschman ◽  
Matthew D. McHugh ◽  
Mary D. Naylor
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Family Caregivers ◽  
Self Efficacy ◽  
Concept Analysis

Multidimensional Caregiving Burden of Female Family Caregivers in Korea

2016 ◽  
Vol 25 (6) ◽  
pp. 665-682 ◽  
Author(s):  
Young Mi Lim ◽  
Yang Heui Ahn ◽  
Ji Yeong Ahn
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Family Caregivers ◽  
Family Relationships ◽  
Self Efficacy ◽  
Social Activity ◽  
Cultural Knowledge ◽  
Community Dwelling ◽  
Activity Restriction ◽  
Community Dwelling Older Adults

The purpose of this study was to examine a staged theoretical model to explain cultural knowledge-based multidimensional burden of women family caregivers caring for community-dwelling older adults using a modified Poulshock and Deimling model. In the model, the antecedents included elders’ impairment in activities of daily living (ADL), elders’ cognitive impairment, caregivers’ self-efficacy, and caregivers’ familism. The perception contained the disruptive behavior burden and social functioning burden of caregivers. The consequence variable included social activity restriction and negative changes in family relationships. The total sample was 157 primary women caregivers caring for community-dwelling older adults aged 65 and older. Instruments were General Self-Efficacy Scale, Family Scale, and Burden Scale. Path analysis was done to analyze the model using multiple linear regression methods. This study showed that impairments of older adults (impairment in ADL, cognitive impairment) and caregiver beliefs (strong familism, low self-efficacy) had an indirect influence on negative changes in family relationship and social activity restriction through the perceived emotional distress.

Parental Self-Efficacy: A Concept Analysis Related to Teen Parenting and Implications for School Nurses

2018 ◽  
Vol 35 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Debra C. Sims ◽  
Anita J. Skarbek
Keyword(s):  
Self Efficacy ◽  
Care Delivery ◽  
Concept Analysis ◽  
Operational Definition ◽  
School Nurses ◽  
School Nursing ◽  
Analysis Framework ◽  
Teen Parents ◽  
Definition Of ◽  
Concept Review

Levels of parental self-efficacy are correlated with both positive and negative care delivery and developmental outcomes for parents and their infants. School nurses are in a unique position to facilitate parenting self-efficacy in teen parents. Using the concept analysis framework of Walker and Avant, parental self-efficacy is analyzed and elucidated to distinguish the concept’s defining attributes, antecedents, consequences, and empirical referents. The operational definition of parental self-efficacy arising from this concept review is an individual’s belief that he or she is capable of integrating and executing the knowledge and skills necessary to parent their infant. Model, borderline, related, and contrary cases are presented, along with implications for school nursing practice. School nurses are ideally situated to assist teen parents with parental self-efficacy realization tasks.

Unmet needs of family caregivers of hospitalized older adults preparing for discharge home

2018 ◽  
Vol 16 (2) ◽  
pp. 131-145 ◽  
Author(s):  
Jane McCusker ◽  
Mark Yaffe ◽  
Sylvie D Lambert ◽  
Martin Cole ◽  
Manon de Raad ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Medical Information ◽  
Unmet Needs ◽  
Depression Scale ◽  
Principal Component ◽  
Care Hospital ◽  
Role Clarity ◽  
High Burden ◽  
Hospitalized Older Adults

Objectives To describe unmet needs of caregivers of hospitalized older adults during the transition from hospital back home, and identify subgroups with different needs. Methods Patients and family caregivers were recruited from an acute care hospital in Montreal, Canada. Measures included Instrumental Activities of Daily Living (IADL), Hospital Anxiety and Depression Scale (HADS), Zarit burden scale, and Family Inventory of Needs. Dimensions of unmet needs were explored with principal component analysis; regression tree models were used to identify subgroups with different unmet needs. Results A total of 146 patient-caregiver dyads were recruited. Three categories of caregiver unmet needs were identified: patient medical information; role clarity and support; and reassurance. Caregiver subgroups with highest unmet needs were those with high burden of care plus depressive symptoms ( n = 46) and those caring for patients with low IADL scores ( n = 10). Discussion Caregivers with high burden and depression are those with the greatest unmet needs during the care transition.

scholarly journals FINANCIAL DECISION MAKING SELF-EFFICACY IN COGNITIVELY AND FINANCIALLY VULNERABLE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S477-S478
Author(s):  
Evan Z Gross ◽  
Rebecca J Campbell ◽  
LaToya Hall ◽  
Peter Lichtenberg
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Decision Making ◽  
Cognitive Impairment ◽  
Self Efficacy ◽  
Clinical Samples ◽  
Financial Decisions ◽  
Financial Decision Making ◽  
Financial Decision

Abstract Financial decision making self-efficacy (FDMSE) is a novel construct that may influence how older adults make financial decisions. Our previous research with a community sample of older adults demonstrated that cognitive functioning and suspected history of financial exploitation were both associated with low FDMSE. We sought to replicate these findings in two clinical samples of older adults: people with mild cognitive impairment (MCI) or probable Alzheimer’s disease (PAD) and current victims of scams or exploitation as determined by a financial coach. Samples were obtained from the Michigan Alzheimer’s Disease Center and a financial coaching intervention study. All participants completed a 4-item FDMSE measure. One-way ANOVAs, t-tests and chi-square tests were conducted to test for group differences with controls on demographics. There was a main effect of cognitive status on FDMSE, F(2,138) = 8.10, p < .001, which was driven by higher FDMSE in the healthy group (N = 63) than the MCI (N = 76) or PAD (N = 28) groups. Similarly, scam victims (N = 25) had significantly lower FDMSE than non-exploited (N = 25) peers, t(48)=2.33, p < 05. Cognitive impairment and current financial scams are both associated with low FDMSE levels. Low FDMSE may exacerbate cognitive and psychosocial vulnerabilities that contribute to risk for poor financial decisions among older adults. Future interventions to enhance FDMSE may help older adults make better decisions despite changes in thinking abilities or previous negative financial experiences.

Informing Understandings of Mild Cognitive Impairment for Older Adults: Implications From a Scoping Review

2015 ◽  
Vol 36 (7) ◽  
pp. 808-839 ◽  
Author(s):  
Mei Lan Fang ◽  
Katherine Coatta ◽  
Melissa Badger ◽  
Sarah Wu ◽  
Margaret Easton ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Scoping Review ◽  
English Language ◽  
Conceptual Development ◽  
Ethical Issues ◽  
Effective Interventions ◽  
Technological Interventions ◽  
Definition Of

The development of effective interventions for mild cognitive impairment (MCI) in older adults has been limited by extensive variability in the conceptualization and definition of MCI, its subtypes, and relevant diagnostic criteria within the neurocultural, pharmaceutical, and gerontological communities. A scoping review was conducted to explore the conceptual development of MCI and identify the resulting ethical, political, and technological implications for the care of older adults with MCI. A comprehensive search was conducted between January and April 2013 to identify English-language peer-reviewed articles published between 1999 and 2013. Our analysis revealed that the MCI conceptual debate remains unresolved, the response to ethical issues is contentious, the policy response is limited, and one-dimensional and technological interventions are scarce. Reflections on the conceptual, ethical, and policy responses in conjunction with the identification of the needs of older adults diagnosed with MCI highlight significant opportunities for technological interventions to effectively reposition MCI in the aging care discourse.

scholarly journals The Moderating Effect of Self-Efficacy on Intervention Response in Women Family Caregivers of Older Adults With Dementia

2006 ◽  
Vol 14 (8) ◽  
pp. 642-649 ◽  
Author(s):  
Yaron G. Rabinowitz ◽  
Brent T. Mausbach ◽  
David W. Coon ◽  
Colin Depp ◽  
Larry W. Thompson ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Self Efficacy ◽  
Moderating Effect

scholarly journals Computer-related self-efficacy and anxiety in older adults with and without mild cognitive impairment

2012 ◽  
Vol 8 (6) ◽  
pp. 544-552 ◽  
Author(s):  
Katherine V. Wild ◽  
Nora C. Mattek ◽  
Shoshana A. Maxwell ◽  
Hiroko H. Dodge ◽  
Holly B. Jimison ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Self Efficacy

scholarly journals Self-Efficacy of Exercise in Older Adults with Diabetes: A Concept Analysis

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 105
Author(s):  
Somsak Thojampa ◽  
Chawapon Sarnkhaowkhom ◽  
Sirikanok Khankhajhon ◽  
Roongtiva Boonpracom ◽  
Amaraporn Puraya ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Behavior ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Specific Activity ◽  
Concept Analysis ◽  
Clinical Usefulness ◽  
Behavior Changes ◽  
Thai People ◽  
Health Behavior Changes

Introduction: Self-efficacy is defined as a person’s own judgment of their capabilities to perform a specific activity to attain a particular outcome. The concept of self-efficacy of exercise in older adults with diabetes may still be unclear, so it is essential to elucidate its meaning for better understanding in this concept. This paper aims to explore the meaning of self-efficacy with regard to exercise in older adults with diabetes.Methods: Using the Walker and Avant concept analysis, it discusses cases showing diabetic Thai people and how they manage their health behavior changes, such as with exercise.Results: Analysis of the concept of self-efficacy in terms of its defining attributes, antecedents, consequences, and empirical referents provides information related to clinical usefulness. It helps healthcare professionals communicate the same notion when discussing self-efficacy and can distinguish this concept from other related concepts.Conclusion: Analysis of the concept of self-efficacy provides information related to exercise in older adults and can assist healthcare professionals in communicating the same notion when discussing the concept. 

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