title: Uncovering the cultural context for quality of family caregiving for elders.
abstract: This article is part of a symposium exploring issues in developing cross-culturally equivalent conceptualizations and measures for a study of elder family caregiving. This article describes the development of an instrument to measure quality of elder family caregiving among Anglo and Mexican American caregivers. Following a review of typical approaches for evaluating quality of caregiving, a cross-cultural standard for excellence in elder caregiving is described. An instrument consistent with the United Nations Universal Declaration of Human Rights, the QUALCARE Scale, is identified as an appropriate cross-cultural instrument for assessing the quality of elder family caregiving. Refinement of the QUALCARE Scale using Berry's model for cross-cultural research, which necessitated identification of appropriate cross-cultural indicators of quality, is described. Examples of this process of indicator clarification are given for several basic human rights, based on the cross-cultural research team members' experiences with Anglo and Mexican American caregivers.
authors.affiliation: School of Nursing, University of Texas Health Science Center, San Antonio, USA.
authors.forename: S L
authors.initials: SL
authors.lastname: Cromwell
authors.forename: C K
authors.initials: CK
authors.lastname: Russell
authors.forename: Y M
authors.initials: YM
authors.lastname: Lim
authors.forename: I
authors.initials: I
authors.lastname: Luna
authors.forename: E
authors.initials: E
authors.lastname: Torres de Ardon
authors.forename: L R
authors.initials: LR
authors.lastname: Phillips
mesh_terms: D000368:Aged; D017028:Caregivers; D003431:Cross-Cultural Comparison; D005060:Europe / Q000208:ethnology; D005190:Family / Q000208:ethnology*; D006701:Home Nursing / Q000592:standards*; D006806:Human Rights; D006801:Humans; D017058:Mexican Americans; D016294:Models, Nursing; D009730:Nursing Assessment / Q000592:standards*; D011787:Quality of Health Care; D015206:Southwestern United States