Uncovering the cultural context for quality of family caregiving for elders.
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.
Cromwell
S L
SL
School of Nursing, University of Texas Health Science Center, San Antonio, USA.
Russell
C K
CK
Lim
Y M
YM
Luna
I
I
Torres de Ardon
E
E
Phillips
L R
LR
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