title: Balancing engagement and detachment in caregiving.
abstract: OBJECTIVE
  To investigate how caregivers balance engagement with detachment to cope with cumulative demands and losses.
  
  
  METHODS
  Qualitative, descriptive. Population, formal and informal caregivers in the United States. A sample of 14 was studied between 1992 and 1994.
  
  
  METHODS
  Data were collected in open-ended interviews, then were coded and analyzed using grounded-theory methods. Credibility and fittingness were established.
  
  
  RESULTS
  Caregivers who balance engagement and detachment can affect outcomes without needing to control outcomes. Such caregivers are pragmatic and make conscious choices based on their emotional needs. They set and maintain limits and boundaries and are able to monitor the balancing process while recognizing the importance of practicing self-care.
  
  
  CONCLUSIONS
  The longer and more intense a caregiver's involvement, the more important it is to learn to balance engagement and detachment. Caregivers may need to learn effective balancing skills.
authors.affiliation: University of San Francisco, School of Nursing, CA 94117, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Carmack
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D006379:Helping Behavior; D006801:Humans; D008875:Middle Aged; D011369:Professional-Patient Relations; D011582:Psychological Theory; D012648:Self Care