Decision-making process of nursing home placement among Chinese family caregivers.
OBJECTIVE
To understand the process and difficulties that Chinese family caregivers experience when making a nursing home placement decision for their loved ones with dementia.


METHODS
Using a grounded theory approach, data were collected through individual interviews with 30 Chinese family caregivers in Taiwan.


RESULTS
A stage-based framework was generated that described how caregivers went through the decision-making process, what specific challenges they encountered within the process, and how they overcame difficulties to reach their decisions.


CONCLUSIONS
By identifying the stages of the decision-making process and various challenges that caregivers experience, clinicians can enhance discussions with caregivers to decrease the decision-making burden. Clinicians might develop family-centered interventions for the decision-making process through the post-placement stage while taking into account cultural influences.
Chang
Yu-Ping
YP
School of Nursing, The State University of New York, University at Buffalo, Buffalo, NY, USA. yc73@buffalo.edu
Schneider
Joanne Kraenzle
JK
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003657:Decision Making; D003704:Dementia / Q000451:nursing; D005190:Family / Q000208:ethnology*; D005260:Female; D006801:Humans; D016901:Intergenerational Relations; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D015404:Nursing Methodology Research; D010343:Patient Admission; D011582:Psychological Theory; D011795:Surveys and Questionnaires; D013624:Taiwan