title: Remaining connected despite separation - former family caregivers' experiences of aspects that facilitate and hinder the process of relinquishing the care of a person with dementia to a nursing home.
abstract: OBJECTIVE
  This qualitative study aimed to illuminate former family caregivers' experiences of aspects that facilitate and hinder the process of relinquishing the care of a person with dementia to a nursing home.
  
  
  METHODS
  Ten narrative interviews with former family caregivers were performed and subjected to qualitative content analysis.
  
  
  RESULTS
  An overall theme showed that family caregivers were remaining connected to the person with dementia despite separation. They experienced being 'caught by surprise' when the placement occurred. Negative expectations of dementia care made the separation more difficult. Lacking adequate information increased feelings of insecurity. Despite these hurdles, family caregivers found meaning in the new situation as they felt that they could remain connected to their loved one. Being recognized as partners in care of the person with dementia after placement was a facilitating aspect. Family caregivers regarded a well-functioning interaction with staff and a supportive social network as reassuring since they facilitated staying in touch.
  
  
  CONCLUSIONS
  Knowledge of the relinquishing process and adequate information about dementia and its progression may help family caregivers better prepare for and adapt to the situation. Family caregivers need to be recognized as partners in care and a welcoming nursing home environment is of utmost importance.
authors.affiliation: a Department of Nursing , Umeå University , Umeå , Sweden.
authors.forename: Anneli
authors.initials: A
authors.lastname: Johansson
authors.forename: Helena Olsson
authors.initials: HO
authors.lastname: Ruzin
authors.forename: Ulla Hällgren
authors.initials: UH
authors.lastname: Graneheim
authors.forename: Britt-Marie
authors.initials: BM
authors.lastname: Lindgren
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000451:nursing*; D005195:Family Relations; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D036301:Qualitative Research
keywords: dementia; family caregiver; narrative interviews; qualitative content analysis; relinquishing care