title: Developing a Theoretical Framework Using a Nursing Perspective to Investigate Perceived Health in the "Sandwich Generation" Group.
abstract: Coexisting workloads from professional, household and family, and caregiving activities for frail parents expose middle-aged individuals, the so-called "Sandwich Generation", to potential health risks. Current trends suggest that this situation will continue or increase. Thus SG health promotion has become a nursing concern. Most existing research considers coexisting workloads a priori pathogenic. Most studies have examined the association of one, versus two, of these three activities with health. Few studies have used a nursing perspective. This article presents the development of a framework based on a nursing model. We integrated Siegrist's Effort-Reward Imbalance middle-range theory into "Neuman Systems Model". The latter was chosen for its salutogenic orientation, its attention to preventive nursing interventions and the opportunity it provides to simultaneously consider positive and negative perceptions of SG health and SG coexisting workloads. Finally, it facilitated a theoretical identification of health protective factors.
authors.affiliation: Professor HES-SO, Haute Ecole de la Santé La Source and Lecturer, Institut Universitaire de Formation et de Recherche en Soins,Lausanne, Switzerland.
authors.forename: Annie
authors.initials: A
authors.lastname: Oulevey Bachmann
authors.affiliation: Professor, Institute of Work and Health, Epalinges, Switzerland.
authors.forename: Brigitta
authors.initials: B
authors.lastname: Danuser
authors.affiliation: Professor, Institut Universitaire de Formation et de Recherche en Soins-CHUV, Lausanne, Switzerland, and University of Laval, Quebec, Canada.
authors.forename: Diane
authors.initials: D
authors.lastname: Morin
mesh_terms: D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D004651:Employment; D005190:Family / Q000523:psychology; D016330:Frail Elderly / Q000523:psychology; D006304:Health Status; D006801:Humans; D016901:Intergenerational Relations; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D012201:Reward; D011795:Surveys and Questionnaires
keywords: Effort-Reward Imbalance; Health Promotion; Neuman Systems Model; Occupational Health; Sandwich Generation