The stress of caregiving: Factors impacting family caregivers following entry of the care recipient into a nursing home

2008 2008

Other formats: Order a copy

Abstract (summary)

The purpose of this study was to identify stressors associated with family caregiving following entry into the nursing home of the care recipient. A cross-sectional, survey design included 129 family caregivers for care recipients located in sixteen long-term care facilities in north central Texas and Southern Oklahoma. Consistent with prior research stress related to the caregiving role did not end with the care recipient’s entry into the nursing home. Utilizing a conceptual model of stress proliferation, caregiver characteristics, role captivity, constriction of participation in family activities, family conflict and work-caregiving conflict are examined in relation to perceived stress.

Multiple linear regression with forward entry indicated role captivity accounted for the majority of explained variance in perceived stress by family caregivers, followed by constriction of time for participating in family activities, caregiver income and family conflict. Caregiver uplifts (positive beliefs about oneself as a caregiver and personal growth attributed to the caregiving role) originally thought to mediate perceived stress, were eliminated from analysis as almost 100% of participants indicated a high levels of caregiver uplifts. Contextual factors examined included dual caregiving responsibilities, length of time in the caregiving role, visitation schedule and reason for placement. While these variables did not contribute to the model for perceived stress, they do offer insight into the multiple issues faced by family caregivers of loved ones who are in a long term are facility. Family caregivers identified the activities of caring in which they participated following nursing home entry, and if they felt this to be a hassle.

Understanding the multiple and complex ways family caregivers provide support to the care recipient, while at the same time recognizing the unique stressors they face as a consequence of this role provides a challenge for professionals along the continuum of healthcare. Specifically, social workers need to cultivate a knowledge base and skills that support family caregivers throughout the process of institutional care for their loved one.

Indexing (details)

Social work;
Families & family life;
Personal relationships;
0452: Social work
0628: Families & family life
0628: Personal relationships
0628: Sociology
Identifier / keyword
Social sciences; Caregivers; Family caregiving; Nursing home; Role captivity; Stress
The stress of caregiving: Factors impacting family caregivers following entry of the care recipient into a nursing home
Judd, Rebecca Gean
Number of pages
Publication year
Degree date
School code
DAI-A 69/08, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
Rycraft, Joan
Committee member
Basham, Randall; Lusky, Richard; Page, Jamie; Pillai, Vijayan
The University of Texas at Arlington
Social Work
University location
United States -- Texas
Source type
Dissertations & Theses
Document type
Dissertation/thesis number
ProQuest document ID
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
Access the complete full text

You can get the full text of this document if it is part of your institution's ProQuest subscription.

Try one of the following:

  • Connect to ProQuest through your library network and search for the document from there.
  • Request the document from your library.
  • Go to the ProQuest login page and enter a ProQuest or My Research username / password.