Why carers of frail older people are not using available respite services: an Australian study

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Title Why carers of frail older people are not using available respite services: an Australian study
Author Stockwell-Smith, Gillian; Kellett, Ursula Marie; Moyle, Wendy
Journal Name Journal of Clinical Nursing
Year Published 2010
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd
Abstract Aim. The purpose of this study was to explore the limiting and motivating factors that influence carers' use of respite services and the ability of currently available respite services to meet the needs of carers of frail older people. Background. The development of community carer support services, their availability and usage and the common barriers that affect or impact on carers' use of community services in general and respite services in particular need to be examined to ensure they meet client needs. Design. A qualitative descriptive approach informed by critical social theory was used to expose the inequities inherent in community services. Methods. A qualitative examination of carer relationships with respite services was informed and guided by critical theory. Sixteen carers took part in four focus groups. A purposeful sampling strategy was adopted to engage with carers not currently using respite services. Study participants were recruited from a state-wide carer support organisation and a community service organisation in Queensland, Australia. Results. Three themes emerged from the data: 'Commitment' characterised by reciprocity, role definition and role frustration, 'Needing Help' discussed in terms of trust, confidence in service, fear and resistance, and 'Support' discussed in relation to informal networking, misinformation and lack of knowledge. Conclusion. This study improves our understanding of the caring role, its significance in carer's lives and how this shapes their formal service expectations and use. The findings suggest that further investigation of the factors involved in carers' service expectations and service-seeking is warranted to develop a deeper understanding of how care giving influences the ways carers seek help from formal services. Relevance to clinical practice. Service delivery changes towards a model of care, which engages and promotes user control and fosters genuine participatory relations between informal and professional carers may improve uptake of respite services. Key words: community, family care, nursing, older people, qualitative, respite Accepted for publication: 20 July 2009
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1111/j.1365-2702.2009.03139.x
Copyright Statement Copyright 2010 Wiley-Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.The definitive version is available at www.interscience.wiley.com
Volume 19
Page from 2057
Page to 2064
ISSN 0962-1067
Date Accessioned 2010-07-05
Language en_AU
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject Aged Care Nursing
URI http://hdl.handle.net/10072/32242
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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