A Chinese Version of the Meaning in Caregiving Scale: An Assessment of Its Reliability and Validity
ABSTRACT PURPOSE. To evaluate the reliability and construct validity of the Meaning in Caregiving Scale (MICS) by confirmatory factor analysis and to explore whether the MICS meets the goodness-of-fit criteria for the 3-factor model.DESIGN AND METHODS. Four hundred and eighty subjects in Taiwan were recruited. The hypothesized confirmatory factor analysis model specifies the items to measure the reordering priority, relationship fidelity, and transcendent belief as indicators of latent factors.FINDINGS. The data show that the hypothesized 3-factor model does not fit the data well and indicate that the 3 factors might share a high-order common factor. Cross-cultural issues may account for this shortcoming.PRACTICE IMPLICATIONS. This scale offers better understanding around caregivers for psychiatric patients and the issues they face.
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ABSTRACT: Schizophrenia is a severe illness with little hope of recovery and requires long-term care. The purpose of this study was to explore the experiences of carers who live with someone with long-term schizophrenia, within the cultural context of Taiwan. The study was conducted in a community setting in central Taiwan. A qualitative phenomenological approach was used to explore the experiences of carers. Purposive sampling was used by selecting the carers who were close relatives of the clients, had lived with the clients for at least 1 year and bore most of the responsibilities. Semi-structured face-to-face interviews were conducted to collect the data and narratives were analysed using Colaizzi's (1978) seven-step method. Data saturation was achieved after interviewing 10 carers. Three themes and eight sub-themes were identified: burdens of caring (helping clients' illness, lack of professional support and family conflicts), emotional burdens (sadness, worry and fear) and strategies of coping (cognitive and religious coping strategies). Our study supported the importance for nurses to understand the cultural aspects of mental illness, particularly the widespread cultural beliefs and patterns of help seeking behaviours, in order to provide culturally sensitive health care.Journal of Psychiatric and Mental Health Nursing 12/2009; 16(10):874-83. · 0.80 Impact Factor
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ABSTRACT: Informal dementia caregiving has traditionally been perceived as an extremely stressful process; however, more recent research has started to focus on the positive aspects of providing care. Studies indicate that caregivers who derive something positive out of caregiving have better well-being. However, there has been little exploration of the factors linked to caregivers identifying positive aspects of providing care. The aim of the current study was to explore the predictors of finding meaning in caregiving. This was a cross-sectional questionnaire study in which the respondents were 447 caregivers of people with dementia who were in receipt of a specialist nursing service. The questionnaire contained measures of meaning, relationship quality, caregivers' motivations to provide care, role captivity and caregiving competence. Correlational analyses showed that higher meaning was associated with being a spousal caregiver, providing greater hours of care, higher religiosity, a better pre-caregiving and current relationship quality, higher competence, lower role captivity, higher intrinsic motivations and higher extrinsic motivations. Hierarchical regression analyses indicated that variance in finding meaning was significantly predicted by high religiosity, high competence, high intrinsic motivations and low role captivity. From these findings, it is recommended that interventions should help caregivers focus on positive aspects of providing care and enhance their feelings of competence. Copyright © 2012 John Wiley & Sons, Ltd.International Journal of Geriatric Psychiatry 02/2012; 27(11):1195-202. · 3.09 Impact Factor