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Unravelling Swedish informal caregivers' Generalised Resistance Deficits
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg.
Center on Salutogenesis, Department of Health Sciences, University West, Trollhättan.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg.
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 186-196Article in journal (Refereed) Published
Abstract [en]

In salutogenic theory, individual/contextual, immaterial/material characteristics enabling movements towards health are labelled Specific and Generalised Resistance Resources, SRRs/GRRs, and characteristics counteracting such movements Specific and Generalised Resistance Deficits, SRDs/GRDs. The aim of this paper was to present SRDs and GRDs described by caregivers as stemming from themselves and their care recipient. Guided by salutogenic theory, an explorative design was used to collect data through interviews with 32 Swedish informal caregivers. During the theory-driven analysis, SRDs were unravelled using within-case approaches. To be able to unite them as GRDs across cases, a serviceable GRD definition was developed from the existing theoretical GRR definition. In findings, SRDs are visualised in citations and GRDs described in detail. Caregivers' experiences of SRDs/GRDs are presented as themes: 'Experiencing personal deficiencies', when stemming from themselves; and 'Struggling with an uncooperative co-worker', when stemming from their care recipients. Findings indicate that if these themes dominate a caregiver's view of life, she/he seems to have reached the 'breaking point' when caregiving ends due to lack of usable SRRs/GRRs. To prolong the time until this occurs, support, making otherwise unusable SRRs/GRRs usable, is needed. When designing this type of 'salutogenic' support, it seems essential to involve the target group (e.g. caregivers, care recipients), to ascertain what their SRRs/GRRs and SRDs/GRDs may consist of. Such knowledge regarding SRRs/SRDs could be used to design individualised support, and regarding GRRs/GRDs to design generalised support at group level. This study suggests how such new knowledge regarding resistance resources and deficits could be acquired.

Place, publisher, year, edition, pages
2018. Vol. 32, no 1, p. 186-196
Keywords [en]
Caregivinghood, GRD definition, Health promotion, Home care, Informal caregiver, Life-experiences, Salutogenesis, Specific and Generalised Resistance Deficits, Support, Theory-driven qualitative design
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-30961DOI: 10.1111/scs.12446ISI: 000426524200018PubMedID: 28425120Scopus ID: 2-s2.0-85018659380OAI: oai:DiVA.org:miun-30961DiVA, id: diva2:1114006
Note

Version of record online: 20 April 2017

Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2018-04-03Bibliographically approved

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Danielson, Ella

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