Qualitative Analysis of Faith Community Nurse–Led Cognitive-Behavioral and Spiritual Counseling for Dementia Caregivers

This article presents themes emerging from semistructured interviews with dementia family caregivers in rural communities who participated in an integrative, cognitive-behavioral and spiritual counseling intervention, and with faith community nurses (FCNs) who delivered the intervention. The primary...

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Published inQualitative health research Vol. 28; no. 4; pp. 633 - 647
Main Authors Kazmer, Michelle M., Glueckauf, Robert L., Schettini, Gabriel, Ma, Jinxuan, Silva, Michelle
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.03.2018
SAGE PUBLICATIONS, INC
Subjects
Alzheimer's disease
Behavior
Caregiver burden
Caregivers
Cognitive behavioral therapy
Community nurses
Counseling
Dementia
Family therapy
Intervention
Mental depression
Nurse led care
Nurses
Problem solving
Qualitative research
Rural communities
Self care
Severity
Spirituality
Therapeutic alliances
Alzheimer’s disease
United States
qualitative
caregivers / caregiving
dementia
interviews, semistructured
nursing
families, caregiving
community
religion / spirituality
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Summary:This article presents themes emerging from semistructured interviews with dementia family caregivers in rural communities who participated in an integrative, cognitive-behavioral and spiritual counseling intervention, and with faith community nurses (FCNs) who delivered the intervention. The primary objectives of the counseling intervention were to ameliorate dementia caregivers’ depressive affect and the severity of their self-identified caregiving and self-care problems. The qualitative portion of the study was intended to elicit caregivers’ and FCNs’ perceptions of the benefits and drawbacks of the intervention. We conducted interviews with seven FCN/caregiver pairs 4 times during the 6-month counseling process, totaling 56 interviews. Themes emerging from the interviews included caregivers’ perception of burden and care partners’ problem behavior; formation of therapeutic alliance between FCNs and caregivers; problem-solving skills, tools, and resources; caregivers’ use of problem-solving strategies; spirituality in caregiving and counseling processes; FCNs’ prior professional experience; and caregiver and FCN time constraints.
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ISSN:1049-7323
1552-7557
DOI:10.1177/1049732317743238