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Carers of older adults' satisfaction with public mental health service clinicians: a qualitative study

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  • Terence V McCann
  • John Bamberg

Abstract

Aims and objectives The purpose of our paper was to explore primary caregivers' experience of the way public mental health nurses and other mental health clinicians responded to them as primary carers of older adults with mental illness. Background As populations age, the prevalence of mental illness in older adults will increase and the burden of care placed on family carers will intensify. While family carers are essential to the well‐being and quality of life of older adults with mental illness, they frequently experience marginalisation from clinicians. Design An interpretative phenomenological analysis approach was used to inform data collection and analysis. Method Individual, semistructured, audio‐recorded qualitative interviews were conducted with a purposive sample of 30 primary carers. Results Two themes were abstracted from the data highlighting carers' contrasting satisfaction with, and delivery of culturally competent care by, clinicians. A third theme, strategies for enhancing carers' experience of care, incorporated carers' suggestions about ways to strengthen their experience of caring. Conclusion Although some primary carers had favourable experiences with clinicians, most were dissatisfied and this, in turn, clouded their overall experience of caring. Relevance to clinical practice Our findings have implications for the provision of education, ongoing support for, and building the cultural competence of, clinicians about working with carers. They also highlight the need for a change in organisational and practice culture to encompass mutual respect and partnership with carers within the context of the providing person‐centred care for carers and older adults with mental illness.

Suggested Citation

  • Terence V McCann & John Bamberg, 2016. "Carers of older adults' satisfaction with public mental health service clinicians: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(11-12), pages 1634-1643, June.
  • Handle: RePEc:wly:jocnur:v:25:y:2016:i:11-12:p:1634-1643
    DOI: 10.1111/jocn.13165
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    References listed on IDEAS

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    1. McNamara, Beverley & Rosenwax, Lorna, 2010. "Which carers of family members at the end of life need more support from health services and why?," Social Science & Medicine, Elsevier, vol. 70(7), pages 1035-1041, April.
    2. Terence V McCann & Dan I Lubman & Eileen Clark, 2012. "Primary caregivers’ satisfaction with clinicians’ response to them as informal carers of young people with first‐episode psychosis: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(1‐2), pages 224-231, January.
    3. Melissa M. Garrido & Robert L. Kane & Merrie Kaas & Rosalie A. Kane, 2009. "Perceived Need for Mental Health Care Among Community-Dwelling Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(6), pages 704-712.
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    Cited by:

    1. Julia Wells & Catriona Kennedy & Heather Bain & Siew Hwa Lee, 2020. "The experiences of older adults with a diagnosed functional mental illness, their carers and healthcare professionals in relation to mental health service delivery: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 31-52, January.

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