Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation

Purpose: The purpose of this qualitative study was to discover rural family dementia caregivers’ lived experience in a virtual dementia simulation and how it affected their understanding of their family members’ daily challenges. To our knowledge, this study is the first to document its impact and v...

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Main Authors: Candace Currie Harrington, Sonya R. Hardin, Pamela Z. Cacchione, Donna W. Roberson, Janice A. Neil
Format: Article
Language:English
Published: Rural Nurse Organization; Binghamton University 2022-05-01
Series:Online Journal of Rural Nursing and Health Care
Online Access:https://rnojournal.binghamton.edu/index.php/RNO/article/view/695
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author Candace Currie Harrington
Sonya R. Hardin
Pamela Z. Cacchione
Donna W. Roberson
Janice A. Neil
author_facet Candace Currie Harrington
Sonya R. Hardin
Pamela Z. Cacchione
Donna W. Roberson
Janice A. Neil
author_sort Candace Currie Harrington
collection DOAJ
description Purpose: The purpose of this qualitative study was to discover rural family dementia caregivers’ lived experience in a virtual dementia simulation and how it affected their understanding of their family members’ daily challenges. To our knowledge, this study is the first to document its impact and value in this understudied, under-reported, and under-represented population. Sample: A volunteer sample of 10 rural family caregivers of persons with AD/ADRD following participation in a rural eastern North Carolina community delivered AD/ADRD simulation. Method: In-depth interviews lasting 45-110 minutes were conducted. The Utrecht phenomenology analytic method was used to sort, analyze, and interpret data. Richness of data drove the sample size. Results: The volunteer participants were female familial caregivers ages ranged from 49 to 81. Their care recipients’ ages ranged from 62 to 93 years. Eighty percent of the caregivers provided care for their loved ones 6-7 days a week. Only one caregiver had formal (paid) assistance for care provision. The themes Now I Understand, Opened My Eyes, and Making Changes emerged from the participants' statements. Conclusion: Rural family caregivers found the AD/ADRD simulation profoundly impacted their perceptions of AD/ADRD and expressed new understandings and eye-opening epiphanies about their family members’ daily challenges with dementia and their planned changes to improve their loved ones’ quality of life.  The AD/ADRD simulated experience provided participants with a unique opportunity for self-discovery about their loved ones’ daily challenges. This original study addresses the paucity of literature and research about AD/ADRD simulations for rural caregivers of persons with AD/ADRD. This study further demonstrates the value of AD/ADRD simulation to rural nursing practice and science. These findings may prompt rural health nurses to encourage family caregiver participation in person-in-context simulations to enhance their understanding of the loved ones’ lived experience. Keywords: interpretative thematic analysis, dementia simulation, family caregiver, qualitative research, neurocognitive syndrome DOI: https://doi.org/10.14574/ojrnhc.v22i1.695
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spelling doaj.art-83083de7fd594e44a4c3fd5fef149fb62023-11-08T20:29:22ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992022-05-01221100127606Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia SimulationCandace Currie Harrington0Sonya R. Hardin1Pamela Z. Cacchione2Donna W. Roberson3Janice A. Neil4University of LouisvilleUniversity of Louisville School of NursingUniversity of Pennsylvania School of NursingEast Carolina University College of NursingEast Carolina University College of NursingPurpose: The purpose of this qualitative study was to discover rural family dementia caregivers’ lived experience in a virtual dementia simulation and how it affected their understanding of their family members’ daily challenges. To our knowledge, this study is the first to document its impact and value in this understudied, under-reported, and under-represented population. Sample: A volunteer sample of 10 rural family caregivers of persons with AD/ADRD following participation in a rural eastern North Carolina community delivered AD/ADRD simulation. Method: In-depth interviews lasting 45-110 minutes were conducted. The Utrecht phenomenology analytic method was used to sort, analyze, and interpret data. Richness of data drove the sample size. Results: The volunteer participants were female familial caregivers ages ranged from 49 to 81. Their care recipients’ ages ranged from 62 to 93 years. Eighty percent of the caregivers provided care for their loved ones 6-7 days a week. Only one caregiver had formal (paid) assistance for care provision. The themes Now I Understand, Opened My Eyes, and Making Changes emerged from the participants' statements. Conclusion: Rural family caregivers found the AD/ADRD simulation profoundly impacted their perceptions of AD/ADRD and expressed new understandings and eye-opening epiphanies about their family members’ daily challenges with dementia and their planned changes to improve their loved ones’ quality of life.  The AD/ADRD simulated experience provided participants with a unique opportunity for self-discovery about their loved ones’ daily challenges. This original study addresses the paucity of literature and research about AD/ADRD simulations for rural caregivers of persons with AD/ADRD. This study further demonstrates the value of AD/ADRD simulation to rural nursing practice and science. These findings may prompt rural health nurses to encourage family caregiver participation in person-in-context simulations to enhance their understanding of the loved ones’ lived experience. Keywords: interpretative thematic analysis, dementia simulation, family caregiver, qualitative research, neurocognitive syndrome DOI: https://doi.org/10.14574/ojrnhc.v22i1.695https://rnojournal.binghamton.edu/index.php/RNO/article/view/695
spellingShingle Candace Currie Harrington
Sonya R. Hardin
Pamela Z. Cacchione
Donna W. Roberson
Janice A. Neil
Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
Online Journal of Rural Nursing and Health Care
title Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
title_full Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
title_fullStr Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
title_full_unstemmed Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
title_short Rural Family Caregivers’ Discoveries Following a Person-in-Context Dementia Simulation
title_sort rural family caregivers discoveries following a person in context dementia simulation
url https://rnojournal.binghamton.edu/index.php/RNO/article/view/695
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