Journal of Korean Academy of Nursing

Haejin Kim

2 Articles

Shifting of Centricity: Qualitative Meta Synthetic Approach on Caring Experience of Family Members of Patients with Dementia: Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim; J Korean Acad Nurs 2018;48(5):601-621. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.601

Abstract Purpose

This study aimed to synthesize the caring experiences of Korean family members of patients with dementia through a qualitative meta-synthesis method.

Methods

By searching through nine Korean and English databases, we compared 37 qualitative studies on caring experiences of family members of patients with dementia. The selected studies were synthesized through meta-synthesis, proposed by Sandelowski and Barroso (2007).

Results

The meta-synthesis elicited four themes: tough life due to care for patients, changes in relationships, adaptation to caregiver's roles, and new perspectives of life through personal growth. Caregivers were shocked when a sudden diagnosis of dementia was made prior to any preparation on their part. They were tied to their patients all the time and their mind and body got exhausted. Their relationship with patients began to change and they looked at them differently. They experienced conflicts with the other non-caring family members and were alienated from them. They were also socially isolated. However, by building their own care strategies and utilizing social resources, they gradually adapted to their caregiver roles. Finally, they experienced personal growth and acquired a new perspective toward life by accepting their roles and finding meaning in their lives. Shifting the caregiver's centricity from themselves to the patient was the process of becoming human beings who actively constructed their realities while giving meaning to their painful lives and interacting with the environment.

Conclusion

The results of the study can be useful for nurses in understanding the experiences of caregivers of the patients with dementia and in providing them with practical interventions.

Citations

Citations to this article as recorded by

A qualitative meta-synthesis of the essence of patient experiences of dialysis
Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
Journal of Korean Academy of Nursing.2025; 55(1): 119. CrossRef
Self-care experiences of male spouses of people with dementia: a descriptive phenomenological study
Sua Jung, Jun-Ah Song
Aging & Mental Health.2025; : 1. CrossRef
Time Usage and Satisfaction Based on Occupational Area Between Weekdays and Weekends of Family Caregivers and Non-family Caregivers of Dementia Patients
Woo-Hyuk Jang, Jong-Hwi Park
Annals of Indian Academy of Neurology.2024; 27(5): 543. CrossRef
Health and medical experience of migrant workers: qualitative meta-synthesis
Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
Archives of Public Health.2024;[Epub] CrossRef
Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
PeerJ.2023; 11: e15178. CrossRef
Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
Su-In Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2023; 25(4): 420. CrossRef
Partners' Experience of Informal Caregiving for Patients With Heart Failure
Zequan Wang, Christine Tocchi
Journal of Cardiovascular Nursing.2023; 38(2): E40. CrossRef
Caring Experience of Spouse Caregivers of Persons with Alzheimer's Disease: A Qualitative Study
Jin-Hee Lee, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2022; 24(3): 257. CrossRef
Korean Family Caregivers' Experiences With Managing Behavioral and Psychological Symptoms of Dementia: Keeping Harmony in Daily Life
Jiyeon Kim, Jun-Ah Song, Sua Jung, Hongjin Cheon, Jiyeon Kim
Research in Gerontological Nursing.2022; 15(3): 141. CrossRef
Family Caregiver Suffering in Caring for Patients with Amyotrophic Lateral Sclerosis in Korea
Juyeon Oh, Jung-A Kim, Min Sun Chu
International Journal of Environmental Research and Public Health.2021; 18(9): 4937. CrossRef
Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
Young Ju Oh, Myung Ha Lee, Hee Sun Kim
Korean Journal of Adult Nursing.2020; 32(2): 186. CrossRef
Family Members’ Experience in Caring for Elderly with Dementia in Long-Term Care Hospitals
Eun Kyoung Suh, Hye Ryoung Kim
Journal of Korean Gerontological Nursing.2020; 22(4): 335. CrossRef
Caring experiences of family caregivers of patients with heart failure: A meta-ethnographic review of the past 10 years
Eun Young Kim, Seieun Oh, Youn-Jung Son
European Journal of Cardiovascular Nursing.2020; 19(6): 473. CrossRef
Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia
Kyung Choon Lim
Journal of Korean Academic Society of Nursing Education.2019; 25(1): 136. CrossRef

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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer: Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo; J Korean Acad Nurs 2016;46(6):894-904. Published online December 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.6.894

Abstract PDF

Purpose

The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.

Methods

Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.

Results

Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.

Conclusion

Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

Citations

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Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef
Effects of decision aids on breast reconstruction: A systematic review and meta‐analysis of randomised controlled trials
Shu Yang, Lin Yu, Chunmiao Zhang, Mengmeng Xu, Qi Tian, Xuan Cui, Yantong Liu, Shuanghan Yu, Minglu Cao, Wei Zhang
Journal of Clinical Nursing.2023; 32(7-8): 1025. CrossRef
“Struggling to Accept the New Breast as Part of My Body” – The Challenge of Immediate Breast Reconstruction in Women With Breast Cancer
Jeehee Han, Juhye Jin, Sanghee Kim, Dong Won Lee, Sue Kim
Cancer Nursing.2022; 45(4): 262. CrossRef
Do COVID-19–Related Treatment Changes Influence Fear of Cancer Recurrence, Anxiety, and Depression in Breast Cancer Patients?
Soo Yeon Kim, Sue Kim
Cancer Nursing.2022; 45(2): E628. CrossRef
A Decision Tree Model for Breast Reconstruction of Women with Breast Cancer: A Mixed Method Approach
Eun Young Park, Myungsun Yi, Hye Sook Kim, Haejin Kim
International Journal of Environmental Research and Public Health.2021; 18(7): 3579. CrossRef
The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer
Jeonghee Ahn, Eunyoung E Suh
Journal of Korean Academy of Nursing.2021; 51(2): 245. CrossRef
Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction
A Young Kim, Jeong Hye Kim
Asian Oncology Nursing.2020; 20(1): 1. CrossRef
Korean Translation and Psychometric Evaluation of Korean Version EORTC QLQ-BRECON23
Soo-Kyung Bok, Youngshin Song, Ancho Lim, Hyunsuk Choi, Hyunkyung Shin, Sohyun Jin
International Journal of Environmental Research and Public Health.2020; 17(24): 9163. CrossRef
Operation Experiences of Women with Breast Cancer
Hyeon-Young Kim, Sun Hwa Shin
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129. CrossRef
“Waiting for breast reconstruction”: An interpretative phenomenological analysis of heterosexual couples’ experiences of mastectomy for breast cancer
Kristopher Lamore, Cécile Flahault, Léonor Fasse, Aurélie Untas
European Journal of Oncology Nursing.2019; 42: 42. CrossRef
Breast reconstruction statistics in Korea from the Big Data Hub of the Health Insurance Review and Assessment Service
Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
Archives of Plastic Surgery.2018; 45(05): 441. CrossRef

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