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Successful aging among the elderly with mild cognitive impairment facing the crisis of old age: a grounded theory study
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Haeyun Shin, Suhye Kwon
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J Korean Acad Nurs 2025;55(2):301-316. Published online May 27, 2025
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DOI: https://doi.org/10.4040/jkan.24114
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 Abstract
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- Purpose
The purpose of this study was to understand experiences of successful aging experience in older adults with mild cognitive impairment.
Methods
The participants were 15 older adults with mild cognitive impairment who had experienced successful aging. Data were collected from January to October 2021 through individual deep, unstructured interviews. Data analysis was performed using Charmaz’s grounded theory method. In addition, the consolidated criteria for reporting qualitative research checklist was used to ensure the quality of the study.
Results
The key category representing experiences of successful aging experience in older adults with mild cognitive impairment was “raising oneself up in the unsettling crisis of old age.” Four stages were derived: “feeling anguished due to the strange signals of memory,” “being shaken by fading memory,” “maintaining balance for a healthy old age,” and “recovering the composure of old age.”
Conclusion
Participants tried to successfully achieve aging while implementing their own plans and strategies in the midst of the challenges of old age, when the mind and body were unsettled by mild cognitive impairment. The results of this study provide a deep understanding of experiences of successful aging in older adults with mild cognitive impairment, potentially contributing to the development and implement of nursing intervention programs to promote the successful pursuit of aging in this population.
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Weight Loss Experience of Highly Obese Young Adult Who Underwent Bariatric Surgery
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Hoim Lee, Hyoju Jeong, Suhye Kwon
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J Korean Acad Nurs 2023;53(2):260-273. Published online April 30, 2023
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DOI: https://doi.org/10.4040/jkan.23004
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Abstract
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- Purpose
This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery.
Methods
Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi’s phenomenological method.
Results
The following four theme clusters were extracted. First, ‘The unbearable sorrow of obese people’ explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, ‘The impact aftermath of bariatric surgery’ revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, ‘Efforts to rebuild a healthy myself’ demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, ‘Facing life by getting rid of the yoke of obesity’ displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life.
Conclusion
This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.
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The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
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Miseon Bang, Suhye Kwon
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J Korean Acad Nurs 2022;52(4):435-450. Published online August 31, 2022
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DOI: https://doi.org/10.4040/jkan.22043
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Abstract
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- Purpose
The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family.
Methods
Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi’s phenomenological research method.
Results
The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other".
Conclusion
The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.
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Citations
Citations to this article as recorded by  - Challenges and support needs among family caregivers involved in solid organ transplant care process: a scoping review protocol
Shi He, Ningbin Huang, Meiqi Lai, Wenwen Li, Siting Chen, Guolong Zhang, Danxia Huang, Guilin Peng, Ying Huang, Liang Ruan
BMJ Open.2025; 15(3): e086771. CrossRef
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Young Adult Donor’s Experiences of Living Donor Liver Transplantation
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Miseon Bang, Haeyun Shin, Min Ryu, Suhye Kwon
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J Korean Acad Nurs 2021;51(1):105-118. Published online February 28, 2021
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DOI: https://doi.org/10.4040/jkan.20235
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Abstract
PDF
- Purpose
This study aimed to explore young adult donors’ experiences of living donor liver transplantation.
Methods
A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi’s phenomenological method.
Results
Five theme clusters extracted from the young adult donors’ experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity.
Conclusion
The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.
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Citations
Citations to this article as recorded by - Giving as repaying: towards an embodied ethics of living donor liver transplantation
Ya-Ping Lin, Huei-Ya Chen
Medicine, Health Care and Philosophy.2025; 28(3): 517. CrossRef - Research Trends on Living Donors for Liver Transplantation: A Text Network Analysis and Topic Modeling
Seongmi Choi, Mihui Kim, Won Jin Seo
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 157. CrossRef - Living well or not? Quality of life of parental living liver donors: A cross‐sectional study
Xiaxin Wu, Jing Chen, Yaru Fan, Yuexian Shi, Wei Gao
Journal of Clinical Nursing.2023; 32(15-16): 5113. CrossRef - The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
Miseon Bang, Suhye Kwon
Journal of Korean Academy of Nursing.2022; 52(4): 435. CrossRef - The life experiences of living liver donors: A qualitative meta‐synthesis
Hye‐Young Jang, Hyei Yeon Im, Hye Jin Nam
Research in Nursing & Health.2022; 45(6): 693. CrossRef
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The Experience of Adult Korean Children Caring for Parents Institutionalized with Dementia
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Suhye Kwon, Young-Sook Tae
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J Korean Acad Nurs 2014;44(1):41-54. Published online February 28, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.1.41
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Abstract
PDF
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Purpose
The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia.
Methods
Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method.
Results
From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life.
Conclusion
In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.
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Citations
Citations to this article as recorded by - The Association Between Cohabitation With Dementia Patients and Family Mental Health
Yoo J. Lee, In C. Hwang, Hong Y. Ahn
Alzheimer Disease & Associated Disorders.2025;[Epub] CrossRef - Development of the Care Burden Scale for Family of Elderly in Nursing Facilities
Eun Jeong Kim, Kyung Mi Sung
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(1): 80. CrossRef - A web-based care assistant for caregivers of the elderly: Development and pilot study
Hwawoo Jeon, Yong Suk Choi, Yoonseob Lim
DIGITAL HEALTH.2023;[Epub] CrossRef - Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting
Jieun Lee
Culture, Medicine, and Psychiatry.2023; 47(4): 898. CrossRef - Depression, anxiety, and sleep quality of caregivers of children with spinal muscular atrophy
Almala Pinar Ergenekon, Zeynep Gümüş, Cansu Yilmaz Yegit, Muruvvet Cenk, Aynur Gulieva, Mine Kalyoncu, Merve Selcuk, Seyda Karabulut, Gulten Ozturk, Ela Erdem Eralp, Olcay Unver, Bulent Karadag, Yasemin Gokdemir
Pediatric Pulmonology.2023; 58(6): 1697. CrossRef - Empathy and perceived burden in caregivers of patients with schizophrenia spectrum disorders
Rosaria Di Lorenzo, Anna Girone, Nunzio Panzera, Gianluca Fiore, Margherita Pinelli, Giulia Venturi, Federica Magarini, Paola Ferri
BMC Health Services Research.2021;[Epub] 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 - Development and Validation of the Scale for Partnership in Care—for Family (SPIC-F)
Hye-Young Jang, Eun-Ok Song
International Journal of Environmental Research and Public Health.2020; 17(6): 1882. CrossRef - Partnership between staff and family in long-term care facility: a hybrid concept analysis
Hye-Young Jang
International Journal of Qualitative Studies on Health and Well-being.2020; 15(1): 1801179. CrossRef - Development and Psychometric Evaluation of a Fear of Dementia Scale for Community-Dwelling Older Adults
Minkyung LEE, Dukyoo JUNG
Journal of Nursing Research.2020; 28(3): e94. CrossRef - Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities
Eun-Ok Song, Hye-Young Jang
International Journal of Environmental Research and Public Health.2020; 17(9): 3298. CrossRef - A Concept Analysis of Fear of Dementia
Minkyung Lee, Dukyoo Jung
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 206. CrossRef - Caregiver burden and prevalence of depression, anxiety and sleep disturbances in Alzheimer's disease caregivers in China
Shuai Liu, Chonghui Li, Zhihong Shi, Xiaodan Wang, Yuying Zhou, Shuling Liu, Jing Liu, Tao Yu, Yong Ji
Journal of Clinical Nursing.2017; 26(9-10): 1291. CrossRef - The Effect of Post-Stroke Depression on Rehabilitation Outcome and the Impact of Caregiver Type as a Factor of Post-Stroke Depression
Dong-Heun Ahn, Yung-Jin Lee, Ji-Hun Jeong, Yong-Rok Kim, Jong-Bum Park
Annals of Rehabilitation Medicine.2015; 39(1): 74. CrossRef
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