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Resigned but Resilient

Caregiver Perceptions of Role Ambiguity and Quality of Care During Hospital-to-Home Transitions of Older Latinos Living With Dementia

Bibliographic Data

ID6432461
AuthorsSylvan Greyson (0000-0003-0160-8029, Johns Hopkins University), Maningbe Keita (Johns Hopkins University), Rhea Sharma (0000-0002-7066-4713, Johns Hopkins University), Sevil Yaşar (0000-0002-5080-6534, Johns Hopkins University), Cynthia Boyd (Johns Hopkins University), Cynthia M Boyd (0000-0001-5642-9015, Johns Hopkins Medicine), Sarah Keller (0000-0001-8641-5562, Johns Hopkins University), Ayşe P Gürses (0000-0001-7422-6852, Johns Hopkins Medicine), Ayse Gurses (Johns Hopkins University), Quincy M Samus (0000-0001-8218-7769, Johns Hopkins University), Quincy Samus (Johns Hopkins University), Alicia I Arbaje (0000-0002-3224-3942, Johns Hopkins University, corresponding author)
Year2025
Volume37
Issue3-4_suppl
Pages66S-75S
Publication date2025-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643241309443
PMID40123182
OpenAlexW4408775674
LanguageEN
Citations received1
References cited36

Objectives Hospital-to-home transitions are high-risk periods, especially for Latinos living with dementia. Cultural differences may exacerbate role ambiguity—unclear patient/caregiver/provider roles. The objective was to elicit views on role ambiguity and care quality during hospital-to-home transitions of older Latinos with dementia and categorize factors shaping healthcare-related task distribution. Methods Qualitative study using semi-structured interviews with caregivers of older Latinos with dementia. Results Interviews with 21 caregivers indicated 1) concern about over-medication, 2) resignation over limited medication effectiveness, 3) scarcity of culturally specific resources, 4) wariness to trust medical institutions, and 5) aversion to institutional care. Factors shaping healthcare-related tasks were geographic proximity, gender roles, relationship to patient, English fluency, and work schedules. Discussion Caregivers felt disillusioned and unsupported during care transitions. Findings suggest healthcare professionals and advocacy organizations should carefully consider efforts to connect caregivers to sources of culturally tailored, home-based support, and they could engage in concerted efforts to earn trust

Ambiguity · Dementia · Disease · Ethnic group · Family caregivers · Health care · Perception · Qualitative research · Sociology · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Gerontology

  • Too little time to care for my loved ones

    Open Access•Zhaoyang Xin, Jingyue Zhang•Humanities and Social Sciences…•2025

  • The Clinical Dementia Rating (CDR)

    Open Access•John C Morris•Neurology•1993

  • The Care Transitions Intervention

    Open Access•Eric A Coleman, Carla Parry et al.•A.M.A. Archives of Internal…•2006

  • Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders

    Mary D Naylor, Dorothy Brooten et al.•JAMA•1999

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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