The carer/key worker relationship cycle: a theory of the reciprocal process

This study focused on the relationship that develops between professional key workers and dementia carers operating within the home environment. Some research has been directed towards those caring for a relative/friend with dementia and how their role might be made less burdensome; however, the relationship that exists and develops between a carer and their key professional is limited. The aim of this study was to examine this relationship in greater detail and generate a theoretical explanation of this psychosocial process. The grounded theory methodology has particular applicability for this aim. Carer/key worker dyads within Lanarkshire were interviewed in tandem and all interviews recorded. The transcripts were then analysed and initial data categories identified progressing through to the final core category that explained all subordinate data. This study provided a clearer insight into the interpersonal processes associated with this relationship and how it may more effectively be initiated, managed and strengthened. It created the potential to produce a more positive care outcome for the person with dementia. It also has implications for future research into similar aspects of care giving, particularly for health care education and management, as well as carer advisory services.