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"Tipping point" concept analysis in the family caregiving context
Janice D Crist1, Jian Liu2, Kim D Shea1
1Community and Systems Health Science Division, College of Nursing, The University of Arizona, Tucson, Arizona.
Nursing Forum
|August 3, 2019
Summary
A caregiving tipping point signifies a sudden, severe change in the caregiving system, impacting older adults and caregivers. Early detection can improve family quality of life and safety.
Area of Science:
- Gerontology
- Family Studies
- Health Systems Research
Background:
- The concept of
- tipping point
- is widely used in various disciplines but lacks clear definition within healthcare, particularly for family caregiving.
- This study aims to provide conceptual clarity to the
- tipping point
- concept in the context of family caregiving.
Purpose of the Study:
- To analyze the concept of
- tipping point
- within the older adult family caregiving context.
- To enhance transdisciplinary theory, research, and practice related to caregiving families.
- To offer conceptual clarity regarding the
- tipping point
- in family caregiving.
Main Methods:
- Utilized Walker and Avant's framework for conceptual analysis.
- Conducted literature searches in PsycINFO, CINAHL, and PubMed using the term
- tipping point
- .
- Extracted definitions and identified contexts where the term was used or implied.
Main Results:
- A composite definition of a caregiving tipping point was developed.
- A caregiving tipping point is characterized as a seemingly abrupt, severe, and absolute change event.
- This event signifies a breakdown in the status quo of the caregiving system, affecting the older adult, caregiver(s), or both.
Conclusions:
- Family caregiving should be viewed as a complex system in transdisciplinary research, care, and policy.
- Longitudinal assessments and colloquial communication are recommended for understanding caregiving dynamics.
- Early detection of tipping points can offer family-centered support, enhancing quality of life and safety.
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