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dc.contributor.authorMorgan, Tessa
dc.contributor.authorBharmal, Aamena
dc.contributor.authorDuschinsky, Robbie
dc.contributor.authorBarclay, Stephen
dc.date.accessioned2020-06-09T19:07:56Z
dc.date.available2020-06-09T19:07:56Z
dc.date.issued2020-06-09
dc.date.submitted2019-09-20
dc.identifier.otherpone-d-19-26314
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/306617
dc.description.abstractBackground and objectives: Population ageing has rapidly increased the number of people requiring end-of-life care across the globe. Governments have responded by promoting end-of-life in the community. Partly as a consequence, older spouses are frequently providing for their partner’s end-of-life care at home, despite potentially facing their own health issues. While there is an emerging literature on young-old caregivers, less is known about spouse carers over 75 who are likely to face specific challenges associated with their advanced age and relationship status. The aim of this review, therefore, is to identify and synthesise the literature concerning the experiences of caregiver’s aged 75 and over whose partner is approaching end-of-life. We conducted a mixed-method systematic review and narrative synthesis of the empirical literature published between 1985 and May 2019, identified from six databases: Medline, PsychINFO, Cumulative Index to Nursing and Allied Health Literature, Embase, Sociological Abstracts and Social Service Abstracts. Hand searching and reference checking were also conducted. Gough’s Weight of Evidence and Morgan’s Feminist Quality Appraisal tool used to determine the quality of papers. From the initial 7819 titles, 10 qualitative studies and 9 quantitative studies were included. We identified three themes: 1) “Embodied impact of care” whereby caring was found to negatively impact carers physical and psychological health, with adverse effects continuing into bereavement; 2) “Caregiving spouse’s conceptualisation of their role” in which caregiver’s navigated their self and marriage identities in relation to their partner’s condition and expectations about gender and place; 3) “Learning to care” which involved learning new skills and ways of coping to remain able to provide care. We identified a recent up-surge in published papers about very old spousal caregivers, which now comprise a small, medium-quality evidence base. This review outlines a range of potential lines of inquiry for future research including further clarification of the impact of caregiving on the likelihood of mortality, the incidence of men and women providing end-of-life care amongst this age group, and the role of anticipatory grief in shaping their perceptions of their relationship and their own longevity.
dc.languageen
dc.publisherPublic Library of Science
dc.rightsAttribution 4.0 International (CC BY 4.0)en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectResearch Article
dc.subjectMedicine and health sciences
dc.subjectResearch and analysis methods
dc.subjectPeople and places
dc.subjectBiology and life sciences
dc.subjectSocial sciences
dc.titleExperiences of oldest-old caregivers whose partner is approaching end-of-life: A mixed-method systematic review and narrative synthesis
dc.typeArticle
dc.date.updated2020-06-09T19:07:55Z
prism.issueIdentifier6
prism.publicationNamePLOS ONE
prism.volume15
dc.identifier.doi10.17863/CAM.53703
dcterms.dateAccepted2020-04-15
rioxxterms.versionofrecord10.1371/journal.pone.0232401
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
datacite.contributor.supervisoreditor: Schultz, Tim
dc.contributor.orcidMorgan, Tessa [0000-0003-4917-6149]
dc.identifier.eissn1932-6203


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's licence is described as Attribution 4.0 International (CC BY 4.0)