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Healthcare 2015, 3(3), 710-725; doi:10.3390/healthcare3030710

Adaptive Challenges Rising from the Life Context of African-American Caregiving Grandmothers with Diabetes: A Pilot Study

1
School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA
2
School of Nursing, Duke University, Durham, NC 27710, USA
3
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Received: 30 June 2015 / Revised: 31 July 2015 / Accepted: 31 July 2015 / Published: 17 August 2015
(This article belongs to the Special Issue Nursing Care of the Older Adult)
View Full-Text   |   Download PDF [431 KB, uploaded 17 August 2015]   |  

Abstract

To understand the challenges arising from the context within which diabetic African-American caregiving grandmothers self-manage their diabetes we used the Adaptive Leadership Framework. Additionally, challenges to retaining this population in a longitudinal study were examined. In this exploratory, longitudinal, qualitative pilot study, data were collected at five time-points over 18 months. We coded the data using content analysis and conducted the within-case and cross-case analyses using data matrices. Lack of awareness of available resources, represented a technical challenge within the life context of these grandmothers and the remaining three themes: family upheaval; priority setting (with subthemes of difficulty meeting basic needs and competing demands); and self-silencing and self-sacrifice represented adaptive challenges. The context of African-American grandmothers’ lives created primarily adaptive challenges that were complex and without immediate solutions. Research is needed to develop culturally and contextually appropriate interventions to help this vulnerable group develop capacity for adaptive work. View Full-Text
Keywords: Grandmothers raising grandchildren; caregiving; African-American; older adults; diabetes; self-management; adaptive leadership; qualitative longitudinal; retention Grandmothers raising grandchildren; caregiving; African-American; older adults; diabetes; self-management; adaptive leadership; qualitative longitudinal; retention
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Carthron, D.; Bailey, D.E., Jr.; Anderson, R. Adaptive Challenges Rising from the Life Context of African-American Caregiving Grandmothers with Diabetes: A Pilot Study. Healthcare 2015, 3, 710-725.

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