ABSTRACT

Informal caregiving constitutes the mainstay of a society’s care supply. Motivations for caring and continuing to provide care are crucial to understanding the nature of caregiver experiences and their relationship with the person/people they support. This systematic review of qualitative evidence examines determinants of motivations and willingness to provide informal care. One hundred and five qualitative studies published before August 2019 and fitting the inclusion criteria were identified, 84 of them pertaining to cultural and societal motivations for caregiving. Grounded theory-based, thematic synthesis was conducted. Cultural and societal factors strongly underpinned motivations and willingness for informal caregiving. The main cultural motives for caregiving were cultural values and beliefs encompassing the ethnocultural context of the caregiving role, culture-specific norms, cultural and spiritual beliefs, illness beliefs and socialisation. Societal norms and perceived expectations, such as gendered roles, norms and expectations of caregiving, and perceptions of health and social care services further shaped caregiver motivations and willingness to provide care. These meta-synthesis findings contribute towards novel understandings about the cultural and societal aspects shaping informal care provision. These findings bear important implications for theory, research, policy and practice; all of which contributing to the issue of the sustainability of informal care from a ‘macro’ perspective.

摘要

非正式护理是社会护理供应的支柱。护理和继续提供护理的动机对于理解护理人员经历的性质以及他们与他们所支持的人/人的关系至关重要。对定性证据的系统审查考察了提供非正式护理的动机和意愿的决定因素。确定了 2019 年 8 月之前发表的 105 项符合纳入标准的定性研究，其中 84 项与护理的文化和社会动机有关。进行了基于理论的主题综合。文化和社会因素有力地支撑了非正式护理的动机和意愿。护理的主要文化动机是文化价值观和信仰，包括护理角色的民族文化背景、特定文化的规范、文化和精神信仰、疾病信仰和社会化。社会规范和感知期望，例如性别角色、护理规范和期望，以及对健康和社会护理服务的看法，进一步影响了护理人员提供护理的动机和意愿。这些综合综合发现有助于对塑造非正式护理服务的文化和社会方面产生新的理解。这些发现对理论、研究、政策和实践具有重要意义；所有这些从“宏观”角度都有助于解决非正式护理的可持续性问题。疾病信念和社会化。社会规范和感知期望，例如性别角色、护理规范和期望，以及对健康和社会护理服务的看法，进一步影响了护理人员提供护理的动机和意愿。这些综合综合发现有助于对塑造非正式护理服务的文化和社会方面产生新的理解。这些发现对理论、研究、政策和实践具有重要意义；所有这些从“宏观”角度都有助于解决非正式护理的可持续性问题。疾病信念和社会化。社会规范和感知期望，例如性别角色、护理规范和期望，以及对健康和社会护理服务的看法，进一步影响了护理人员提供护理的动机和意愿。这些综合综合发现有助于对塑造非正式护理服务的文化和社会方面产生新的理解。这些发现对理论、研究、政策和实践具有重要意义；所有这些从“宏观”角度都有助于解决非正式护理的可持续性问题。这些综合综合发现有助于对塑造非正式护理服务的文化和社会方面产生新的理解。这些发现对理论、研究、政策和实践具有重要意义；所有这些从“宏观”角度都有助于解决非正式护理的可持续性问题。这些综合综合发现有助于对塑造非正式护理服务的文化和社会方面产生新的理解。这些发现对理论、研究、政策和实践具有重要意义；所有这些从“宏观”角度都有助于解决非正式护理的可持续性问题。