Role captivity: A concept of constraining dimensions in dementia care

Nursing ForumVolume 55, Issue 2 p. 128-135 CONCEPT ANALYSIS Role captivity: A concept of constraining dimensions in dementia care Suzanne Parkman PhD, RN, CNE, Corresponding Author Suzanne Parkman PhD, RN, CNE sparkman@sjcme.edu orcid.org/0000-0002-0161-2792 Department of Nursing, Saint Joseph's College of Maine, Standish, Maine Correspondence Suzanne Parkman, PhD, RN, CNE, Department of Nursing, Saint Joseph's College of Maine, 278 Whites Bridge Rd, Standish, ME 04084. Email sparkman@sjcme.eduSearch for more papers by this author Suzanne Parkman PhD, RN, CNE, Corresponding Author Suzanne Parkman PhD, RN, CNE sparkman@sjcme.edu orcid.org/0000-0002-0161-2792 Department of Nursing, Saint Joseph's College of Maine, Standish, Maine Correspondence Suzanne Parkman, PhD, RN, CNE, Department of Nursing, Saint Joseph's College of Maine, 278 Whites Bridge Rd, Standish, ME 04084. Email sparkman@sjcme.eduSearch for more papers by this author First published: 05 November 2019 https://doi.org/10.1111/nuf.12406Citations: 3Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Aim/Background The aim of this paper is to explore the appropriateness of applying the constraining aspects of the concept of "role captivity" to the experience of the caregiver of a person with dementia. Background literature was explored using the definitions of captivity in general along with an overview of zoo animals and humans involuntarily incarcerated or in kidnap/hostage situations. Methods Defining attributes, a general definition based on the literature review, antecedents and consequences, and empirical referents are presented using the Walker and Avant concept analysis method. A model, related, and contrary case are presented to further elucidate the concept of role captivity related to caregivers. Results Two conclusions are proffered supporting the use of this concept to describe persons in specific roles and the benefit of using the idea of role captivity to describe caregivers of persons with disruptive behaviors due to physical and mental illnesses. Recommendations Recommendations include decreasing psychological distress and depression by moving toward a more positive view of the caregiver experience and studying socialization and technology innovations to decrease the feelings of inevitability, isolation, and loss of control in caregivers of person with dementia. CONFLICT OF INTERESTS The authors declare that there are no conflict of interests. Citing Literature Volume55, Issue2April/June 2020Pages 128-135 RelatedInformation