Title : Social workers and case managers’ perceptions of factors that influence african americans’ selection of Long-term care for older family members
Background: There is an abundance of evidence within the literature attesting to the burden of informal caregiving upon caregivers providing care to older family members in the home. There is a gap within the literature regarding why African American families overwhelmingly choose this form of caregiving.
Aim: Using social workers and case managers working closely with African Americans families at the time of selection of long-term care solutions, the purpose of this study is to examine their perceptions of factors influencing African Americans’ decisions in choosing long-term care options for older family members.
Method: Qualitative telephone interviews were conducted using semi-structured interview guides. Using Colaizzi’s (1978) phenomenological method of qualitative data analysis the analysis of the telephone transcripts revealed an exhaustive description of the phenomenon.
Results: Many African Americans families mistrust caregivers outside their circle of friends and family. There is a deep sense of tradition within African American families to provide family caregiving for older family members; this may be due to feelings of duty, obligation, or a sense of guilt for not returning caregiving to someone who provided caregiving at some point to them.
Implications: The implications of the study are for equipping nurses and allied health educators with a basic understanding of factors influencing African American families’ choices of long-term care solutions; developing risk profiles, and identifying families requiring education on long-term care solutions for older family members.