Caring for the Seriously Mentally Ill in Thailand: Buddhist Family Caregiving
Section snippets
Family Caregiving Studies
Western research studies published during the last three decades (i.e., Guarnaccia & Parra, 1996, Gubman & Tessler, 1987, Hoenig & Hamilton, 1965, Hoenig & Hamilton, 1967, Noh & Turner, 1987, Poulshock & Deimling, 1984, Tuck et al., 1997) make it clear that families living with the seriously mentally ill at home face complex problems. These studies showed that families were affected by the illness in a variety of ways: family life becomes disorganized, household routines are upset, and family
Design
This study employed a phenomenological approach that focused on understanding the experience of the phenomenon of Buddhist family caregiving. Cohen, Kahn, and Steeves (2000) described phenomenological research as the study of the meaning of experience. Further details on the methods for this study are available elsewhere (Sethabouppha, 2001).
Essential Structure: Themes
Five themes were revealed in the data analysis process and are presented in the context of scientific evidence from Western and Eastern literature. The themes were caregiving is Buddhist belief, caregiving is compassion, caregiving is acceptance, caregiving is management, and caregiving is suffering.
Discussion
This phenomenological study revealed the connection between Buddhist philosophy and caregiving. Karma, boon and babb, and dharma appeared to influence caregivers directly. Results showed the presence of five major themes: caregiving is suffering, caregiving is Buddhist belief, caregiving is compassion, caregiving is management, and caregiving is acceptance. The caregiving is suffering theme emerged from the categories of physical burden, emotional distress, social problems, economic problems,
Connecting Family Caregiving and Buddhist Philosophy
This section describes the connection between Buddhist philosophy and the five themes of caregiving found in this study. They include caregiving is suffering, caregiving is Buddhist belief, caregiving is acceptance, caregiving is management, and caregiving is compassion. A Buddhism and caregiving model is presented to illustrate the connection between Thai Buddhist family caregiving and Buddhist philosophy (see Figure 1).
Buddhist beliefs including Karma, boon/babb, and dharma strongly
Strengths and Limitations
A major strength of this research study was the utilization of the phenomenological approach to gain an in-depth understanding of the Thai Buddhist caregiving world. The findings can be generalized to Thai populations living outside Thailand because the population and setting represent an in depth formulation of Thai Buddhist caregiving. They may also apply to Buddhist caregiving in other populations. Qualitative data analysis is guided by an epistemology that reveals multiple interpretations
Implications for Practice and Research
The findings of this study provided insights for consideration in improving nursing interventions for Asian Buddhist family caregivers. First, the results of this study indicated that caregivers exhibited experiences of suffering in caring for their seriously mentally ill relatives at home, which affected them physically, emotionally, socially, economically. Because of the emergence of suffering as a major theme in this study, nurses or other health-care providers should be sensitive to the
Acknowledgments
The Royal Thai Government and Sigma Theta Tau International provided financial support to the first author. The authors thank Drs. Richard Steeves, H. Seneviratne, Sarah Farell, Monthana Hemchayat, Prof. Manee Payomyong, and the study participants for their contributions.
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