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Western Journal of Nursing Research, Vol. 18, No. 3, 284-298 (1996)
DOI: 10.1177/019394599601800305

Uncovering the Cultural Context for Quality of Family Caregiving for Elders

Sandra L. Cromwell

School of Nursing, University of Texas Health Science Center, San Antonio, TX

Cynthia K. Russell

Health Sciences Center, College of Nursing, University of Tennessee, Memphis, TN

Young Mi Lim

Department of Nursing, Kwandong University, #522 Naegok-dong, Kangreung, Kangwon-do, Korea

Isela Luna

Esperanza Torres de Ardon

Linda R. Phillips

College of Nursing, University of Arizona, Tucson, AZ.

This article is part of a symposium exploring issues in developing cross-culturally equivalent conceptualizations and measures for a study of elder family caregiving. This article describes the development of an instrument to measure quality of elder family caregiving among Anglo and Mexican American caregivers. Following a review of typical approaches for evaluating quality of caregiving, a cross-cultural standard for excellence in elder caregiving is described. An instrument consistent with the United Nations Universal Declaration of Human Rights, the QUALCARE Scale, is identified as an appropriate cross-cultural instrument for assessing the quality of elderfamily caregiving. Refinement of the QUALCARE Scale using Berry's modelfor cross-cultural research, which necessitated identification of appropriate cross-cultural indicators of quality, is described. Examples of this process of indicator clarification are given for several basic human rights, based on the cross-cultural research team members' experiences with Anglo and Mexican American caregivers.


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