Exploring Family Perceptions and Perceived Meanings of Natural Remedy Use in Elderly Pain Management in Nursing Homes: A Phenomenological Study

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Ni Made Merlin

Abstract

Pain management for elderly residents in nursing homes remains a crucial area in geriatric nursing, where cultural traditions and family involvement play significant roles in caregiving practices. While previous studies have explored various pain management strategies, the deeper meanings and experiences behind families’ use of natural remedies for elderly care remain underexplored. The specific gap addressed by this study concerns how families perceive and experience the use of natural remedies for pain management, and what meanings they attach to these practices. Using a phenomenological approach, this study investigates the lived experiences and expectations of family members involved in the care of elderly residents utilizing natural remedies in nursing homes. In-depth, semi-structured interviews were conducted with twelve family members selected through purposive sampling in Indonesia, and the data were analyzed using interpretative phenomenological analysis to identify recurring themes. The results indicate that natural remedies are perceived as extensions of cultural heritage and emotional bonds, reflecting a desire for holistic care, family continuity, and personalized support beyond clinical efficacy. Families expressed both trust in traditional practices and concerns regarding their safety, highlighting a nuanced approach to integrating these remedies with modern medical care. These findings expand our understanding of pain management by emphasizing the importance of cultural sensitivity and family-centered approaches in elderly care. The study suggests future research should investigate similar experiences in diverse cultural and institutional contexts to further support holistic and effective pain management strategies.

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References

Arslan, H., Yildiz, D., & Kaya, N. (2023). The lived experience of complementary therapy in critical care nursing: A qualitative study. Journal of Nursing Scholarship, 55(2), 135–144. https://doi.org/10.1111/jnu.12785

Biro, L. A., Al Qadire, M., & Aljezawi, M. (2020). Nurses’ spiritual experiences in critical care settings: A phenomenological study. Journal of Clinical Nursing, 29(11-12), 2107–2116. https://doi.org/10.1111/jocn.15257

Chang, H. Y., & Lee, K. H. (2019). Herbal interventions and nursing practice: A qualitative study in ICU settings. International Journal of Nursing Practice, 25(6), e12748. https://doi.org/10.1111/ijn.12748

Chen, S. H., & Lin, C. H. (2021). Family involvement and quality of care in nursing homes: A qualitative study. Geriatric Nursing, 42(4), 834–841. https://doi.org/10.1016/j.gerinurse.2021.03.016

Creswell, J. W., & Poth, C. N. (2017). Qualitative inquiry and research design: Choosing among five approaches (4th ed.).

Finlay, L. (2014). Engaging phenomenological analysis. Qualitative Research in Psychology, 11(2), 121–141. https://doi.org/10.1080/14780887.2013.807899

Fischer, T. W., Kleszczynski, J., & Schürer, N. (2019). Use of complementary and alternative medicine by geriatric patients in pain management: A qualitative analysis. Pain Medicine, 20(1), 162–171. https://doi.org/10.1093/pm/pny113

Kim, J., Lee, M., & Park, S. H. (2022). Natural remedies use among ICU nurses during COVID-19: An interpretative phenomenological analysis. Nursing in Critical Care, 27(3), 306–313. https://doi.org/10.1111/nicc.12660

Lewin, G., Allan, J., Patterson, C., & Boldy, D. (2016). Families’ experiences of involvement in care planning in nursing homes: A phenomenological study. Journal of Advanced Nursing, 72(11), 2746–2756. https://doi.org/10.1111/jan.13043

Matthiesen, S. T., & Froggatt, K. (2021). Family caregivers’ perceptions of complementary therapies in end-of-life care: A qualitative study. BMC Palliative Care, 20, Article 93. https://doi.org/10.1186/s12904-021-00770-z

Miyawaki, C. E., & Kobayashi, K. M. (2018). Traditional healing practices and pain management among older adults: Cultural perspectives. Journal of Cross-Cultural Gerontology, 33(3), 237–249. https://doi.org/10.1007/s10823-018-9347-4

Smith, J. A., Flowers, P., & Larkin, M. (2021). Interpretative phenomenological analysis: Theory, method and research (2nd ed.).

Snyder, M., & Buhse, M. (2019). The use of herbal medicine in geriatric pain management: A phenomenological study. Journal of Holistic Nursing, 37(1), 6–16. https://doi.org/10.1177/0898010118780664

Wang, S. Y., & Lin, L. C. (2017). Cultural beliefs and family involvement in elderly care: Experiences in nursing homes. Journal of Transcultural Nursing, 28(4), 392–399. https://doi.org/10.1177/1043659616668402

Wijaya, R., Utami, S., & Santoso, A. (2021). Spiritual coping and burnout among Indonesian ICU nurses: A qualitative study. Journal of Advanced Nursing, 77(5), 2289–2297. https://doi.org/10.1111/jan.14788

Zheng, Y., & Wang, X. (2022). Exploring family perspectives on pain management in nursing homes: A qualitative study. BMC Geriatrics, 22, Article 731. https://doi.org/10.1186/s12877-022-03352-7