Caregivers’ experiences in caring for older adults in the new normal era
Keywords:
Nursing administration, Caregivers, Older adults, New normal eraAbstract
Thailand and the global community are rapidly transitioning into an aging society, facing challenges of health vulnerability, caregiver shortages, and the impacts of pandemics, which underline the necessity to develop appropriate care systems and nursing management in the new normal context. This qualitative research aimed to explore caregivers’ experiences in caring for older adults in the new normal era. A descriptive phenomenological approach, based on Husserl’s philosophy, was employed. Data were collected from 15 caregivers of older adults in Chom Thong Subdistrict, Mueang District, Phitsanulok Province, using in-depth interviews, non-participant observation, and field notes. Data analysis was conducted using Colaizzi’s method.
The findings revealed four key themes of caregivers’ experiences: 1) preventive competence of caregivers during the pandemic, 2) communication for building trust in caregiving amidst crisis, 3) development of digital skills and utilization of medical devices to support elderly care, and 4) financial management for older adults’ care during crisis situations. The results indicate that caregivers faced multiple burdens, challenges, and adaptation demands. Gaining insights into these experiences provides an in-depth understanding of older individual caregiving phenomena in the new normal era, and offers valuable evidence to inform nursing administration, health care system development, and policy planning to prepare for future emerging diseases in aging societies.
References
Akoja, M. I., Abolarin, M. J., & Ogunlalu, O. (2019). Caregivers’ use of non-verbal cues in enhancing patients’ well-being and satisfaction. International Journal of Scientific & Engineering Research, 10(10), 17-23.
Ali, M. (2018). Communication skills 3: Non-verbal communication. Nursing Times, 114(2), 41-42.
Ampansirirat, A., Suwanraj, M., Hamthanon, P., Nitirat, P., Phetbul, P., & Rugyatsakul, K. (2020). The management of elderly care system in community: The challenging roles of local administrative organization. NU Journal of Nursing and Health Sciences, 14(3), 10-21. (in Thai)
Artsanthia, J., & Pomthong, R. (2018). The trend of elderly care in 21st century: Challenging in nursing care. Journal Royal Thai Army Nurses, 19(1), 39-46. (in Thai)
Boonsiripunth, M. (2020). New normal terminology. Bangkok: Royal Society of Thailand. Retrieved May 22, 2021, from https://www.thaipbs.or.th/news/content/292126 (in Thai)
Chalamwong, Y., Jitsuchon, S., & Thareesang, G. (2020). The impact of COVID-19 on the Thai labor market: Evidence based practice. Retrieved May 22, 2021, from https://www.google.com/search?q=https://tdri.or.th/2020/06/covid-19-labour-market-impactin-thailand/ (in Thai)
Chamnandee, Ch. (2022). Illness experiences of older persons infected by Covid-19. Thesis of Master of Nursing, Chulalongkorn University, Bangkok. (in Thai)
Chewasopit, W. (2019). Aging society: The changed marketing factor. Journal of MCU Nakhondhat, 6(1), 38-54. (in Thai)
Colaizzi, P. F. (1978). Psychological research as the phenomenologist. In R. Vaile and M. King (Eds.). Existential phenomenological alternatives for psychology (pp. 48-71). New York, NY: Oxford University Press.
Comas-Herrera, A., Zalakaín, J., Lemmon, E., Henderson, D., Litwin, C., Hsu, A. T. et al. (2020, April 12). Mortality associated with COVID-19 in care homes: International evidence. Retrieved May 22, 2025, from https://ltccovid.org/2020/04/12/mortality
Committee on Family Caregiving for Older Adults, Board on Health Care Services, Health and Medicine Division, National Academies of Sciences, Engineering, & Medicine. (2016). Families caring for an aging America. Washington, DC: National Academies Press.
Darragh, A. R., Sommerich, C. M., Lavender, S. A., Tanner, K. J., Vogel, K., & Campo, M. (2015). Musculoskeletal discomfort, physical demand, and caregiving activities in informal caregivers. Journal of Applied Gerontology, 34(6), 734-760.
Department of Disease Control. (2020). The situation of infected people with COVID-19 is updated weekly in API format (JSON/CSV Data Format). Retrieved May 22, 2021, from https://covid19.ddc.moph.go.th/ (in Thai)
Dury, S., De Donder, L., De Witte, N., Buffel, T., Jacquet, W., & Verté, D. (2015). To volunteer or not: The influence of individual characteristics, resources, and social factors on the likelihood of volunteering by older adults. Nonprofit and Voluntary Sector Quarterly, 44(6), 1107-1128.
Ene, C. J., & Nnama-Okechukwu, C. (2022). COVID-19 pandemic in Nigeria: Caregivers’ lived experiences in health care management of older adults. Social Work in Health Care, 61(6-8), 428-444.
Garfan, S., Alamoodi, A. H., Zaidan, B. B., Al-Zobbi, M., Hamid, R. A., Alwan, J. K. et al. (2021). Telehealth utilization during the COVID-19 pandemic: A systematic review. Computers in Biology and Medicine, 138, 104878. doi: 10.1016/j.compbiomed.2021.104878.
Guba E. G., & Lincoln. Y. S. (1989). Fourth generation evaluation. Newbury Park, CA: Sage.
Hado, E., & Friss Feinberg, L. (2020). Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. Journal of Aging & Social Policy, 32(4-5), 410-415.
Hossain, M. A., Ahmad, M., Islam, M., & David, Y. (2019). Evaluation of performance outcomes of medical equipment technology management and patient safety: Skilled clinical engineer’s approach. Global Clinical Engineering Journal, 1(2), 4-16.
Jooprempree, K., & Tabootwong, W. (2022). Experiences of primary caregivers in caregiving for older family members with bedridden at home. Journal of Nursing and Health Science Research, 14(1), 191-205. (in Thai)
Keller, S. C., Gurses, A. P., Werner, N., Hohl, D., Hughes, A., Leff, B. et al. (2017). Older adults and management of medical devices in the home: Five requirements for appropriate use. Population Health Management, 20(4), 278-286.
Kumpeera, K., Daengthern, L., Thojampa, S., & Udkhammee, K. (2023). How to live longer: Lived experience of older adults in Thailand. Jurnal Ners, 18(2), 192-199.
Kusumota, L., Diniz, M. A. A., Ribeiro, R. M., Silva, I. L. C. D., Figueira, A. L. G., Rodrigues, F. R. et al. (2022). Impact of digital social media on the perception of loneliness and social isolation in older adults. Revista Latino-Americana de Enfermagem, 30, e3573. doi: 10.1590/1518-8345.5641.3573.
Lee, H. -J., Lee, H. K., & Kim, Y. R. (2022). The impact of caregivers on nosocomial transmission during a COVID-19 outbreak in a community-based hospital in South Korea. PLOS ONE, 17(11), e0277816. doi: 10.1371/journal.pone.0277816.
Lee, R., & Mason, A. (2017). Cost of aging. Finance & Development, 54(1), 7-9.
Liu, M., Cheng, S. Z., Xu, K. W., Yang, Y., Zhu, Q. T., Zhang, H. et al. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: Cross sectional study. BMJ, 369, m2195. doi:10.1136/bmj.m2195
McManus, D. T. (2024). The intersection of spirituality, religiosity, and lifestyle practices in religious communities to successful aging: A review article. Religions, 15(4), 478. doi: 10.3390/rel15040478
Montero-Marin, J., Perez-Yus, M. C., Cebolla, A., Soler, J., Demarzo, M., & Garcia-Campayo, J. (2019). Religiosity and meditation practice: Exploring their explanatory power on psychological adjustment. Frontiers in Psychology, 10, 630. doi: 10.3389/fpsyg.2019.00630
Moral, R. R., Torres, L. A. P. de, Ortega, L. P., Larumbe, M. C., Villalobos, A. R., García, J. A. F. et al. (2015). Effectiveness of motivational interviewing to improve therapeutic adherence in patients over 65 years old with chronic diseases: A cluster randomized clinical trial in primary care. Patient Education and Counseling, 98(8), 977-983.
Office of the National Security Council. (2020). Order of the Center for the Situation Administration of the Coronavirus Disease 2019 (COVID-19) Epidemic No. 20/2564 on Guidelines for Compliance Issued under Section 9 of the Emergency Decree on Public Administration in Emergency Situations B.E. 2548 (2005) (No. 18). Retrieved May 22, 2021, from https://www.nsc.go.th/ (in Thai)
Pogorzelska-Maziarz, M., Chastain, A. M., Mangal, S., Stone, P. W., & Shang, J. (2020). Home health staff perspectives on infection prevention and control: Implications for coronavirus disease 2019. Journal of the American Medical Directors Association, 21(12), 1782-1790.
Rodsom, A., Kijsomporn, J., & Howharn, C. (2015). A study of aged caregiver characteristics according to aging needs. Journal of Nursing and Education, 8(2), 123-130. (in Thai)
Schulz, R., Beach, S. R., Czaja, S. J., Martire, L. M., & Monin, J. K. (2020). Family caregiving for older adults. Annual Review of Psychology, 71, 635–659.
Singhadetwerachai, N., & Thama-apipol, S. (2021). The study of stress and stress management by recreational activities among the members of Nong Krathum Elderly Club, Kamphaeng Saen District, Nakhon Pathom. Rajamangala University of Technology Tawan-Ok Social Science Journal, 10(2), 44-51. (in Thai)
Tepsuriyanont, S., Daengthern, L., Thojampa, S., & Kumpeera, K. (2020). A study of the effects of using elderly care curriculum on knowledge, attitude and skill of practical nurse students. Journal of Research and Curriculum Development, 10(1), 152-163. (in Thai)
Thanasiri, C. (2021). Situation of the Thai Older Persons 2021. Retrieved May 22, 2021, from https://www.dop.go.th/th/know/side/1/2/1747 (in Thai)
Tian, W.-H., & Tien, J. J. (2020). Health behaviors and health status among middle-aged and older adults with chronic diseases in Taiwan. International Journal of Environmental Research and Public Health, 17(19), 7196. doi: 10.3390/ijerph17197196
Varghese, J., K. J., L., Gayathiri, N., & Baxla, R. (2023). Effect of meditation on elderly. International Journal of Science & Healthcare Research, 8(4), 25-30.
Venkatesan, S. (2022). Mindfulness and the elderly. In S. K. Gupta (Ed.). Handbook of research on clinical applications of meditation and mindfulness-based interventions in mental health (pp. 89-108). Hershey, Pennsylvania: Medical Information Science Reference/IGI Global.
World Health Organization. (2022). Aging and health. Retrieved May 22, 2021, from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Yodsuban, P., Pengpid, S., Amornchai, R., Siripoon, P., Kasemsuk, W., & Buasai, N. (2023). The roles of community health nurses for older adults during the COVID-19 pandemic in Northeastern Thailand: A qualitative study. International Journal of Nursing Sciences, 10(1), 53-63.
Zahavi, D. (2025, August 8). Edmund Husserl. Retrieved August 20, 2025, from https://plato.stanford.edu/entries/husserl/
Zhang, K., Burr, J., Kim, K., Silverstein, N., Song, Q., & Burr, J. A. (2020). Social media use and loneliness among older adults: The mediating role of social contact and perceived social support. Innovation in Aging, 4, 321. doi: 10.1093/geront/gnaa197
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