METHODS: A qualitative phenomenological study was conducted. Purposive sampling was used, based on the relevance of the research question. Seventeen participants were included, women ≥ 65 years old, grandmothers who care for their grandchildren at least 10 h per week and who attended the Nursing units of the Primary Care Health Centers (Madrid Public Health Service). Seventeen in-depth interviews were conducted. The interviews were audio-recorded, transcribed verbatim and thematic analysis was carried out from the perspective of hermeneutic phenomenology. For the analysis, the Excel program was used to organize and share the coding process. Also, we followed COREQ guidelines.
RESULTS: Four main themes were identified: (a) Care out of obligation, where participants feel an obligation to help their children by caring for grandchildren, regardless of their number, and prefer to do so voluntarily; (b) Care out of responsibility, where grandmothers see their role as a responsibility that includes saving costs by caring for grandchildren and facilitating their children\'s work life balance; (c) Care as a social duty, reflecting a moral commitment inherited from their mothers to help future generations; and (d) Construction of care from a gender perspective, where grandmothers, as women, primarily assume the care and upbringing of grandchildren.
CONCLUSIONS: Our results contribute to increase knowledge about childcare provided by grandmothers to their grandchildren. Grandmothers become fundamental pillars of families by helping their children balance family and work. Behind this care there is a strong sense of obligation, duty and generational responsibility. Grandmothers\' help presents differences in the distribution of tasks and care by sex. Identifying factors that motivate grandmothers to care for their grandchildren helps nurses to perform higher quality comprehensive care.
方法:进行了定性现象学研究。使用目的抽样,基于研究问题的相关性。包括17名参与者,女性≥65岁,祖母每周至少照顾孙子女10小时,并参加了初级保健保健中心(马德里公共卫生服务)的护理部门。进行了17次深入访谈。采访是录音的,从解释学现象学的角度进行逐字和主题分析。为了分析,Excel程序用于组织和共享编码过程。此外,我们遵循COREQ准则。
结果:确定了四个主要主题:(a)出于义务而照顾,参与者感到有义务通过照顾孙子孙女来帮助他们的孩子,不管他们的数量,并更愿意自愿这样做;(B)出于责任,祖母将自己的角色视为一种责任,包括通过照顾孙子和促进子女的工作生活平衡来节省成本;(c)将护理作为一种社会责任,反映了从母亲那里继承的帮助后代的道德承诺;(d)从性别角度构建护理,祖母,作为女人,主要承担孙子孙女的照顾和抚养。
结论:我们的结果有助于增加有关祖母为其孙辈提供的育儿知识。祖母通过帮助子女平衡家庭和工作,成为家庭的基本支柱。在这种关怀的背后有一种强烈的义务感,责任和代际责任。祖母\'帮助呈现性别差异的任务和护理分配。确定激励祖母照顾孙子女的因素有助于护士进行更高质量的综合护理。