SynthesisScandinavian journal of caring sciences2025
Exploring the Ethical Dimensions of Care Dependency in Older People: A Transpersonal View.
Synthesis in Scandinavian journal of caring sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring the Ethical Dimensions of Care Dependency in Older People: A Transpersonal View.Scandinavian journal of caring sciences · 2025Pooled it
- Quality of life dynamics in the gastric cancer dyad: an actor-partner interdependence model analysis guiding the development of a family-centered nursing framework.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCare dependency in older adults is a growing global concern, driven by population ageing and the increasing prevalence of chronic conditions. Beyond its clinical implications, care dependency involves ethical, cultural, and transpersonal dimensions that shape the lived experiences of individuals and caregivers. This study aims to refine the concept of care dependency through an explicitly transpersonal and culturally sensitive lens, informing practice, education, and policy.
methodsFollowing Walker and Avant's concept analysis framework, a systematic review of the literature was conducted. Key attributes, antecedents, and consequences were identified through an iterative process of data synthesis and theoretical reflection, including the development of model, borderline, and contrary cases to explicitly illustrate conceptual application.
resultsThe analysis identified four defining attributes: loss of autonomy; erosion of identity and self-image; biographical rupture; and negative coping. Antecedents include physiological ageing, chronic degenerative disease, cognitive decline, and psychosocial/cultural factors that constrain autonomy. Consequences extend beyond functional limitations, affecting emotional well-being and generating ethical and context-specific decisions. The cases demonstrate a continuum from full dependency to complete autonomy and make visible how context and culture shape these attributes.
conclusionsCare dependency emerges as a multidimensional, ethically situated phenomenon, shaped by relationships, culture, and context. The proposed conceptual framework offers practical guidance for applying a transpersonal approach, prioritizing mutual presence, active listening, cultural attunement, and shared decision-making to preserve dignity, meaning, and connection in daily care. Future research should explore the framework's applicability through qualitative studies in diverse settings to translate it into actionable, ethically grounded tools and interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.