Dual caregiving burden for older parents and grandchildren in middle-aged and older adults: A concept analysis

Purpose: This study aimed to clearly identify and define the nature of the concept of dual caregiving burden for grandchildren and older parents of middle-aged and older adults. Methods: By employing Walker and Avant's concept analysis procedure, this study clarified dual caregiving attributes in the middle–old-aged group. Literature reviews were conducted through April 2023 using several databases. Out of an initial 55 articles, Seven met the criteria focusing on dual caregiving for the target age group. Results: Based on the literature review, the dual caregiving burden for the middle–old-aged was characterized by (1) an overconcentration of caregiving in the middle–old-aged generations, (2) absence of alternatives for caregiving outside of the middle generation, (3) ambiguity within the scope of caregiving roles, and (4) insufficient compensation for caregiving for two generations. Conclusion: This study paves the way for the development of tools to appraise dual caregiving burden and nursing interventions to mitigate it accordingly. Future research will enhance support for middle–old-aged generations vis-à-vis their caregiving roles.