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Thirty family caregivers were purposively recruited; data were collected with face\u2010to\u2010face semi\u2010structured interviews. Transcribed interviews were analysed with open, axial, and selective coding. The COREQ checklist was utilised for reporting. The core category that captured the trajectory of the caregiving process was \u2018Navigating anomie: Finding light during the caregiving journey\u2019. \u2018Anomie\u2019 encompassed a sense of alienation and anxiety surrounding symptoms and behaviours of their relative. The trajectory involved three phases, which employed unique strategies to help caregivers understand the dynamic nature of the progression of dementia. Phase 1, \u2018chaotic orientation and sense making\u2019, occurred as caregivers developed an \u2018evolving awareness\u2019 of that behaviours and symptoms of their relative were an indication of early stages dementia. Phase 2, \u2018zigzag stabilisation and course setting\u2019, involved strategies of \u2018transitional steering\u2019, which shifted caregiving from making sense of their relative's unpredictable behaviours to seeking guidance on treatment and establishing a care plan. Phase 3, \u2018confident execution and reflection\u2019, resulted from \u2018course\u2010correcting tactics\u2019, which helped caregivers reassess perspectives on caregiving and their expectations about the long\u2010term needs of their relative with dementia. Navigating anomie describes the trajectory of caregiving for a with early\u2010stage dementia from the initial feelings of confusion to an understanding of the importance of their caregiving role. Mental health nurses should provide support interventions tailored to each phase of the trajectory, which could improve outcomes for caregivers.<\/jats:p>","DOI":"10.1111\/inm.70223","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T11:46:02Z","timestamp":1769600762000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating Anomie: A Grounded Theory Study of the Trajectory of Caregiving for Persons With Early\u2010Stage Dementia"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-7930","authenticated-orcid":false,"given":"Hui\u2010Chin","family":"Teng","sequence":"first","affiliation":[{"name":"Department of Nursing MacKay Junior College of Medicine, Nursing, and Management  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9697-535X","authenticated-orcid":false,"given":"Yea\u2010Ing L.","family":"Shyu","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Healthy Aging Research Center Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Neurology, Dementia Center Linkou Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"Department of Gerontology and Health Care Management Chang Gung University of Science and Technology  Taoyuan Taiwan"},{"name":"Department of Nursing Kaohsiung Chang Gung Memorial Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6726-8517","authenticated-orcid":false,"given":"Yi\u2010Chen","family":"Chiu","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Healthy Aging Research Center Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4186-7586","authenticated-orcid":false,"given":"Huei\u2010Ling","family":"Huang","sequence":"additional","affiliation":[{"name":"Chang Gung University of Science and Technology  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4277-7542","authenticated-orcid":false,"given":"Hsiu\u2010Li","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Long\u2010Term Care, College of Health Technology National Taipei University of Nursing and Health Sciences  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6418-8469","authenticated-orcid":false,"given":"Wen\u2010Chuin","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Neurology Chang Gung Memorial Hospital  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15809"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbac090"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00988593"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/sjp.2023.12"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161022300042X"},{"key":"e_1_2_13_7_1","volume-title":"Basics of Grounded Theory Analysis: Emergence vs Forcing","author":"Glaser B. 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