title: Caring and cultural maintenance and transformation for secondary urban family caregivers of persons with stroke.
abstract: An ethnographic study examined secondary urban family caregivers' caring and cultural maintenance and transformation as it influences their capacity to care for persons with stroke within African American family systems. Caring as experience was demonstrated by two domains: caring actions and caring family functions. Caring as meaning was centered in one domain: caring expressions. Cultural patterns were evidenced in the experience and meaning of caring and focused on cultural maintenance that the caregivers and their families developed to survive the caring situation. Culture transformation such as being open to more options could occur only if the caregivers' circumstances changed. For the most part, they were doing everything in their power to maintain their family system.
authors.affiliation: Medical College of Ohio School of Nursing, Toledo 43614, USA. lpierce@mco.edu
authors.forename: L L
authors.initials: LL
authors.lastname: Pierce
authors.forename: L
authors.initials: L
authors.lastname: Wilkinson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D000884:Anthropology, Cultural; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D016901:Intergenerational Relations; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D008960:Models, Psychological; D009730:Nursing Assessment / Q000379:methods; D015404:Nursing Methodology Research; D009820:Ohio; D020521:Stroke / Q000208:ethnology* / Q000523:psychology*; D016746:Transcultural Nursing; D014504:Urban Health