title: Resisting vulnerability: the experiences of families who have kin in hospital-a feminist ethnography.
abstract: Health care restructuring, in an effort to control costs, has resulted in marked organizational change with concomitant influences on nursing practice in the hospital and community contexts. Such changes have resulted in increased levels of acuity among patients and shorter hospital stays. As a consequence, families are being asked to assume greater roles in illness care of family members. At the same time societies and therefore patient populations are becoming increasingly culturally and linguistically diverse. Yet, little is known about hospitalization and help-seeking practices of family caregivers in an ethnoculturally diverse context and the nature of support they require from the health care system. This paper addresses this gap in knowledge. Here we draw upon data gathered in two ethnographic studies of illness care and help-seeking practices in an enthoculturally diverse community. Analysis of family data identified 'resisting vulnerability' as a process central to the families' experiences. This paper examines the process of resisting vulnerability and how it was influenced by the practices of health care professionals and structures of the health system. Implications for practice are discussed.
authors.affiliation: University of British Columbia, School of Nursing, T201-2211 Wesbrook Mall, Vancouver, BC, Canada. perry@nursing.ubc.ca
authors.forename: Joann
authors.initials: J
authors.lastname: Perry
authors.forename: M
authors.initials: M
authors.lastname: Judith Lynam
authors.forename: Joan M
authors.initials: JM
authors.lastname: Anderson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000884:Anthropology, Cultural; D002170:Canada; D002681:China / Q000208:ethnology; D003144:Communication Barriers; D005006:Ethnicity / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D019513:Feminism; D006760:Hospitalization; D006801:Humans; D007194:India / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D011368:Professional-Family Relations; D035862:Vulnerable Populations / Q000523:psychology