title: Blending voices of Mexican American cancer caregivers and healthcare providers to improve care.
abstract: OBJECTIVE
  To identify and categorize healthcare provider perceptions of the meaning of cancer to Mexican American female family caregivers, including comparisons to caregiver themes in previous research.
  
  
  METHODS
  Descriptive, qualitative.
  
  
  METHODS
  Three focus groups held in a publicly funded cancer clinic in the southwestern United States.
  
  
  METHODS
  20 healthcare providers in diverse roles.
  
  
  METHODS
  Tape recording of focus group discussions and transcription of content produced textual data for individual and team analysis.
  
  
  METHODS
  Healthcare provider understanding, caregiver learning, and support needs.
  
  
  RESULTS
  Five major themes emerged related to the meaning of cancer to Mexican American caregivers: Caregivers fear the cancer diagnosis, interpret cancer as punishment, value maintenance of hope, believe in God and the doctor, and selectively disclose medical information.
  
  
  CONCLUSIONS
  Healthcare providers identified most themes defined by Mexican American caregivers in an earlier study. However, provider identification of additional themes supports a blending of voices and partnerships between Mexican American cancer caregivers and providers to address caregiver literacy and support needs during the cancer cycle.
  
  
  CONCLUSIONS
  Understanding the cultural meaning of cancer to Mexican American caregivers provides a foundation for healthcare providers to define appropriate caregiver interventions in the cancer trajectory and to meet caregiver support and learning needs. Partnering of caregivers and providers also can ensure culturally sensitive care for Mexican American families experiencing cancer.
authors.affiliation: Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USA. c.cagle@tcu.edu
authors.forename: Carolyn Spence
authors.initials: CS
authors.lastname: Cagle
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Wolff
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel / Q000208:ethnology*; D017028:Caregivers / Q000523:psychology*; D054521:Cultural Competency; D003469:Culture; D005260:Female; D017144:Focus Groups; D006801:Humans; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D009369:Neoplasms / Q000208:ethnology* / Q000451:nursing*; D009859:Oncology Nursing / Q000379:methods; D011368:Professional-Family Relations; D036301:Qualitative Research; D012068:Religion and Medicine; D012938:Social Perception