title: Finding a balance: toward a substantive theory of employed mothers' personal and family health decision making.
abstract: OBJECTIVE
  We investigated how mothers employed in support staff positions make personal and family health decisions.
  
  
  METHODS
  We used a critical feminist grounded theory design.
  
  
  METHODS
  Twenty women employed at a large Canadian institution participated over two years in repeat interactive interviews.
  
  
  RESULTS
  "Finding a balance" was the emergent core process of health decision making in response to the basic social problem of multiple demands and uncoordinated, sometimes conflicting ideologies. Women emphasized recursive movement within a continuous process of four action phases: cueing in, figuring out, generating solutions, and assessing results. Two distinct views of finding a balance were revealed: weighing competing interests or harmonizing multiple interests. These distinctive views contributed to variation in women's approaches to decision making and to their personal and family health experiences.
  
  
  CONCLUSIONS
  Women's experiences suggest a capacity for reflective practice in health decision making that provides an excellent basis for holistic, emancipatory nursing practice.
authors.affiliation: Faculty of Nursing, Centre for Health Promotion Studies, School of Public Health at University of Alberta, Edmonton, Alberta, Canada. kaysi.kushner@ualberta.ca
authors.forename: Kaysi
authors.initials: K
authors.lastname: Eastlick Kushner
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Harrison
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D002170:Canada; D002648:Child; D003657:Decision Making; D005192:Family Health; D005260:Female; D006694:Holistic Health; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D015404:Nursing Methodology Research; D010549:Personal Satisfaction; D013315:Stress, Psychological / Q000523:psychology; D014931:Women, Working / Q000523:psychology*