title: The weather-stains of care: interpreting the meaning of bad weather for front-line health care workers in rural long-term care.
abstract: This paper addresses the gap in health services and policy research about the implications of everyday weather for health care work. Building on previous research on the weather-related challenges of caregiving in homes and communities, it examines the experiences of 'seasonal bad weather' for health care workers in long-term care institutions. It features a hermeneutic phenomenology analysis of six transcripts from interviews with nurses and personal support workers from a qualitative study of institutional long-term care work in rural Canada. Focussing on van Manen's existential themes of lived experience (body, relations, space, time), the analysis reveals important contradictions between the lived experiences of health care workers coping with bad weather and long-term care policies and practices that mitigate weather-related risk and vulnerability. The findings contribute to the growing concern for rural health issues particularly the neglected experiences of rural health providers and, in doing so, offer insight into the recent call for greater attention to the geographies of health care work.
authors.affiliation: Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1. gjoseph@uwaterloo.ca
authors.forename: Gillian M
authors.initials: GM
authors.lastname: Joseph
authors.forename: Mark W
authors.initials: MW
authors.lastname: Skinner
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Yantzi
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D002170:Canada; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008134:Long-Term Care; D016134:Organizational Policy; D010561:Personnel Staffing and Scheduling; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration*; D012621:Seasons; D014887:Weather