Ward-Griffin Catherine, Brown Judith Belle, St-Amant Oona, Sutherland Nisha, Martin-Matthews Anne, Keefe Janice, Kerr Mickey
Western University, London, Ontario, Canada
Western University, London, Ontario, Canada.
J Fam Nurs. 2015 Feb;21(1):57-85. doi: 10.1177/1074840714562645. Epub 2014 Dec 22.
The purpose of this sequential, two-phase mixed-methods study was to examine the health of male and female nurses who provided care to older relatives (i.e., double duty caregivers). We explored the experiences of 32 double duty caregivers, which led to the development of an emergent grounded theory, Negotiating Professional-Familial Care Boundaries with two broad dialectical processes: professionalizing familial care and striving for balance. This article examines striving for balance, which is the process that responds to familial care expectations in the midst of available resources and reflects the health experiences of double duty caregivers. Two subprocesses of striving for balance, reaping the benefits and taking a toll, are presented in three composite vignettes, each representing specific double duty caregiving (DDC) prototypes (making it work, working to manage, living on the edge). This emergent theory extends current thinking of family caregiving that will inform the development and refinement of practices and policies relevant to DDC.
这项序贯性的两阶段混合方法研究旨在考察那些既要照顾年长亲属（即身兼双重职责的照顾者）又身为护士的男性和女性的健康状况。我们探究了32位身兼双重职责照顾者的经历，由此发展出一种新出现的扎根理论——通过两个广泛的辩证过程来协商职业-家庭照顾边界：使家庭照顾专业化和努力实现平衡。本文探讨努力实现平衡这一过程，它是在现有资源范围内应对家庭照顾期望的过程，反映了身兼双重职责照顾者的健康经历。努力实现平衡的两个子过程——收获益处和付出代价，通过三个综合案例呈现，每个案例代表特定的双重职责照顾（DDC）原型（使其可行、努力应对、处于边缘状态）。这一新出现的理论拓展了当前关于家庭照顾的思考，将为与DDC相关的实践和政策的制定与完善提供参考。
