School of Social Work, Algoma University, Sault Ste. Marie, ON, Canada.
School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Can J Aging. 2024 Mar;43(1):114-123. doi: 10.1017/S0714980823000430. Epub 2023 Aug 11.
The former South West Local Health Integration Network (SW LHIN) of Ontario, which is in a predominantly rural region, regularly reports the lowest rates of caregiver distress in the province. Caregivers from rural communities regularly face challenges related to the access, applicability, and availability of supports and services, This qualitative case study describes perspectives of caregiving from the region, and explores how role construction and expectations of caregivers might both mitigate distress and influence service support use. Thematic analysis identified five themes: anticipated care, gendered caring, service support assumptions, confidence in community, and the "line in the sand": care decisions for evolving needs. Using the lens of caregiver identity theory, the findings suggest that these caregivers conceptualize identity as an extension of their primary role, to include caregiving obligations and responsibilities. We also noted a steadfast confidence in community and perceived service support assumptions across the region, with no notable rural-urban divide.
安大略省前西南地方卫生整合网络（SW LHIN）位于一个以农村为主的地区，其省内报告的护理人员压力最低。农村社区的护理人员经常面临与获得、适用和提供支持和服务相关的挑战。本定性案例研究描述了该地区的护理观点，并探讨了护理人员的角色构建和期望如何减轻压力和影响服务支持的使用。主题分析确定了五个主题：预期护理、性别化护理、服务支持假设、对社区的信心以及“底线”：不断变化的需求的护理决策。使用护理人员身份理论的视角，研究结果表明，这些护理人员将身份概念化为其主要角色的延伸，包括照顾义务和责任。我们还注意到，整个地区对社区的信心和对服务支持的假设都很坚定，没有明显的城乡差距。
