Date of Award

2006

Degree Type

Thesis

Degree Name

Master of Science in Nursing

Program

Nursing

Supervisor

Dr. Catherine Ward-Griffin

Abstract

Canadians are experiencing increased life expectancy and chronic illness (Health Canada, 2002) requiring end-of-life care (Fisher, Ross, & MacLean, 2000). There is limited research on the process of enacting multiple roles for family members providing home-based palliative care. Based on a larger ethnographie study of client-family- provider relationships in home-based palliative care (Ward-Griffin & McWilliam, 2004), the purpose of this qualitative secondary analysis was to explore the enactment of multiple roles for family members providing home-based palliative care to seniors with advanced cancer. Family members experienced multiple expectations to provide care but felt their expectations of services were unmet. The process of enacting multiple roles was depicted by three interrelated themes: Balancing, Re-prioritizing and Evolving. Positive and negative health responses resulted from attempts to minimize personal health while simultaneously maintaining health. “True” family-centred care was found to be lacking, but should be a goal of health professionals involved in end-of-life care.

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