Gendered Processes in Hospice Palliative Home Care for Seniors With Cancer and Their Family Caregivers

被引:14
作者
Sutherland, Nisha [1 ,4 ]
Ward-Griffin, Catherine [2 ]
McWilliam, Carol [2 ]
Stajduhar, Kelli [3 ,4 ]
机构
[1] Lakehead Univ, Sch Nursing Hlth & Behav Sci, Thunder Bay, ON P7B 5E1, Canada
[2] Univ Western Ontario, Fac Hlth Sci, Sch Nursing, London, ON, Canada
[3] Univ Victoria, Sch Nursing, Res & Scholarship, Victoria, BC, Canada
[4] Univ Victoria, Ctr Aging, Victoria, BC, Canada
关键词
gender relations; hospice palliative home care; critical ethnography; cancer; seniors; caregivers; equity; critical feminist lens; qualitative; Canada; QUALITY-OF-LIFE; END; CONSTRUCTION; PERSPECTIVES; EXPERIENCE; CONSEQUENCES; PREFERENCES; DISCOURSE; EQUALITY; BURDEN;
D O I
10.1177/1049732315609571
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
There has been limited investigation into the processes that shape gender (in)equities in hospice palliative home care. As part of a larger critical ethnographic study, we examined how and why gender relations occur in this context. Using a critical feminist lens, we conducted in-depth interviews with clients living with terminal cancer, their family caregivers and primary nurses; observations of agency home visits; and review of institutional documents. A gender-based analysis revealed that gender enactments of Regulating Gender Relations were legitimized through ideological processes of Normalizing Gender Relations and Equalizing Gender Relations. (Re)produced through institutional discourses of individualism and egalitarianism, these gendered processes both advantaged and disadvantaged men and women in hospice palliative home care. Findings suggest that to promote equity, health care providers and policy makers must attend to gender as a prevalent social determinant of health and health care. Implications for policy, practice, education, and research are discussed.
引用
收藏
页码:907 / 920
页数:14
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