Unpredictable Paths into Care: Examining HIV and MS Care Relationships in Southern Ontario
Notice bibliographique
Résumé
In Canada, we often speak of caring for others as more than a social obligation; it is part of how we conceptualize ourselves and our humanity. Family/friend relationships can become strained, however, when providing care and support for people with complex and unpredictable chronic episodic illnesses, here termed episodic care. Relational impacts may be understood as influences and impacts directly related to the relationship between the carer and family member/friend. The purpose of this study is to create a middle-range grounded theory of episodic caring based on the relational impacts of carers for people living with HIV and MS.\nConducted in southern Ontario using qualitative constructivist grounded theory methods, this dissertation examines the development of relationships between carers and family members/friends living with episodic illnesses and documents the resulting social, emotional, and relational impacts on carers. To better understand how family/friend episodic care relationships emerge and progress, this dissertation project was guided by the emergent research question: What are the relational impacts of episodic care on HIV and MS carers?’ Findings from semi-structured interviews with 18 HIV and MS carers highlight the development of a relational identity as carers navigate shifting illness episodes over time. The relational model of episodic care developed in this study presents an alternative conceptualization of carer identity development by integrating episodes of illness and wellness into chronic illness care. The model illustrates the intimate, evolving relationship between the carer and family member/friend living with an episodic illness.\nThe study findings describe a phased approach to relational identity development involving entries into care, navigating unpredictability, and redefining the care relationship. This develops into an identity of essential carer or reciprocal carer, or carers may choose to exit care. Resolving relational tensions that arise from performing care activities creates an opening for changes in how carers understand themselves through their care relationships. In addition to how episodic carer identities influence how carers perceive themselves within a relationship, social factors such as gender, income, and culture impact care experiences, at times creating additional challenges in the lives of episodic carers. To reduce carer strain, a re-visioning of family/friend care as community-centred and family/friend-supported will help re-focus episodic care as an option instead of a duty.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».