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Journal of Family Nursing
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Canadian Families Caring for Members With Mental Illness: A Vicious Cycle

Catherine Ward-Griffin, R.N., Ph.D.

University of Western Ontario, cwg{at}uwo.ca

Ruth Schofield, R.N., M.Sc.

McMaster University

Sandra Vos, R.N., M.Sc.N.

University of Waterloo

Robin Coatsworth-Puspoky, R.N., M.Sc.N.

St. Joseph’s Healthcare, Parkwood Hospital

The purpose of this qualitative, descriptive study was to explore the perspectives of individuals who were caring for a family member with a mental illness, with particular attention to housing, quality of supports, and formal care services. Eleven focus groups with family caregivers (N = 75) were conducted. Both individual and team thematic analyses were undertaken until interpretations of the experiences of the participants were inductively developed and conceptualized into a holistic interpretation. Findings revealed that family caregivers were part of a "circle of care," supporting the independence of the individual with mental illness while attempting to protect their family member with mental illness. However, findings suggested that this circle of care led to a "vicious cycle" of caregiving. Three major themes were identified: witnessing inadequacies, working behind the scenes, and creating a better world. Health-promoting family nursing practice and policy implications, as well as areas for further research, are discussed.

Key Words: family health • health promotion • mental illness • family caregivers

Journal of Family Nursing, Vol. 11, No. 2, 140-161 (2005)
DOI: 10.1177/1074840705275464


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E. Kolbrun Svavardottir
Excellence in Nursing: A Model for Implementing Family Systems Nursing in Nursing Practice at an Institutional Level in Iceland
Journal of Family Nursing, November 1, 2008; 14(4): 456 - 468.
[Abstract] [PDF]