Providing home health care to family members presents many physical and psychological stressors. Health care professionals frequently counsel family caregivers to seek respite by temporarily delegating caregiving responsibilities to others. However, when viewed from the perspective of rhetoric, definitions of respite as private time away from the care recipient are culturally bound ideographs and may not be appropriate outside North America. This qualitative study explored North American-trained social workers practising on the
Canadian Journal of Communication, Vol 32 (2007) 401-415 ©2007 Canadian Journal of Communication Corporation
IntroductionThroughout the world, changes in the demography and epidemiology of disease, together with changes in practices of health care delivery, have precipitated a steady increase in the number of chronically ill individuals receiving long-term health care from family members in their home (World Health Organization, 2006). The stressors of caregiving have compelled many researchers and health care professionals to seek ways to assist family members in providing care to their ill and disabled loved ones. Effective communication between professional and family caregivers is one essential factor in the success of such interventions.The purpose of this project was to examine the communication between family and professional caregivers on the Caribbean island of St. Kitts as they negotiated definitions of acceptable family caregiving activities. Analysis of interview data collected during a six-week research trip revealed that while professional caregivers, all of whom were educated in North America, frequently spoke of caregiving work in the language of professional health care, they were also aware of how these professional norms conflicted with local cultural values. For their part, family caregivers tended to reject professionals' depictions of caregiving that were culturally dissonant, particularly the advice to seek respite through relinquishing caregiving duties to others outside the family circle. Instead, family caregivers advanced definitions of respite that brought them closer to family life rather than isolating them from it.The results suggest that while professional and family caregivers constituted a single community of care, there were important differences in the ways in which the stakeholders viewed key values that defined caregiving work. Michael Calvin McGee's discussion of ideographs in deliberative discourse (1980) provides the theoretical underpinning for our examination of the polysemy and evolving meaning of terms related to these key values. By shedding light on the communication process between professional and family caregivers, McGee's discussion can suggest avenues leading to improved professional communication practices.