Advocacy of women family caregivers: response to nonsupportive interactions with professionals.

Support from health and social service professionals assists women in caring for a relative with a chronic condition. However, nonsupportive interactions coexist with supportive interactions and might have unanticipated consequences. The purpose of this ethnographic study was to examine advocacy as a proactive response to nonsupportive interactions with professionals among women family caregivers in four caregiving situations. Data generation included in-depth interviews with 34 women. Interviews were tape-recorded, transcribed verbatim, and analyzed using thematic and constant comparative analysis techniques. As a consequence of nonsupportive interactions women experienced negative feelings, a lack of trust, powerlessness, and challenges in their caregiving situations that were catalysts for advocacy involving assertively taking charge in a relationship with a health professional. As advocates women employed strategies of monitoring their relative's condition, educating themselves or others, negotiating or fighting for resources, or campaigning for change. There were stress and fatigue involved in becoming an advocate, but the women also described the experience as one of personal growth. This research provided insight into the role of nonsupportive interactions with professionals as a catalyst for the development of individual-level advocacy initiatives.