IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i17-18p3426-3435.html
   My bibliography  Save this article

The etemic model of Gypsy Roma Traveller community vulnerability: is it time to rethink our understanding of vulnerability?

Author

Listed:
  • Vanessa Heaslip
  • Sarah Hean
  • Jonathan Parker

Abstract

Aims and objectives To present a new etemic model of vulnerability. Background Despite vulnerability being identified as a core consequence of health and health experiences, there has been little research exploring the meaning of vulnerability as a concept. Yet, being vulnerable is known to have dire physical/mental health consequences. It is therefore a fundamental issue for nurses to address. To date, the meaning of the term vulnerability has been influenced by the work of Spiers (Journal of Advanced Nursing, 31, 2000, 715, The Essential Concepts of Nursing: Building Blocks for Practice, 2005, Elsevier, London). Spiers identified two aspects of vulnerability: the etic (external judgment of another persons’ vulnerability) and the emic (internal lived experience of vulnerability). This approach has led to a plethora of research which has explored the etic (external judgment) of vulnerability and rendered the internal lived (or emic) experience invisible. Consequences of this, for marginalised communities such as Gypsy Roma Travellers include a lack of culturally sensitive services compounding health inequalities. Design Position paper. Method Drawing upon a qualitative phenomenological research study exploring the lived experience of vulnerability from a Gypsy Roma Travelling community (published previously), this paper presents a new model of vulnerability. This etemic model of vulnerability values both external and internal dimensions of vulnerability and argues for a fusion of these two opposing perspectives. Conclusions If nurses and other health‐ and social care professionals wish to develop practice that is successful in engaging with Gypsy Roma Travellers, then there is a need to both understand and respect their community. This can be achieved through an etemic approach to understanding their vulnerability achieved by eliciting lived experience alongside the appreciation of epidemiological studies. Relevance to clinical practice If nurses and health practitioners used this etemic approach to practice then it would enable both the development and delivery of culturally sensitive services facilitating health access to this community. Only then, will their poor health status be successfully addressed.

Suggested Citation

  • Vanessa Heaslip & Sarah Hean & Jonathan Parker, 2018. "The etemic model of Gypsy Roma Traveller community vulnerability: is it time to rethink our understanding of vulnerability?," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(17-18), pages 3426-3435, September.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:17-18:p:3426-3435
    DOI: 10.1111/jocn.13499
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13499
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.13499?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ahern, Jennifer & Galea, Sandro & Hubbard, Alan & Karpati, Adam, 2008. "Population vulnerabilities and capacities related to health: A test of a model," Social Science & Medicine, Elsevier, vol. 66(3), pages 691-703, February.
    2. Venke Sørlie & Kirsti Torjuul & Anita Ross & Mona Kihlgren, 2006. "Satisfied patients are also vulnerable patients – narratives from an acute care ward," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(10), pages 1240-1246, October.
    3. Vanessa Heaslip & Sarah Hean & Jonathan Parker, 2016. "Lived experience of vulnerability from a Gypsy Roma Traveller perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1987-1998, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Wilson, Samita & Hean, Sarah & Abebe, Tatek & Heaslip, Vanessa, 2020. "Children’s experiences with Child Protection Services: A synthesis of qualitative evidence," Children and Youth Services Review, Elsevier, vol. 113(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mukadder Mollaoğlu & Pelin Çelik, 2016. "Evaluation of emergency department nursing services and patient satisfaction of services," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 2778-2785, October.
    2. Emilia Aiello & Ainhoa Flecha & Olga Serradell, 2018. "Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System," IJERPH, MDPI, vol. 15(2), pages 1-19, February.
    3. Denise Wilson & Vanessa Heaslip & Debra Jackson, 2018. "Improving equity and cultural responsiveness with marginalised communities: Understanding competing worldviews," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3810-3819, October.
    4. May Bazzi & Maud Lundèn & Karin Ahlberg & Ingegerd Bergbom & Mikael Hellström & Solveig M. Lundgren & Isabell Fridh, 2020. "Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(5-6), pages 810-820, March.
    5. José Manuel Ortiz-Marcos & María Tomé-Fernández & Christian Fernández-Leyva, 2021. "Cyberbullying Analysis in Intercultural Educational Environments Using Binary Logistic Regressions," Future Internet, MDPI, vol. 13(1), pages 1-15, January.
    6. Vanessa Ioannoni & Tommaso Vitale & Corrado Costa & Iris Elliott, 2020. "Depicting communities of Romani studies: on the who, when and where of Roma related scientific publications," Scientometrics, Springer;Akadémiai Kiadó, vol. 122(3), pages 1473-1490, March.
    7. Kane, Robert J., 2011. "The ecology of unhealthy places: Violence, birthweight, and the importance of territoriality in structurally disadvantaged communities," Social Science & Medicine, Elsevier, vol. 73(11), pages 1585-1592.
    8. Hatzenbuehler, Mark L. & Prins, Seth J. & Flake, Morgan & Philbin, Morgan & Frazer, M. Somjen & Hagen, Daniel & Hirsch, Jennifer, 2017. "Immigration policies and mental health morbidity among Latinos: A state-level analysis," Social Science & Medicine, Elsevier, vol. 174(C), pages 169-178.
    9. Pablo Gaitán-Rossi & Ce Shen, 2018. "Fear of Crime in Mexico: The Impacts of Municipality Characteristics," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 373-399, January.
    10. Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.
    11. Dinno, Alexis & Glantz, Stanton, 2009. "Tobacco control policies are egalitarian: A vulnerabilities perspective on clean indoor air laws, cigarette prices, and tobacco use disparities," Social Science & Medicine, Elsevier, vol. 68(8), pages 1439-1447, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:17-18:p:3426-3435. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.