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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 Caribbean island of St. Kitts as they promoted a concept of respite care defined by North American norms. Family caregivers interviewed rejected this model of respite care, situating their caregiving within the context of established family relationships.  Resume : Dispenser des soins de sante a domicile aux membres d’une famille presente de nombreux facteurs de stress physiques et psychologiques. Les professionnels des soins de sante conseillent frequemment aux fournisseurs de soins de rechercher un repit en delegant de facon temporaire leurs responsabilites medicales a d’autres. Cependant, du point de vue rhetorique, les definitions de repit comme etant un moment d’intimite loin des beneficiaires des soins sont des ideogrammes culturellement limites et peuvent ne pas s’appliquer en dehors de l’Amerique du Nord. Cette etude qualitative s’est penchee sur des travailleurs sociaux nord-americains exercant dans l’ile de Saint Kitts, aux Caraibes, qui lancaient un concept de repit defini par les normes nord-americaines. Les fournisseurs de soins aux familles interroges ont rejete ce modele de repit, placant leur action medicale dans le contexte de relations familiales solides.

Respite: Cultural Values in North American and Caribbean Caregiving