Although there is an increase in the visibility of families in hospita
ls, there was little known about the meanings, pattern, and day-to-day
experience of families staying with hospitalized relatives. The purpo
se of this qualitative, ethnographic study was to describe vigilance,
defined as the family member's experience of staying with a relative i
n the hospital setting. Eight adult family members with relatives on t
wo acute care neurology units were purposively selected to participate
in the study. Data were collected using informal, semistructured inte
rviews and participant observation. Qualitative analysis provided a me
aningful grouping of the data pieces into five categories of meaning:
commitment to care, emotional upheaval, dynamic nexus, transition, and
resilience. These categories of meaning provides a description of vig
ilance and enhance the theoretical understanding of this care phenomen
on.