Current health care reform is resulting in increasing demands on women
to care for others. Little is known about the process of women's cari
ng or the effects of caring on women. This feminist grounded theory st
udy resulted in a substantive theory that explains how women manage th
e problematic aspects of caring and explicates the ways that environme
nt influences women's responses to caring demands. Of particular conce
rn is the evidence that the existing social structure creates and inte
nsifies problems for women caring. The discussion considers the implic
ations of the findings for health policy and nursing practice.