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able African American Afro Afro-Caribbean immigrant women Afro-Caribbean women analysis articulated Belize Black immigrant women Black women Caribbean immigrant Caribbean women choices construction conversations cultural discourses discussion economic emigration ethnic identity everyday experiences feminist fieldwork frequently gender gender identities Guyana Haiti Haitian healthcare home countries homeownership hospital ideologies immigrant communities immigrant context impact important individual institutional interactions interpret interview Jamaica Jolene labor means migration narrative identities negotiate neighborhood notion nurse aides nurse-technicians nursing unit nursing workers opportunities parents participant observation participation patient Patricia Hill Collins perceived personal narratives perspective physicians position practices question racial racism registered nurses relations relationship relatively response role scholars shaped shift significant social capital social class social mobility social networks staff status stoosh stories structural subjective identities talk understanding woman women workers women's narratives workplace York City