Neoliberally framed suffering in professionals and patients in palliative care settings – 'telling cases' from an ethnographic multi-sited field study in Denmark.

In western countries, palliative care is a part of the formal healthcare system, ruled by neoliberal, organisational ideas. This Danish study illuminates how nurses and patients with non-western immigrant backgrounds (inter)act in relation to encounters in palliative care settings. Two 'telling' cas...

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Publicado en:Mortality Vol. 29; no. 3; pp. 572 - 593
Autores principales: Glasdam, Stinne, Boelsbjerg, Hanne Bess, Stjernswärd, Sigrid
Formato: Artículo
Publicado: Taylor & Francis Ltd Aug2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Neoliberally framed suffering in professionals and patients in palliative care settings – 'telling cases' from an ethnographic multi-sited field study in Denmark.
      aug:
        au:
          Glasdam, Stinne
          Boelsbjerg, Hanne Bess
          Stjernswärd, Sigrid
        affil:
          Integrative Health Research, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
          Interacting Minds Centre, The Faculty of Medicine, Aarhus University, Aarhus C, Denmark
          Health-Promoting Complex Interventions, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
      su:
        Denmark
        Immigrants
        Nurse-patient relationships
        Cultural awareness
        Palliative treatment
        Ethnology research
        Interviewing
        Participant observation
        Health policy
        Health planning
        Frustration
        Communication
        Research funding
        Health facility administration
      sug:
        subj:
          Immigrants
          Nurse-patient relationships
          Cultural awareness
          Palliative treatment
          Ethnology research
          Interviewing
          Participant observation
          Health policy
          Health planning
          Frustration
          Communication
          Denmark
          Administration of Public Health Programs
          Research funding
          Health facility administration
      keyword:
        Encounters
        healthcare professionals
        immigrants
        neoliberalism
        palliative care
        Encounters
        healthcare professionals
        immigrants
        neoliberalism
        palliative care
      ab: In western countries, palliative care is a part of the formal healthcare system, ruled by neoliberal, organisational ideas. This Danish study illuminates how nurses and patients with non-western immigrant backgrounds (inter)act in relation to encounters in palliative care settings. Two 'telling' cases were selected, based on interviews and participating observations from a multi-sited ethnographic field study in Denmark. The results showed different care consequences of the structural framework, referring to, for example, political healthcare logics, strategies, and priorities, and illuminated how neoliberally organised healthcare systems inflicted suffering on patients and frustration amongst professionals. It did not seem that the immigrant background per se induced the challenges. The understandings of care and treatment conflicted as nurses often represented a medical, neoliberal logic of disease, treatment, and care, and patients often represented a non-medical logic of disease, formed by their lives. When palliative care took place in a general setting, (inter)actions were also influenced by a curative agenda of treatment and care. The study added to the evidence of the power of neo-liberal rationality across different forms of care and populations, regardless of ethnicity or location of that care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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