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Supportive Care in Cancer

Erschienen in:

01.05.2010 | Original Article

Competing discourses in palliative care

verfasst von: Elisabeth Dahlborg-Lyckhage, Eva Lidén

Erschienen in: Supportive Care in Cancer | Ausgabe 5/2010

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Abstract

Background

Palliative care focuses on early identification as well as prevention and alleviation of suffering. Previous studies have established that palliative care is a disciplinary area in a state of transformation due to the involvement of different professional categories and that nursing care in the palliative context is influenced by the dominance of the medical perspective.

Aim

This study aimed to describe palliative care from a nursing perspective prior to the implementation of a palliative care programme.

Patients and methods

The approach was inspired by the ethnographic method and a constructionist perspective was used as a theoretical framework, as the focus was on existing palliative care discourses. Field studies were conducted on a ward where palliative care was provided to patients at the end of life. Approval for the study was granted by the Ethics Committee at Sahlgrenska Academy. Data were collected by means of participant field studies, informal deliberations and other relevant documents.

Main results

Four different discourses were discerned: caring, non-caring, curing and the organisation.

Conclusions

The ethos on the ward was strongly linked to the medical discourse. We consider that a prerequisite for the organisation of palliative care is an expressed caring perspective based on the patients' experiences of suffering, which perspective is lacking in the curing and organisational discourses.

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Titel: Competing discourses in palliative care
verfasst von: Elisabeth Dahlborg-Lyckhage
Eva Lidén
Publikationsdatum: 01.05.2010
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 5/2010
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-009-0691-6

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Abstract

Background

Aim

Patients and methods

Main results

Conclusions

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