The Online Representation of Palliative Care by Practice, Policy, and Advocacy Organizations: Definitional Variations and Discursive Tensions.

Autor: Matthys M; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Ghent University, Department of Public Health and Primary Care, Ghent, Belgium., Dhollander N; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Vrije Universiteit Brussel, Department of Medicine & Chronic Care, Brussels, Belgium., Van Brussel L; Brussels Discourse Theory Group, Vrije Universiteit Brussel, Brussels, Belgium., Beernaert K; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Vrije Universiteit Brussel, Department of Medicine & Chronic Care, Brussels, Belgium., Deforche B; Ghent University, Department of Public Health and Primary Care, Ghent, Belgium.; Movement and Nutrition for Health and Performance Research Group, Vrije Universiteit Brussel, Brussels, Belgium., Cohen J; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Vrije Universiteit Brussel, Department of Medicine & Chronic Care, Brussels, Belgium., Deliens L; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Ghent University, Department of Public Health and Primary Care, Ghent, Belgium.; Vrije Universiteit Brussel, Department of Medicine & Chronic Care, Brussels, Belgium., Chambaere K; End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.; Ghent University, Department of Public Health and Primary Care, Ghent, Belgium.
Jazyk: angličtina
Zdroj: Qualitative health research [Qual Health Res] 2021 Dec; Vol. 31 (14), pp. 2743-2756. Date of Electronic Publication: 2021 Oct 11.
DOI: 10.1177/10497323211043824
Abstrakt: Negative beliefs and a lack of clarity surrounding the meaning of palliative care have been widely reported as obstacles to its uptake. Information available to the public possibly contributes to this. A descriptive and discourse-theoretical analysis was conducted of information spread online by palliative care policy, advocacy, and practice organizations. Discrepancies were found in the way palliative care was defined in relation to curative, end-of-life, terminal, and supportive care. Beyond these definitional variations, meaning was generated through the representation of palliative care as a culture, connected to total care, compassion, and openness. Tensions arose around the concepts of autonomy, a natural death, and an emphasis on the quality of life away from death and dying. Overall, this study showed that the online information of palliative care is a potential source of confusion and might even contribute to its stigmatization. Insights are provided that may help improve clarity toward the public.
Databáze: MEDLINE