The positioning of palliative care in acute care: A multiperspective qualitative study in the context of metastatic melanoma
| Autor: | Jennifer Fox, Carol Windsor, Patsy Yates, Shirley Connell |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Referral Critical Illness Context (language use) Symbolic interactionism law.invention 03 medical and health sciences 0302 clinical medicine Nursing law Acute care Medicine Humans 030212 general & internal medicine Melanoma General Nursing Qualitative Research Aged Primary Health Care business.industry Palliative Care Australia General Medicine Transitional Care Middle Aged Psychiatry and Mental health Clinical Psychology Caregivers Critical theory 030220 oncology & carcinogenesis Grounded Theory CLARITY Female business Qualitative research |
| Zdroj: | Palliativesupportive care. 14(3) |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | Objective:The positioning and meaning of palliative care within the healthcare system lacks clarity which adds a level of complexity to the process of transition to palliative care. This study explores the transition to the palliative care process in the acute care context of metastatic melanoma.Method:A theoretical framework drawing on interpretive and critical traditions informs this research. The pragmatism of symbolic interactionism and the critical theory of Habermas brought a broad orientation to the research. Integration of the theoretical framework and grounded-theory methods facilitated data generation and analysis of 29 interviews with patients, family carers, and healthcare professionals.Results:The key analytical findings depict a scope of palliative care that was uncertain for users of the system and for those working within the system. Becoming “palliative” is not a defined event; nor is there unanimity around referral to a palliative care service. As such, ambiguity and tension contribute to the difficulties involved in negotiating the transition to palliative care.Significance of Results:Our findings point to uncertainty around the scopes of practice in the transition to palliative care. The challenge in the transition process lies in achieving greater coherency of care within an increasingly specialized healthcare system. The findings may not only inform those within a metastatic melanoma context but may contribute more broadly to palliative practices within the acute care setting. |
| Databáze: | OpenAIRE |
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