The Culture of General Palliative Nursing Care in Medical Departments: An Ethnographic Study

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Standard

The Culture of General Palliative Nursing Care in Medical Departments : An Ethnographic Study. / Bergenholtz, Heidi; Jarlbæk, Lene; Hølge-Hazelton, Bibi.

I: International Journal of Palliative Nursing, Bind 21, Nr. 4, 2015, s. 193-201.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Bergenholtz, H, Jarlbæk, L & Hølge-Hazelton, B 2015, 'The Culture of General Palliative Nursing Care in Medical Departments: An Ethnographic Study', International Journal of Palliative Nursing, bind 21, nr. 4, s. 193-201. https://doi.org/10.12968/ijpn.2015.21.4.193

APA

Bergenholtz, H., Jarlbæk, L., & Hølge-Hazelton, B. (2015). The Culture of General Palliative Nursing Care in Medical Departments: An Ethnographic Study. International Journal of Palliative Nursing, 21(4), 193-201. https://doi.org/10.12968/ijpn.2015.21.4.193

Vancouver

Bergenholtz H, Jarlbæk L, Hølge-Hazelton B. The Culture of General Palliative Nursing Care in Medical Departments: An Ethnographic Study. International Journal of Palliative Nursing. 2015;21(4):193-201. https://doi.org/10.12968/ijpn.2015.21.4.193

Author

Bergenholtz, Heidi ; Jarlbæk, Lene ; Hølge-Hazelton, Bibi. / The Culture of General Palliative Nursing Care in Medical Departments : An Ethnographic Study. I: International Journal of Palliative Nursing. 2015 ; Bind 21, Nr. 4. s. 193-201.

Bibtex

@article{7cc9160f0e8741baa3241b33a8159447,
title = "The Culture of General Palliative Nursing Care in Medical Departments: An Ethnographic Study",
abstract = "Background: In many countries, approximately half of the population dies in hospital, making general palliative nursing care (GPNC) a core nursing task. GPNC in the hospital setting is described as challenging, however little is known about its actual practice.Aim: To explore the GPNC culture in medical departments.Methods: An ethnographic study, using Spradley's 12-step method, with observational field studies and interviews with nurses from three medical departments in a Danish regional hospital.Findings: Three cultural themes emerged from the analysis, focusing on the setting, the practice and the nurses' reflections on GPNC: (1) GPNC provided in a treatment setting, (2) transition to loving care and the licence to perform palliative care (PC) and (3) potential for team improvement.Conclusions: GPNC as a culture in medical departments seemed to be embedded in a setting not suited for dying patients. Palliative care was still practised according to the transition model of care, sharply dividing curative from palliative care, and was inappropriately conducted in a fragmented and individual-based way. The term ‘loving care’ was used as a ‘gate-opener’ to provide palliative care for the dying; however, the content of this term was not defined or expressed among the health professionals. Practical and professional nursing skills are not sufficient to improve GPNC in the hospital department. Leaders on all levels need also to address the culture in which palliative care is embedded.",
keywords = "care, nursing, semrap-2015-1",
author = "Heidi Bergenholtz and Lene Jarlb{\ae}k and Bibi H{\o}lge-Hazelton",
year = "2015",
doi = "10.12968/ijpn.2015.21.4.193",
language = "English",
volume = "21",
pages = "193--201",
journal = "International Journal of Palliative Nursing",
issn = "1357-6321",
publisher = "Mark Allen Group",
number = "4",

}

RIS

TY - JOUR

T1 - The Culture of General Palliative Nursing Care in Medical Departments

T2 - International Journal of Palliative Nursing

AU - Bergenholtz, Heidi

AU - Jarlbæk, Lene

AU - Hølge-Hazelton, Bibi

PY - 2015

Y1 - 2015

N2 - Background: In many countries, approximately half of the population dies in hospital, making general palliative nursing care (GPNC) a core nursing task. GPNC in the hospital setting is described as challenging, however little is known about its actual practice.Aim: To explore the GPNC culture in medical departments.Methods: An ethnographic study, using Spradley's 12-step method, with observational field studies and interviews with nurses from three medical departments in a Danish regional hospital.Findings: Three cultural themes emerged from the analysis, focusing on the setting, the practice and the nurses' reflections on GPNC: (1) GPNC provided in a treatment setting, (2) transition to loving care and the licence to perform palliative care (PC) and (3) potential for team improvement.Conclusions: GPNC as a culture in medical departments seemed to be embedded in a setting not suited for dying patients. Palliative care was still practised according to the transition model of care, sharply dividing curative from palliative care, and was inappropriately conducted in a fragmented and individual-based way. The term ‘loving care’ was used as a ‘gate-opener’ to provide palliative care for the dying; however, the content of this term was not defined or expressed among the health professionals. Practical and professional nursing skills are not sufficient to improve GPNC in the hospital department. Leaders on all levels need also to address the culture in which palliative care is embedded.

AB - Background: In many countries, approximately half of the population dies in hospital, making general palliative nursing care (GPNC) a core nursing task. GPNC in the hospital setting is described as challenging, however little is known about its actual practice.Aim: To explore the GPNC culture in medical departments.Methods: An ethnographic study, using Spradley's 12-step method, with observational field studies and interviews with nurses from three medical departments in a Danish regional hospital.Findings: Three cultural themes emerged from the analysis, focusing on the setting, the practice and the nurses' reflections on GPNC: (1) GPNC provided in a treatment setting, (2) transition to loving care and the licence to perform palliative care (PC) and (3) potential for team improvement.Conclusions: GPNC as a culture in medical departments seemed to be embedded in a setting not suited for dying patients. Palliative care was still practised according to the transition model of care, sharply dividing curative from palliative care, and was inappropriately conducted in a fragmented and individual-based way. The term ‘loving care’ was used as a ‘gate-opener’ to provide palliative care for the dying; however, the content of this term was not defined or expressed among the health professionals. Practical and professional nursing skills are not sufficient to improve GPNC in the hospital department. Leaders on all levels need also to address the culture in which palliative care is embedded.

KW - care

KW - nursing

KW - semrap-2015-1

U2 - 10.12968/ijpn.2015.21.4.193

DO - 10.12968/ijpn.2015.21.4.193

M3 - Journal article

VL - 21

SP - 193

EP - 201

JO - International Journal of Palliative Nursing

JF - International Journal of Palliative Nursing

SN - 1357-6321

IS - 4

ER -

ID: 141091485