ArticleMedicine, health care, and philosophy2020
A gap between the philosophy and the practice of palliative healthcare: sociological perspectives on the practice of nurses in specialised palliative homecare.
Article in Medicine, health care, and philosophy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- Professional identity and moral agency in palliative care: A review.Nursing ethics · 2026Review
- A new cross-disciplinary model for early integration of palliative care for patients with incurable cancer - an intervention development study.BMC palliative care · 2026Article
- Exploring quality of death in Chinese hospice and palliative care units: a qualitative perspective from practitioners in healthcare settings.BMC palliative care · 2025Article
- 'Early planning makes for a good death': residential aged care nurses' views on caring for those in the last months of life.BMC nursing · 2025Article
- The Arts Therapies in Palliative and End-of-Life Care: Insights from a Cross-Cultural Knowledge Exchange Forum.Behavioral sciences (Basel, Switzerland) · 2025Article
- A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review.Nursing open · 2025Review
- Challenges of home care: a qualitative study.BMC nursing · 2024Article
- Practices, strategies, and challenges in antibiotic treatment and prevention of antimicrobial resistance from the perspectives of Romanian community pharmacists and general practitioners: a Goffman-inspired qualitative interview study.Frontiers in antibiotics · 2024Article
- Nursing activities for health promotion in palliative home care: an integrative review.Palliative care and social practice · 2024Review
- The 'good death' in Mainland China - A Scoping Review.International journal of nursing studies advances · 2022Article
- The European Standard EN 17398:2020 on Patient Involvement in Health Care - a Fairclough-Inspired Critical Discourse Analysis.Policy, politics & nursing practice · 2022Article
- Dying as an issue of public concern: cultural scripts on palliative care in Sweden.Medicine, health care, and philosophy · 2021Article
- Articulations of antimicrobial resistance in trade union financed journals for nurses in Scandinavia - A Foucauldian perspective.Nursing inquiry · 2021Article
- Nurses' refusals of patient involvement in their own palliative care.Nursing ethics · 2020Article
- Knowledge and Myths about Palliative Care among the General Public and Health Care Professionals in Portugal.International journal of environmental research and public health · 2020Article
- Visitor Restrictions, Palliative Care, and Epistemic Agency: A Qualitative Study of Nurses' Relational Practice During the Coronavirus Pandemic.Global qualitative nursing researchArticle
- Living Before Dying: Nursing Practice in Supporting Meaningful Living for Patients Receiving Home Care at End-of-Life.Global qualitative nursing researchArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Palliative care philosophy is based on a holistic approach to patients, but research shows that possibilities for living up to this philosophy seem limited by historical and administrative structures. From the nurse perspective, this article aims to explore nursing practice in specialised palliative homecare, and how it is influenced by organisational and cultural structures. Qualitative, semi-structured interviews with nine nurses were conducted, inspired by Bourdieu. The findings showed that nurses consolidate the doxa of medicine, including medical-professional values that configure a control-oriented, positivistic approach, supported by the organising policy for clinical practice. Hierarchically, nurses were positioned under doctors: medical rounds functioned as a structuring structure for their working day. They acted as medical assistants, and the prevailing medical logic seemed to make it difficult for nurses to meet their own humanistic ideals. Only short time slots allowed nurses to prioritise psychosocial needs of patients and relatives. Point-of-actions had high priority, added financial resources and ensured that budgets were allocated. Weekly visits made it possible for nurses to measure, control and govern patients' drugs and symptoms which was a necessity for their function as medical assistants. The findings challenge nurses to take on an ethical point of view, partly to ensure that patients and their families receive good palliative care focusing on more than medical issues and logic, and partly to strengthen the nurses' profession in the palliative field and help them implement palliative care philosophy in practice.
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