ArticleNursing open2023
Relatives' negotiations with healthcare professionals during older people's admission in an emergency department: An ethnographic study.
Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Reconstructing the boundary of family involvement in shared decision-making: a confucian benevolence model for the Chinese context.BMC medical ethics · 2026Article
- A Qualitative Exploratory Study of Families' Experiences and Recommended Strategies to Improve the Medication Management of Older Adults During Transitions of Care.Drug, healthcare and patient safety · 2026Article
- Family Involvement During Patient Hospitalisation-Developing and Testing a Clinical Decision Aid.Scandinavian journal of caring sciences · 2025Article
- Relatives' negotiations with healthcare professionals during older people's admission in an emergency department: An ethnographic study.Nursing open · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRelatives are recognised as important for older patients' care and treatment. Variations in relatives' opportunities to negotiate the quality and continuity of older people's care and treatment can potentially lead to inequality in older people's access to care and treatment.
aimThis study aimed to examine relatives' opportunities and strategies for negotiation with health care professionals (HCPs) during the admission of older people to emergency departments in Denmark. MATERIALS AND
methodsWe planned a qualitative ethnographical study employing a hermeneutic approach. Observations focused on social situations and interactions between relatives and HCPs. The analysis was guided by qualitative content analysis.
resultsThe analysis derived one main theme, attitude to action, containing three subthemes: frustration obtaining access, presenting the case and a powerful relationship. Being active appeared to be essential to achieving possibilities for negotiation with HCPs. DISCUSSION: Inspired by Bourdieu, habitus, doxical values and institutional logics of relatives seem to affect their opportunities to negotiate with HCPs during older people's admission to an emergency department.
conclusionActive and proactive relatives seem to have better opportunities to negotiate with HCPs during older people's acute hospital admission than reactive, passive and hesitant relatives. The logic of public management and the medical profession seem to dominate and influence doxa in the EDs and put special demands on the relatives. This imbalance constitutes a risk of inequality in older people's access to health.
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