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Neoliberally framed suffering in professionals and patients in palliative care settings – ’telling cases’ from an ethnographic multi-sited field study in Denmark

Glasdam, Stinne LU orcid ; Boelsbjerg, Hanne Bess and Stjernswärd, Sigrid LU orcid (2023) In Mortality
Abstract
In western countries, palliative care is a part of the formal healthcare system, ruled by neoliberal, organisational ideas. This Danish study illuminates how nurses and patients with non-western immigrant backgrounds (inter)act in relation to encounters in palliative care settings. Two ‘telling’ cases were selected, based on interviews and participating observations from a multi-sited ethnographic field study in Denmark. The results showed different care consequences of the structural framework, referring to, for example, political healthcare logics, strategies, and priorities, and illuminated how neoliberally organised healthcare systems inflicted suffering on patients and frustration amongst professionals. It did not seem that the... (More)
In western countries, palliative care is a part of the formal healthcare system, ruled by neoliberal, organisational ideas. This Danish study illuminates how nurses and patients with non-western immigrant backgrounds (inter)act in relation to encounters in palliative care settings. Two ‘telling’ cases were selected, based on interviews and participating observations from a multi-sited ethnographic field study in Denmark. The results showed different care consequences of the structural framework, referring to, for example, political healthcare logics, strategies, and priorities, and illuminated how neoliberally organised healthcare systems inflicted suffering on patients and frustration amongst professionals. It did not seem that the immigrant background per se induced the challenges. The understandings of care and treatment conflicted as nurses often represented a medical, neoliberal logic of disease, treatment, and care, and patients often represented a non-medical logic of disease, formed by their lives. When palliative care took place in a general setting, (inter)actions were also influenced by a curative agenda of treatment and care. The study added to the evidence of the power of neo-liberal rationality across different forms of care and populations, regardless of ethnicity or location of that care. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Encounter, healthcare professionals, patients, palliative care, immigrants, Neoliberalism
in
Mortality
publisher
Routledge
external identifiers
  • scopus:85153319306
ISSN
1357-6275
DOI
10.1080/13576275.2023.2198695
project
Sociology in healthcare and welfare societies
language
English
LU publication?
yes
id
1b96a0d9-a45e-42e7-97bd-9ed46b9c43b5
date added to LUP
2023-04-17 14:16:06
date last changed
2024-06-21 02:21:04
@article{1b96a0d9-a45e-42e7-97bd-9ed46b9c43b5,
  abstract     = {{In western countries, palliative care is a part of the formal healthcare system, ruled by neoliberal, organisational ideas. This Danish study illuminates how nurses and patients with non-western immigrant backgrounds (inter)act in relation to encounters in palliative care settings. Two ‘telling’ cases were selected, based on interviews and participating observations from a multi-sited ethnographic field study in Denmark. The results showed different care consequences of the structural framework, referring to, for example, political healthcare logics, strategies, and priorities, and illuminated how neoliberally organised healthcare systems inflicted suffering on patients and frustration amongst professionals. It did not seem that the immigrant background per se induced the challenges. The understandings of care and treatment conflicted as nurses often represented a medical, neoliberal logic of disease, treatment, and care, and patients often represented a non-medical logic of disease, formed by their lives. When palliative care took place in a general setting, (inter)actions were also influenced by a curative agenda of treatment and care. The study added to the evidence of the power of neo-liberal rationality across different forms of care and populations, regardless of ethnicity or location of that care.}},
  author       = {{Glasdam, Stinne and Boelsbjerg, Hanne Bess and Stjernswärd, Sigrid}},
  issn         = {{1357-6275}},
  keywords     = {{Encounter; healthcare professionals; patients; palliative care; immigrants; Neoliberalism}},
  language     = {{eng}},
  month        = {{04}},
  publisher    = {{Routledge}},
  series       = {{Mortality}},
  title        = {{Neoliberally framed suffering in professionals and patients in palliative care settings – ’telling cases’ from an ethnographic multi-sited field study in Denmark}},
  url          = {{http://dx.doi.org/10.1080/13576275.2023.2198695}},
  doi          = {{10.1080/13576275.2023.2198695}},
  year         = {{2023}},
}