Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards

BMC Palliative Care

Yvonne Hajradinovic¹  Maria Jakobsson²  Kerstin Brachfeld³  Maria Friedrichsen³  Anna Milberg⁴ 

[1]Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden

[2]Department of Palliative Medicine, Vrinnevi Hospital, Norrköping, Sweden

[3]Palliative Education and Research Centre in Region Östergötland, Vrinnevi Hospital, 601 82, Norrköping, Sweden

[4]Palliative Education and Research Centre in Region Östergötland, Vrinnevi Hospital, 601 82, Norrköping, Sweden

[5]Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, Linköping, Sweden

关键词: Palliative care consultation team;    Organisational culture;    End-of-life care;    Acute wards;    Hospital;   

DOI  :  10.1186/s12904-021-00877-1

来源: Springer

【 摘 要 】

BackgroundAcute care and palliative care (PC) are described as different incompatible organisational care cultures. Few studies have observed the actual meeting between these two cultures. In this paper we report part of ethnographic results from an intervention study where a palliative care consultation team (PCCT) used an integrative bedside education approach, trying to embed PC principles and interventions into daily practice in acute wards.PurposeTo study the meeting and interaction of two different care cultures, palliative care and curative acute wards, when a PCCT introduces consulting services to acute wards regarding end-of-life palliative care, focusing on the differences between the cultures.MethodsAn ethnographic study design was used, including observations, interviews and diary entries. A PCCT visited acute care wards during 1 year. The analysis was inspired by Spradleys ethnography.ResultsThree themes were found: 1) Anticipations meets reality; 2) Valuation of time and prioritising; and 3) The content and creation of palliative care.ConclusionThere are many differences in values, and the way PC are provided in the acute care wards compared to what a PCCT expects. The didactic challenges are many and the PC require effort.

【 授权许可】

CC BY