Professional caregivers' work with the dying in nursing homes - a Foucault-inspired analysis of discourses in the last decade in a Danish context.

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Professional caregivers' work with the dying in nursing homes - a Foucault-inspired analysis of discourses in the last decade in a Danish context. / Glasdam, Stinne; Nielsen, Karen Tind.

I: Scandinavian Journal of Caring Sciences, Vol. 27, Nr. 4, 2013, s. 983-993.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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TY - JOUR

T1 - Professional caregivers' work with the dying in nursing homes - a Foucault-inspired analysis of discourses in the last decade in a Danish context.

AU - Glasdam, Stinne

AU - Nielsen, Karen Tind

PY - 2013

Y1 - 2013

N2 - International studies on the death of elderly nursing home residents show the complexity in the understanding of the professionals who care for the dying. The aim of this study is to explore the discourses about professional caregivers caring for those dying in Denmark in the last decade. A discourse analysis inspired by Foucault was constructed. The material consists of different source documents: research articles, newspaper articles, theses, books, websites - 35 sources in total. There are constructed six positions of speech, five discourses and three themes: (1) 'the work of the professional caregivers - a complex low-status work'; (2) 'the education of the professionals - the way to ensure a good death or possessing the right qualifications' and (3) 'the vulnerable professionals'. The study concludes that an economical/political discourse is dominating and sets up the frames within which the professionals care for dying residents, although the medical, the social/critical and the religious discourses attempt to speak against it. All positions articulate that the professional caregivers' job has a low status and that it is not possible to provide an optimal care due to lack of time, resources and education. Psychical or mental demands make the professionals vulnerable. The meaning of optimal care varies according to the positions of speech

AB - International studies on the death of elderly nursing home residents show the complexity in the understanding of the professionals who care for the dying. The aim of this study is to explore the discourses about professional caregivers caring for those dying in Denmark in the last decade. A discourse analysis inspired by Foucault was constructed. The material consists of different source documents: research articles, newspaper articles, theses, books, websites - 35 sources in total. There are constructed six positions of speech, five discourses and three themes: (1) 'the work of the professional caregivers - a complex low-status work'; (2) 'the education of the professionals - the way to ensure a good death or possessing the right qualifications' and (3) 'the vulnerable professionals'. The study concludes that an economical/political discourse is dominating and sets up the frames within which the professionals care for dying residents, although the medical, the social/critical and the religious discourses attempt to speak against it. All positions articulate that the professional caregivers' job has a low status and that it is not possible to provide an optimal care due to lack of time, resources and education. Psychical or mental demands make the professionals vulnerable. The meaning of optimal care varies according to the positions of speech

KW - terminal care

KW - nursing homes

KW - Denmark

KW - health professionals

KW - discourse analysis

U2 - 10.1111/scs.12021

DO - 10.1111/scs.12021

M3 - Article

C2 - 23336738

VL - 27

SP - 983

EP - 993

JO - Scandinavian Journal of Caring Sciences

JF - Scandinavian Journal of Caring Sciences

SN - 1471-6712

IS - 4

ER -