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Centre for Policy on Ageing | |
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| The institutionalization of the good death | | Author(s) | Beverley McNamara, Charles Waddell, Margaret Colvin |
| Journal title | Social Science and Medicine, vol 39, no 11, 1994 |
| Pages | pp 1501-1508 |
| Keywords | Death ; Dying ; Attitude ; Nurses ; Terminal care ; Australia. |
| Annotation | There has been concern in the UK and North America that the increasing institutionalisation of hospice care may compromise the movement's founding ideals. This study uses Australian data based on interviews with nurses and participant observation in an in-patient hospice unit and a community-based hospice service, to investigate whether the "good death" ideal, as central to the hospice philosophy, is compatible with the institutionalisation of hospice care. Five challenges to the philosophy of hospice care are identified: encroachment of mainstream medicine and the medical technical imperative to treat; competing motivations; delineation of intellectual structures; organisational maintenance; and routinisation of the "good death". This conceptual framework is based on the way in which nurses and other health care professionals have used shared logic and strategies to negotiate the daily demands of their work, and illustrate the tension that arises between maintaining the ideal and maintaining the organisation. (RH). |
| Accession Number | CPA-010606216 A |
| Classmark | CW: CX: DP: QTE: LV: 7YA * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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