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

Abstract Background Acute 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 ca...

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Autores principales:	Maria Friedrichsen, Yvonne Hajradinovic, Maria Jakobsson, Kerstin Brachfeld, Anna Milberg
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Palliative care consultation team Organisational culture End-of-life care Acute wards Hospital Special situations and conditions RC952-1245
Acceso en línea:	https://doaj.org/article/bebb0deae5b4449685a5220824413769
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spelling	oai:doaj.org-article:bebb0deae5b4449685a52208244137692021-11-21T12:08:08ZCultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards10.1186/s12904-021-00877-11472-684Xhttps://doaj.org/article/bebb0deae5b4449685a52208244137692021-11-01T00:00:00Zhttps://doi.org/10.1186/s12904-021-00877-1https://doaj.org/toc/1472-684XAbstract Background Acute 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. Purpose To 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. Methods An 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. Results Three themes were found: 1) Anticipations meets reality; 2) Valuation of time and prioritising; and 3) The content and creation of palliative care. Conclusion There 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.Maria FriedrichsenYvonne HajradinovicMaria JakobssonKerstin BrachfeldAnna MilbergBMCarticlePalliative care consultation teamOrganisational cultureEnd-of-life careAcute wardsHospitalSpecial situations and conditionsRC952-1245ENBMC Palliative Care, Vol 20, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Palliative care consultation team Organisational culture End-of-life care Acute wards Hospital Special situations and conditions RC952-1245
spellingShingle	Palliative care consultation team Organisational culture End-of-life care Acute wards Hospital Special situations and conditions RC952-1245 Maria Friedrichsen Yvonne Hajradinovic Maria Jakobsson Kerstin Brachfeld Anna Milberg Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
description	Abstract Background Acute 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. Purpose To 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. Methods An 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. Results Three themes were found: 1) Anticipations meets reality; 2) Valuation of time and prioritising; and 3) The content and creation of palliative care. Conclusion There 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.
format	article
author	Maria Friedrichsen Yvonne Hajradinovic Maria Jakobsson Kerstin Brachfeld Anna Milberg
author_facet	Maria Friedrichsen Yvonne Hajradinovic Maria Jakobsson Kerstin Brachfeld Anna Milberg
author_sort	Maria Friedrichsen
title	Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
title_short	Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
title_full	Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
title_fullStr	Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
title_full_unstemmed	Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
title_sort	cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bebb0deae5b4449685a5220824413769
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Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards

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