Quality care as ethical care:a poststructural analysis of palliative and supportive district nursing care

Nagington, Maurice and Walshe, Catherine and Luker, Karen (2016) Quality care as ethical care:a poststructural analysis of palliative and supportive district nursing care. Nursing Inquiry, 23 (1). pp. 12-23. ISSN 1440-1800

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Quality of care is a prominent discourse in modern health-care and has previously been conceptualised in terms of ethics. In addition, the role of knowledge has been suggested as being particularly influential with regard to the nurse–patient–carer relationship. However, to date, no analyses have examined how knowledge (as an ethical concept) impinges on quality of care. Qualitative semi-structured interviews were conducted with 26 patients with palliative and supportive care needs receiving district nursing care and thirteen of their lay carers. Poststructural discourse analysis techniques were utilised to take an ethical perspective on the current way in which quality of care is assessed and produced in health-care. It is argued that if quality of care is to be achieved, patients and carers need to be able to redistribute and redevelop the knowledge of their services in a collaborative way that goes beyond the current ways of working. Theoretical works and extant research are then used to produce tentative suggestions about how this may be achieved.

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Journal Article
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Nursing Inquiry
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© 2015 The Authors Nursing Inquiry Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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21 Jul 2015 08:32
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19 Oct 2023 10:23