A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community

Standing, Holly, Patterson, Becca, Dalkin, Sonia, Exley, Catherine and Brittain, Katie (2020) A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community. Social Science & Medicine, 266. p. 113300. ISSN 0277-9536

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Official URL: https://doi.org/10.1016/j.socscimed.2020.113300

Abstract

This article critically examines how professional boundaries and hierarchies influence how end-of-life care is managed and negotiated between health and social care professionals. Our findings suggest there is uncertainty and lack of clarity amongst health and social care professionals regarding whose responsibility it is to engage, and document, the wishes of patients who are dying, which can lead to ambiguity in treatment decisions. We go on to explore the potential role of a new electronic system, designed to facilitate information sharing across professional boundaries, in shaping and bridging professional boundaries in the delivery of end-of-life care. We highlight potential negative impacts that may arise when health and social care groups are permitted varying levels of access to the system, and how this may be seen to reflect the value placed on their role in end-of-life care.

Item Type: Article
Uncontrolled Keywords: United Kingdom, Advance care planning, End-of-life, Boundaries, Palliative Care
Subjects: B700 Nursing
B900 Others in Subjects allied to Medicine
L400 Social Policy
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: John Coen
Date Deposited: 09 Oct 2020 09:01
Last Modified: 13 Oct 2020 14:45
URI: http://nrl.northumbria.ac.uk/id/eprint/44461

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