TY - JOUR
T1 - A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community
AU - Standing, Holly
AU - Patterson, Becca
AU - Dalkin, Sonia
AU - Exley, Catherine
AU - Brittain, Katie
N1 - Funding Information:
This paper summaries independent research funded by Connected Health Cities ( CHC ). The views expressed are those of the authors and not necessarily those of CHC.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - 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.
AB - 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.
KW - United Kingdom
KW - Advance care planning
KW - End-of-life
KW - Boundaries
KW - Palliative Care
UR - http://www.scopus.com/inward/record.url?scp=85091987656&partnerID=8YFLogxK
U2 - 10.1016/j.socscimed.2020.113300
DO - 10.1016/j.socscimed.2020.113300
M3 - Article
SN - 0277-9536
VL - 266
JO - Social Science and Medicine
JF - Social Science and Medicine
M1 - 113300
ER -