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

Author

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  • Standing, Holly
  • Patterson, Rebecca
  • Dalkin, Sonia
  • Exley, Catherine
  • Brittain, Katie

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.

Suggested Citation

  • Standing, Holly & Patterson, Rebecca & Dalkin, Sonia & Exley, Catherine & 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, Elsevier, vol. 266(C).
    • Handle: RePEc:eee:socmed:v:266:y:2020:i:c:s0277953620305190
    DOI: 10.1016/j.socscimed.2020.113300
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    References listed on IDEAS

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    1. Grant, Suzanne & Guthrie, Bruce, 2018. "Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organisational routines," Social Science & Medicine, Elsevier, vol. 203(C), pages 43-50.
    2. Lewinsohn, Rachel, 1998. "Medical theories, science, and the practice of medicine," Social Science & Medicine, Elsevier, vol. 46(10), pages 1261-1270, March.
    3. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    4. Kimble, Chris & Grenier, Corinne & Goglio-Primard, Karine, 2010. "Innovation and knowledge sharing across professional boundaries: Political interplay between boundary objects and brokers," International Journal of Information Management, Elsevier, vol. 30(5), pages 437-444.
    5. Mackintosh, Nicola & Sandall, Jane, 2010. "Overcoming gendered and professional hierarchies in order to facilitate escalation of care in emergency situations: The role of standardised communication protocols," Social Science & Medicine, Elsevier, vol. 71(9), pages 1683-1686, November.
    6. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.
    7. Susan Leigh Star & Karen Ruhleder, 1996. "Steps Toward an Ecology of Infrastructure: Design and Access for Large Information Spaces," Information Systems Research, INFORMS, vol. 7(1), pages 111-134, March.
    8. Petrakaki, Dimitra & Klecun, Ela & Cornford, Tony, 2016. "Changes in healthcare professional work afforded by technology: the introduction of a national electronic patient record in an English hospital," LSE Research Online Documents on Economics 59475, London School of Economics and Political Science, LSE Library.
    9. Allen, Davina, 2009. "From boundary concept to boundary object: The practice and politics of care pathway development," Social Science & Medicine, Elsevier, vol. 69(3), pages 354-361, August.
    Full references (including those not matched with items on IDEAS)

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