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A Qualitative Study on Nudging and Palliative Care: “An Attractive but Misleading Concept”

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  • Ludovica De Panfilis

    (Bioethics Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy)

  • Carlo Peruselli

    (Palliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy)

  • Giovanna Artioli

    (Palliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy)

  • Marta Perin

    (Bioethics Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy
    PhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, 41121 Modena, Italy)

  • Eduardo Bruera

    (Department of Palliative, Rehabilitation, & Integrative Medicine, UT MD Anderson Cancer Center, Houston, TX 77030, USA)

  • Kevin Brazil

    (School of Nursing and Midwifery, Queen’s University Belfast, Belfast BT9 7BL, UK)

  • Silvia Tanzi

    (Palliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy)

Abstract

The debate about the ethical decision-making process in the healthcare context has been enriched with a theory called “nudging”, which has been defined as the framing of information that can significantly influence behaviour without restricting choice. The literature shows very limited data on the opinion and experience of palliative care healthcare professionals on the use of nudging techniques in their care setting. The aim of this study is to explore the beliefs of experienced palliative care professionals towards nudging. We performed a qualitative study using textual data collected through a focus group. It was audio-recorded, and the transcripts were subjected to a thematic analysis. It was performed within an oncological research hospital with a small and multidisciplinary group of healthcare professionals specialised in PC. Participants reported two overarching positions grounded in two main themes: (1) translating nudging in the PC setting and (2) towards a neutral space. The participants found few justifications for the use of nudging in the PC field, even if it can be very attractive and reassuring. Participants also expressed concerns about the excessive risk of developing pure paternalism.

Suggested Citation

  • Ludovica De Panfilis & Carlo Peruselli & Giovanna Artioli & Marta Perin & Eduardo Bruera & Kevin Brazil & Silvia Tanzi, 2021. "A Qualitative Study on Nudging and Palliative Care: “An Attractive but Misleading Concept”," IJERPH, MDPI, vol. 18(18), pages 1-8, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9575-:d:633435
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    References listed on IDEAS

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    1. Cass R. Sunstein & Richard H. Thaler, 2003. "Libertarian paternalism is not an oxymoron," Conference Series ; [Proceedings], Federal Reserve Bank of Boston, vol. 48(Jun).
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