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Health Care Relationships in Context

An Analysis of Three Ethnographies

Bibliographic Data

ID4633806
AuthorsC Varcoe (0000-0001-9090-2793, University of Victoria), Patricia Rodney (0000-0002-3342-5836, University of Victoria, British Columbia, Canada.), Janice Mccormick (University of Victoria, British Columbia, Canada.)
Year2003
Volume13
Issue7
Pages957-973
Publication date2003-09-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732303253483
PMID14502961
OpenAlexW2130066458
LanguageEN
Citations received15
References cited35

A qualitative meta-analysis of three ethnographic studies conducted by the original investigators of those studies yielded new understandings of the dynamics of health care relationships in context. Through this analysis, the authors show that moral judgments and decision making in health care are highly relational and contextual. The use of power to compel health care providers and patients to comply with organizational practices is shown as fundamental to organizational functioning, and nurses participate in activities that often perpetuate conditions that contribute to their own moral distress. Furthermore, resistant actions often operate to sustain the practice patterns and ideologies being resisted. The authors call for an understanding of moral distress as relational and for collective strategies to counter practices that thwart ethical practice

Distress · Ethnography · Health care · Ideology · Political science · Psychotherapist · Public relations · Qualitative research · Social science · Sociology · Ethics in medical practice · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology · Social Psychology

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Citations per year0.65
Citation span2003 - 2024 (22)
Highly citedNo

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