Umeå University's logo

umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Can equity in care be achieved for stigmatized patients? Discourses of ideological dilemmas in perioperative care
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.ORCID-id: 0000-0003-0680-9962
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Department of Social Work, Uppsala University, Uppsala, Sweden.
2024 (engelsk)Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, nr 1, artikkel-id 210Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: In the perioperative care of individuals with obesity, it is imperative to consider the presence of risk factors that may predispose them to complications. Providing optimal care in such cases proves to be a multifaceted challenge, significantly distinct from the care required for non-obese patients. However, patients with morbidities regarded as self-inflicted, such as obesity, described feelings of being judged and discriminated in healthcare. At the same time, healthcare personnel express difficulties in acting in an appropriate and non-insulting way. In this study, the aim was to analyse how registered nurse anaesthetists positioned themselves regarding obese patients in perioperative care.

Methods: We used discursive psychology to analyse how registered nurse anaesthetists positioned themselves toward obese patients in perioperative care, while striving to provide equitable care. The empirical material was drawn from interviews with 15 registered nurse anaesthetists working in a hospital in northern Sweden.

Results: Obese patients were described as “untypical”, and more “resource-demanding” than for the “normal” patient in perioperative care. This created conflicting feelings, and generated frustration directed toward the patients when the care demanded extra work that had not been accounted for in the schedules created by the organization and managers.

Conclusions: Although the intention of these registered nurse anaesthetists was to offer all patients equitable care, the organization did not always provide the necessary resources. This contributed to the registered nurse anaesthetists either consciously or unconsciously blaming patients who deviated from the “norm”.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2024. Vol. 24, nr 1, artikkel-id 210
Emneord [en]
Discourse psychology, Discrimination, Equity, Ideological dilemma, Perioperative care, Stigmatization, Weight bias
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-221533DOI: 10.1186/s12913-024-10580-5ISI: 001163304600005PubMedID: 38360678Scopus ID: 2-s2.0-85185237227OAI: oai:DiVA.org:umu-221533DiVA, id: diva2:1845655
Tilgjengelig fra: 2024-03-19 Laget: 2024-03-19 Sist oppdatert: 2024-03-19bibliografisk kontrollert

Open Access i DiVA

fulltext(967 kB)23 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 967 kBChecksum SHA-512
74c76417757ba0bcf299f881599a6f315b0e741c442458c508cac4e9562178991438a94bf40f58b6c39ae8781e0f893288414df1f7aa7a4c98e455e7f8cca026
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Person

Härgestam, MariaLindgren, Lenita

Søk i DiVA

Av forfatter/redaktør
Härgestam, MariaLindgren, Lenita
Av organisasjonen
I samme tidsskrift
BMC Health Services Research

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 23 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 257 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf