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Can equity in care be achieved for stigmatized patients? Discourses of ideological dilemmas in perioperative care
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-0680-9962
Umeå University, Faculty of Medicine, Department of Nursing.
Department of Social Work, Uppsala University, Uppsala, Sweden.
2024 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, no 1, article id 210Article in journal (Refereed) 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”.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 24, no 1, article id 210
Keywords [en]
Discourse psychology, Discrimination, Equity, Ideological dilemma, Perioperative care, Stigmatization, Weight bias
National Category
Nursing
Identifiers
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
Available from: 2024-03-19 Created: 2024-03-19 Last updated: 2024-03-19Bibliographically approved

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Härgestam, MariaLindgren, Lenita

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CiteExportLink to record
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