About the project
In Norway, as in other Western countries, hospitals have become more specialized. The typical medical ward are organized to be highly effective and with a strong curative orientation. This may lead to a lack of interest in dying patients, and death being marginalized at the medical ward.
The aim of this study is to get insight into what the patient record impart about dying and death in medical wards. Contemporary values in end-of-life care stem from the modern hospice movement and palliative care. What characterizes a good death or a death with dignity is connected to values like individuality, participation, control and autonomy (Sandman, 2005; Saunders, 1998; Thoresen, 2003). Data material for our study is excerpts of 60 patient records from medical wards from three hospitals. I will explore how and what health professionals document in the patient record in the last days of patients’ life.
My methodological approach is a close reading with discourse analytical lens.
By this study, I will contribute with knowledge regarding how documentation approves or disproves the contemporary conception of a dignified death. Of particular interest and of ethical significance is what may appear as a conflict between the health professionals ‘objective’ presentation, and the patients' subjective experience and self-understanding (Engebretsen, 2006) in the last three to four days of life. The study is expected to be completed during spring 2020.
Master of Philosophy in Health Sciences from University of Oslo
- Eksistensielle perspektiver og eksistensiell kompetanse i profesjonell praksis at VID Specialized University