Evers, Helen (1984) Patients' experiences and social relations in geriatric wards. PhD thesis, University of Warwick.

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Abstract

This thesis is based on research which aimed to describe and account
for patients' experiences in eight unexceptional examples of predominantly
long-stay geriatric wards, each in a different hospital.
Observational methods were used to document the experiences of
86 patients. Other data on ward work processes were drawn from
interviews with Ward Sisters and Consultants, written records and
informal conversations with ward participants. Data analysis was
based on the type and amount of inhumane treatment which patients
suffered. In focussing on inhumane treatment and developing a
systematic and non-emotive analysis of its origins, the research
breaks new ground.
Patients in all the wards experienced inhumane treatment, but
this varied in kind and quantity. It is shown that poor staffing
levels and heavy workload cannot by themselves account for the
inhumane treatment of patients which was observed. Instead, the
beliefs, work practices and interrelationships between Consultants
and Ward Sisters emerged as important. Where the work of long-term
care was viewed as a valuable and important task, there was
evidence of attempts to offer personalised care to patients. Where
long-term care was viewed as low-status work, an outcome of 'failure'
of the medical cure system, there was scant evidence of personal
attention to patients' needs.
The nature of inhumane treatment which was observed enables a
new perspective to be offered on what constitutes humane treatment
and how this might be reliably secured in practice. Eight practical
recommendations are made on the basis of research findings. Consideration
is also given to ways in which the innovatory social research
approach of documenting inhumane treatment might be further developed
and applied in practice by professionals seeking to monitor and
improve patients' experiences in geriatric wards.

Item Type:	Thesis or Dissertation (PhD)
Subjects:	H Social Sciences > HQ The family. Marriage. Woman R Medicine > R Medicine (General)
Library of Congress Subject Headings (LCSH):	Geriatrics, Hospital wards -- Great Britain -- Case studies, Older people -- Hospital care -- Great Britain
Official Date:	July 1984
Dates:	Date Event July 1984 Submitted
Institution:	University of Warwick
Theses Department:	Department of Sociology
Thesis Type:	PhD
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Stacey, Margaret
Sponsors:	Social Science Research Council (Great Britain)
Extent:	iii, 337 leaves
Language:	eng

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