Issues of concern to hospice personnel: Results of a hospice opinion poll

Wilkinson, H. Jean; MacDonald, Douglas; Pilz, Laura

doi:10.1177/104990919000700418

American Journal of Hospice Care

1990

DOI: 10.1177/104990919000700418

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Issues of concern to hospice personnel: Results of a hospice opinion poll

H. Jean Wilkinson

Douglas MacDonald²,

Laura Pilz³

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A Spiritual Response to the Challenge of Routinization: A Dialogue of Discourses in a Buddhist-Initiated Hospice

McGrath

1998

Qual Health Res

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The hospice vision of providing democratic and humane care of the dying needs to be operationalized in the "real world" of health care bureaucracies. It is at this interface between idealists and the demands of mainstream health care that hospice organizations experience compromise, diversion, and an ongoing threat to their singleness of purpose. This discussion explores this process of routinization through research findings on a hospice organization known as Karuna Hospice Service (KHS). Such findings suggest that, although this hospice inevitably defers to the bureaucratic demands of the system, KHS's spiritual discourse does offer some protection to the formalizing and dehumanizing demands of routinization. Such research findings are provided as a contribution to exploring and documenting the ways in which hospices are negotiating this difficult and important ideological challenge. It is argued that effectively meeting such a challenge is of central importance for the survival of the hospice movement.

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A Spiritual Response to the Challenge of Routinization: A Dialogue of Discourses in a Buddhist-Initiated Hospice

McGrath

1998

Qual Health Res

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Hospice development: Insights from four models

MacDonald¹

1991

Am J Hosp Palliat Care

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The struggle for the soul of hospice: Stress, coping, and change among hospice workers

DiTullio

MacDonald²

1999

Am J Hosp Palliat Care

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This article reports preliminary findings from an ongoing study of occupational stress, coping, and change among employees at a hospice in New York state. The study sought to identify those aspects of hospice work that direct-service and middle-management staff considered unique and rewarding, and also to examine those conditions that created problematic levels of stress. A qualitative methodology was employed, based on heuristic principles of grounded theory and action research. Techniques included field observation and participation, 38 semi-structured interviews, and group discussion and review of data by research participants. The authors elaborate upon established models of occupational stress and coping, and identify hospice-specific stressors and resources for coping. The research highlights "support" as a critically important, multidimensional element for successful coping. A re-examination and reinterpretation of "coping" as it applies to stress in hospice work is suggested.

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Issues of concern to hospice personnel: Results of a hospice opinion poll

Cited by 3 publications

References 12 publications

A Spiritual Response to the Challenge of Routinization: A Dialogue of Discourses in a Buddhist-Initiated Hospice

A Spiritual Response to the Challenge of Routinization: A Dialogue of Discourses in a Buddhist-Initiated Hospice

Hospice development: Insights from four models

The struggle for the soul of hospice: Stress, coping, and change among hospice workers

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