Exploring the process of care for people who inject drugs in hospital settings.
Saved in:
| Title: | Exploring the process of care for people who inject drugs in hospital settings. |
|---|---|
| Authors: | Calvert, Sara (AUTHOR), Goldszmidt, Mark (AUTHOR), Liu, Lisa (AUTHOR), Burm, Sarah (AUTHOR), Cristancho, Sayra (AUTHOR), Torti, Jacqueline (AUTHOR), Sukhera, Javeed (AUTHOR) |
| Source: | Drugs: Education, Prevention & Policy. Dec2023, Vol. 30 Issue 6, p583-592. 10p. |
| Subjects: | Evaluation of medical care, Hospitals, Intravenous drug abuse, Grounded theory, Interviewing, Drug withdrawal symptoms, Medical care research, Qualitative research, Harm reduction, Quality assurance, Research funding, Participant observation, Patient compliance, Termination of treatment, Pain management |
| Geographic Terms: | Ontario |
| Abstract: | In recent years, hospitals have experienced alarming increases in admissions of people who inject drugs (PWID), which present unique challenges to the care process. Untangling the complexity of care can be difficult due to interactions that occur between human and non-human elements including hospital systems, policy, technology, time, and space. The purpose of this study was to explore relations between social and material elements within the acute care environment, to better understand how care is enacted and to identify novel approaches for improvement. Data collection and analysis utilized a practice-based approach informed by constructivist grounded theory and sociomaterial perspectives, which emphasized relationships between human and non-human elements. Data included observational field notes, interviews, and artifacts from 154 hours spent on acute medicine units of two hospitals in an urban setting in Ontario, Canada. Findings revealed that differing expectations, strained conversations, and various policies assembled to produce misalignments in care. Such misalignments included mistrust, suboptimal pain and withdrawal management, and frequent patient absences and/or discharge against medical advice. Care misaligned in ways that reflected both social and material elements, demonstrating a need for hospital staff and systems to challenge existing care models built around individual control and abstinence-informed practices. [ABSTRACT FROM AUTHOR] |
| Copyright of Drugs: Education, Prevention & Policy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | In recent years, hospitals have experienced alarming increases in admissions of people who inject drugs (PWID), which present unique challenges to the care process. Untangling the complexity of care can be difficult due to interactions that occur between human and non-human elements including hospital systems, policy, technology, time, and space. The purpose of this study was to explore relations between social and material elements within the acute care environment, to better understand how care is enacted and to identify novel approaches for improvement. Data collection and analysis utilized a practice-based approach informed by constructivist grounded theory and sociomaterial perspectives, which emphasized relationships between human and non-human elements. Data included observational field notes, interviews, and artifacts from 154 hours spent on acute medicine units of two hospitals in an urban setting in Ontario, Canada. Findings revealed that differing expectations, strained conversations, and various policies assembled to produce misalignments in care. Such misalignments included mistrust, suboptimal pain and withdrawal management, and frequent patient absences and/or discharge against medical advice. Care misaligned in ways that reflected both social and material elements, demonstrating a need for hospital staff and systems to challenge existing care models built around individual control and abstinence-informed practices. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 09687637 |
| DOI: | 10.1080/09687637.2022.2114875 |
