Values of lay and professional care : an interpretive enquiry
Values of lay and professional care : an interpretive enquiry
Values of care are dynamic and complex which prompted this enquiry to seek answers to 'What are the lay and professional values of care in the context of motor neurone disease and is there a difference between them which affects care delivery and receipt"? Motor neurone disease is a devastating terminal condition with no cure. Care is then the only option, which sharpens the need for its examination and clarification.
This report presents a phenomenological hermeneutic study which investigates lay and professional values of care, situated in the world of six people with motor neurone disease, six lay carers and a team of nine professional carers. The interpretative enquiry enables their lived experiences to be voiced, heard and recorded. Application of Heidegger's phenomenology and Gadamer's hermeneutics supports a clear decision trail of the interpretative-analytical process. Illustrations of receipt and delivery of care are presented through interpreted narratives from the participants, together with insight into the researcher's prejudices.
The study discovers three ways of caring, with most significant between the two lay groups. The professional carer stance is predominantly functional and illustrates detachment from the experience of living with illness whereas the recipients' needs are holistic. These two value structures, the mechanistic and the hermeneutic are in tension. To redress this imbalance, support for a dispositional shift in professional values is advocated. Education is a key component for this change and four groups of supportive professional learning recommendations are proposed. These are located in the domains of the philosophical/ontological, relational, ethical and trajectory of disease to influence professional curricula for greater alignment with client need.
University of Southampton
Clarke, Janice Barbara
dc28bcbf-ac0d-4e07-a499-7430402d3aa4
2000
Clarke, Janice Barbara
dc28bcbf-ac0d-4e07-a499-7430402d3aa4
Clarke, Janice Barbara
(2000)
Values of lay and professional care : an interpretive enquiry.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Values of care are dynamic and complex which prompted this enquiry to seek answers to 'What are the lay and professional values of care in the context of motor neurone disease and is there a difference between them which affects care delivery and receipt"? Motor neurone disease is a devastating terminal condition with no cure. Care is then the only option, which sharpens the need for its examination and clarification.
This report presents a phenomenological hermeneutic study which investigates lay and professional values of care, situated in the world of six people with motor neurone disease, six lay carers and a team of nine professional carers. The interpretative enquiry enables their lived experiences to be voiced, heard and recorded. Application of Heidegger's phenomenology and Gadamer's hermeneutics supports a clear decision trail of the interpretative-analytical process. Illustrations of receipt and delivery of care are presented through interpreted narratives from the participants, together with insight into the researcher's prejudices.
The study discovers three ways of caring, with most significant between the two lay groups. The professional carer stance is predominantly functional and illustrates detachment from the experience of living with illness whereas the recipients' needs are holistic. These two value structures, the mechanistic and the hermeneutic are in tension. To redress this imbalance, support for a dispositional shift in professional values is advocated. Education is a key component for this change and four groups of supportive professional learning recommendations are proposed. These are located in the domains of the philosophical/ontological, relational, ethical and trajectory of disease to influence professional curricula for greater alignment with client need.
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Published date: 2000
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Local EPrints ID: 464150
URI: http://eprints.soton.ac.uk/id/eprint/464150
PURE UUID: d6acb40d-895d-4fa3-8c08-098480ecce1f
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Date deposited: 04 Jul 2022 21:21
Last modified: 16 Mar 2024 19:18
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Author:
Janice Barbara Clarke
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