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  • AAM_Nagington_Nursing_Philosphy_2015

    Rights statement: This is the peer reviewed version of the following article: Nagington, M., Walshe, C. and Luker, K. A. (2015), A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses. Nursing Philosophy. doi: 10.1111/nup.12099 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/nup.12099/abstract This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

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    Available under license: CC BY: Creative Commons Attribution 4.0 International License

  • Nagington_et_al-2015-Nursing_Philosophy

    Rights statement: © 2015 The Authors. Nursing Philosophy Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. Nagington, M., Walshe, C. and Luker, K. A. (2016), A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses. Nursing Philosophy, 17: 59–70. doi: 10.1111/nup.12099

    Final published version, 92 KB, PDF-document

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses

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A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses. / Nagington, Maurice; Walshe, Catherine; Luker, Karen.

In: Nursing Philosophy, Vol. 17, No. 1, 01.2016, p. 59-70.

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@article{b8a86b14c48e43a6a3c9fbae9b65e8d1,
title = "A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses",
abstract = "Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of ‘plugged in’ as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care",
keywords = "technology, district nursing, home care nursing, poststructural, palliative care, ethics",
author = "Maurice Nagington and Catherine Walshe and Karen Luker",
note = "This is the peer reviewed version of the following article:Nagington, M., Walshe, C. and Luker, K. A. (2016), A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses. Nursing Philosophy, 17: 59–70. doi: 10.1111/nup.12099 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/nup.12099/abstract This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.",
year = "2016",
month = "1",
doi = "10.1111/nup.12099",
language = "English",
volume = "17",
pages = "59--70",
journal = "Nursing Philosophy",
issn = "1466-7681",
publisher = "Wiley-Blackwell",
number = "1",

}

RIS

TY - JOUR

T1 - A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses

AU - Nagington, Maurice

AU - Walshe, Catherine

AU - Luker, Karen

N1 - This is the peer reviewed version of the following article:Nagington, M., Walshe, C. and Luker, K. A. (2016), A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses. Nursing Philosophy, 17: 59–70. doi: 10.1111/nup.12099 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/nup.12099/abstract This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

PY - 2016/1

Y1 - 2016/1

N2 - Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of ‘plugged in’ as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care

AB - Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of ‘plugged in’ as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care

KW - technology

KW - district nursing

KW - home care nursing

KW - poststructural

KW - palliative care

KW - ethics

U2 - 10.1111/nup.12099

DO - 10.1111/nup.12099

M3 - Journal article

VL - 17

SP - 59

EP - 70

JO - Nursing Philosophy

JF - Nursing Philosophy

SN - 1466-7681

IS - 1

ER -