Making Sense of Gender Inequities in Hospice Palliative Home Care

Yakimchuk, Emily

doi:10.1177/0844562118823368

Cited by 2 publications

(2 citation statements)

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“…Some studies point at the relevance of the gender of the evaluator [ 29 , 44 ], even indicating that women with heart attacks have higher mortality rates when treated by male doctors. Additionally, female doctors use a closer communicative style and female nurses spend much more time than male nurses interacting with patients [ 45 , 46 , 47 ]. Lastly, we are still constrained by gender binarism, where the gold standard is male.…”

Section: Discussionmentioning

confidence: 99%

Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model

Busquet-Duran

Moreno-Gabriel

Jiménez-Zafra

et al. 2021

IJERPH

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This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of “practice” OR = 1.544 (1.25–1.90 p = 0.000) and “transcendence” OR = 1.52 (1.16–1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs.

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Section: Discussionmentioning

confidence: 99%

Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model

Busquet-Duran

Moreno-Gabriel

Jiménez-Zafra

et al. 2021

IJERPH

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“…Yet another example is that while nurses are recognized as professional evaluators and providers of assisted dying in Canada (Dierckx de Casterlé, 2006; Pesut et al, 2020), the LORE does not even mention the role of these professionals. Upon digging deeper into these sociocultural differences, it becomes clear that there are significant gender differences in how people face death (Yakimchuk, 2019). Women are more likely to provide advance directives and request that life-prolonging treatments be discontinued (Antolín et al, 2014; Fletcher et al, 2013; Saeed et al, 2018; Smets et al, 2012), while men are more greatly associated with continuous palliative sedation and euthanasia (van Deijck et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Implementation of Assisted Dying in Catalonia: Impact on Professionals and Development of Good Practices. Protocol for a Qualitative Study

Verdaguer

Vallès-Peris

Busquet-Duran

et al. 2023

International Journal of Qualitative Methods

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The approval of the Spanish Law for the Regulation of Euthanasia in March 2021 entails a profound social change that has direct implications for professional practice at all levels of care. There is no information available about the experiences of the professionals participating in the process of implementing the law in our country, nor any guide as to what might represent good practices in euthanasia in the context of the Mediterranean countries. Due to the complexity of the concepts often associated with assisted dying processes (such as suffering, dignity and moral compass), it is essential that systematic and detailed research be conducted on how professionals understand their experiences of euthanasia, and that it be conducted during the initial stages. We intend to carry out a qualitative study with a constructionist orientation to gain insight to the social constructs underlying professionals’ initial experiences. It consists of a series of in-depth interviews conducted in two phases: the first being exploratory and the second phenomenological. Sampling will be purposive and substantiated and have the following variation criteria: profession, age, and gender. Participants will be recruited through the Guarantee and Review Commission of Catalonia, and the scope of the study is all of Catalonia. We expect the participation of 31 professionals. The research will be conducted by a multidisciplinary team with the direct participation of researchers from different levels of healthcare, university research centers and civil society through all phases of the study. The expected results are: (a) A detailed description of the experiences of the professionals involved in the implementation of the law; and (b) The identification of the foundations for a guide to good practices in euthanasia in the Mediterranean setting.

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Making Sense of Gender Inequities in Hospice Palliative Home Care

Cited by 2 publications

References 1 publication

Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model

Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model

Implementation of Assisted Dying in Catalonia: Impact on Professionals and Development of Good Practices. Protocol for a Qualitative Study

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