Hope Work in the Care of Seriously Ill Patients
Hope Work in the Care of Seriously Ill Patients
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希望工作致力于重症患者的护理
DOI：
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发表时间：
1991
期刊：
影响因子：
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通讯作者：
A. Perakylà
中科院分区：
文献类型：
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作者：
A. Perakylà
通过互动的做法，工作人员和患者塑造他们的医疗身份时，病人在医院濒临死亡，在这篇文章中被审查。一种重复的“对话”活动，即根据情况的希望来解释患者和工作人员的医疗身份，被识别和定义为“希望工作”。希望工作有三种变体：在治疗性希望工作中，患者被定义为“好转”；在姑息性希望工作中，他或她被定义为“感觉更好”；在粉碎希望的工作中，患者被定义为“过去的康复”。“当不同方面采用不同类型的希望工作时，冲突就会出现。希望工作的所有变体都与维护与患者死亡有关的药物的合法性有关。
The interactional practices through which staff members and patients shape their medical identities as the patient approaches death in hospital are examined in this article. A recurrent conversational "Activity, whereby the medical identities of the patient and the staff are explicated in terms of the hopefulness of the situation, is identified and defined as "hope work." Hope work has three variants: in curative hope work, the patient is defined as "getting better"; in palliative hope work, he or she is defined as "feeling better"; and in the work to dismantle hope, the patient is defined as being "past recovery. " Conflicts arise when different parties employ different types of hope work. All variants of hope work are linked to the maintenance of the legitimacy of medicine in relation to the death of the patients.