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- W2056571610 abstract "This paper examines the macrosociological and organisational conditions which impinge on those who are most directly involved in decisions about nursing home patients: kin, physicians and nursing staff. Focus is on the organisational-interaction interplay, through use of an ‘illness trajectory’ framework. This analysis sheds light on the differing effect of external and internal conditions on members of each group and on the work they are called upon to do in the care of nursing home patients. All of the actors are caught in a downward spiral: under the impact of the conditions described in this paper, kin, physicians and nursing staff come to accept their powerlessness to affect change; gradual diminution of expectations ensues, leading to an acceptance of a lower standard of care. This, in turn, has serious implications when patients develop an acute illness." @default.
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- W2056571610 date "1990-03-01" @default.
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- W2056571610 title "The uneasy fate of nursing home residents: an organisational-interaction perspective." @default.
- W2056571610 doi "https://doi.org/10.1111/1467-9566.ep10844893" @default.
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