A Hospice in Change: Applied Social Realist Theory reports upon a
study into aspects of the ways in which structural and
organisational developments, professional cultures and 'bedside' or
patient focused clinical practice interact within a single UK
institution. While the findings of this study are time and context
specific, the events and social processes being described may
nonetheless resonate closely with the experience of healthcare
practitioners at other hospices both within and without the UK. The
work examines themes and ideas that hospice and palliative care
practitioners, as well as those involved or interested more broadly
in 'end of life issues', may find relevant. It is argued that
differential morphogenesis can be identified between structures
(social and cultural) and agents (individual and group) at an
independent healthcare charity in southern England. A Hospice in
Change connects theory and philosophy with concrete research
practice to provide a worked example of Margaret Archer's realist
social theory.
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