Purpose

The purpose of this study is to examine the way in which the theoretical construct of liminality contributes to understanding the process of dying of cancer from the perspective of patients, carers and professionals in a state-run organization undergoing privatization.

Design/methodology/approach

Qualitative interviews were held with 13 patients and their carers and two focus groups with eight physiotherapists and occupational therapists. Data were analysed from the perspective of liminality for all three actors: patients, carers and health professionals.

Findings

The theoretical construct of liminality was useful for understanding the lived experience of patients and their carers. However, a major finding of this study reveals that health professionals operated in a dual space as both managers of the ritual process and individuals undergoing a liminal journey as their organization underwent transformation or restructure. Clients and carers had little knowledge of these tensions.

Research limitations/implications

The findings are limited by the fact that the interviews did not directly ask questions about the restructure of the organization.

Social implications

It would appear that professionals provide quality care despite their own struggles in moving from one organizational form to another

Originality/value

Few studies have explored the liminal rituals of dying at home that outline how professionals, as managers of the process, deal with their own liminal issues.

中文翻译：

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管理犯罪：组织变革期间的专业护理

目的

这项研究的目的是从国有化组织中进行私有化的患者，护理人员和专业人员的角度，研究刑法学的理论建构对理解癌症死亡过程的贡献。

设计/方法/方法

对13位患者及其护理人员进行定性访谈，并与8位物理治疗师和职业治疗师进行了两个焦点小组的访谈。从罪犯的角度分析了所有三个方面的数据：患者，护理人员和卫生专业人员。

发现

合法性的理论构架对于理解患者及其护理人员的生活经验很有用。但是，这项研究的主要发现表明，卫生专业人员在仪式空间的管理者和组织进行转型或重组的过程中都处于双重境地，既是仪式程序的管理者，也是个人。客户和看护者对这些紧张关系一无所知。

研究局限/意义

由于访谈没有直接询问有关组织重组的事实，因此调查结果受到了限制。

社会影响

尽管他们为从一种组织形式转变为另一种组织形式而付出了自己的努力，但看来专业人员仍可提供优质的护理。

创意/价值

很少有研究探讨在家中死亡的基本仪式，概述了作为过程管理者的专业人员如何处理自己的基本问题。