%0 Journal Article
%T Discourses Reproducing Gender Inequities in Hospice Palliative Home Care
%A Carol McWilliam
%A Catherine Ward-Griffin
%A Kelli Stajduhar
%A Nisha Sutherland
%J Canadian Journal of Nursing Research
%@ 1705-7051
%D 2018
%R 10.1177/0844562118788239
%X As home is a site where gendered attitudes, beliefs, and practices are reproduced, it is imperative that policies and practices promote gender equity in end-of-life care at home. The purpose of this study was to critically analyze gender relations in the sociopolitical context of hospice palliative home care. Using a critical feminist perspective, we examined gender relations between and among clients with cancer, their family caregivers, and nurses in hospice palliative home care. Ethnographic methods of in-depth interviews (n£¿=£¿25), observations of home visits (n£¿=£¿9), and review of documents (n£¿=£¿12) were employed to expose gender (in)equities. This critical analysis sheds light on institutional discourses that reproduce gender inequities: discourses of difference and denial; discourses of individuality, autonomy, and choice; and discourses of efficiency, objectivity, and rationality. Although gender was discounted, these neoliberal discourses reinforced traditional gender relations. Neoliberal discourses frame health and health-care experiences as resulting primarily from individual behaviors and biomedical factors, permitting health-care providers and policy makers to overlook power relations and the sociopolitical forces that obscure gender inequities. A critical perspective is needed to consider how social structures significantly shape everyday gendered experiences in hospice palliative home care
%K Gender inequities
%K hospice palliative home care
%K critical feminist study
%K neoliberal discourses
%U https://journals.sagepub.com/doi/full/10.1177/0844562118788239