Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1027

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: The use of technology in cancer care: applying Foucault's ideas to explore the changing dynamics of power in health care
Authors: Forbat, Liz
Maguire, Roma
McCann, Lisa Ann
Cunningham, Nicola
Kearney, Nora
Contact Email: elizabeth.forbat@stir.ac.uk
Keywords: cancer care, Foucault, health care, nursing, power, technology
Issue Date: Feb-2009
Publisher: Wiley-Blackwell
Citation: Forbat L, Maguire R, McCann LA, Cunningham N & Kearney N (2009) The use of technology in cancer care: applying Foucault's ideas to explore the changing dynamics of power in health care, Journal of Advanced Nursing, 65 (2), pp. 306-315.
Abstract: Title. The use of technology in cancer care: applying Foucault’s ideas to explore the changing dynamics of power in health care. Aim. This study is a report to identify the utility of a hand-held side-effect monitoring system for people receiving chemotherapy in the home care setting. Background. Increasingly, health care is being provided in people’s own homes and communities rather than in hospitals. This has driven the development of technologies which support patients in the home environment. The meaning of such technologies can be explored from a Foucauldian perspective to shed light on how they enable new forms of medical surveillance. Method. An intervention study was performed in 2006 using new technologies for people receiving chemotherapy. Questionnaires were completed by 56 people affected by cancer who used the new technology; 12 of these people were then interviewed. Secondary analysis of the interview data is presented in this paper, drawing on Foucault’s writing about surveillance and power in medical settings. Findings. The interview transcripts contain numerous examples of people affected by cancer reflecting on issues such as power and surveillance in cancer care. While these terms are ordinarily considered to reflect negative elements of care, they were used by participants in an empowering manner. Conclusion. Theoretical insights can help nurses to think critically about the advances of technology. In particular, there are implications for how nurses consider the relationship of technology to patients and for power dynamics in healthcare relationships. We suggest that there is a need to problematize and celebrate the growth of technologically-driven health surveillance.
Type: Journal Article
URI: http://hdl.handle.net/1893/1027
DOI Link: http://dx.doi.org/10.1111/j.1365-2648.2008.04870.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Cancer Care Research Centre
Cancer Care Research Centre
Cancer Care Research Centre
HS Health - Stirling
HS Research - Stirling

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