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Sjuksköterskors erfarenheter av att lägga in perifert inlagd central venkateter (PICC) på patienter i palliativ vård i hemmiljö
University West, Department of Health Sciences, Section for nursing - graduate level.
University West, Department of Health Sciences, Section for nursing - graduate level.
2021 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses’ experiences of inserting a peripherally inserted central catheter (PICC) on patients in palliative care in a home environment (English)
Abstract [sv]

Bakgrund: Många patienter väljer att vårdas i sitt hem den sista tiden i livet. Antalet patienter i palliativ vård i hemmiljö ökar och mer avancerad behandling erbjuds i hemmet. Patienter som erhåller palliativ vård i hemmet har ofta ett behov av en central infart för att kunna få läkemedel, infusion eller att ta blodprover i syfte att minska vårdlidande.

Syfte: Syftet med denna studie var att belysa sjuksköterskors erfarenheter av inläggning av perifert inlagd central venkateter (PICC) på patienter i palliativ vård i hemmiljö.

Metod: I studien användes en konventionell innehållsanalys med induktiv ansats för att analysera de sex genomförda semistrukturerade intervjuerna.

Resultat: Resultatet presenteras i tre kategorier med tillhörande nio underkategorier. De tre kategorierna var: behov av formell och reell kompetens, förberedelser inför och under genomförande samt utvärdering av inläggning av PICC. De nio underkategorierna som framkom var: att ha erfarenhet av att lägga in PICC, att vara kreativ, att ha kännedom om patientens hälsotillstånd, att det finns materiella resurser, att samarbeta med andra vårdenheter, att arbeta i hemmet är en utmaning för arbetsmiljö, att kunna avsätta tid, att risk finns för komplikationer samt att registrera antalet inlagda PICC. Informanternas tidigare erfarenheter av att lägga in PICC på sjukhus var en förutsättning för att kunna lägga in PICC hemma hos en patient. Att vara förberedd genom att ha kunskap om patientens tillstånd var viktigt. Att arbeta i någons hem krävde kreativitet för att lösa situationer och problem som kunde uppstå. Utvärdering av komplikationer skedde fortlöpande. 

Slutsats: Resultatet visade att informanternas förvärvade erfarenheter av inläggning av PICC i slutenvården under det tidigare yrkeslivet låg till grund för en lyckad inläggning av PICC på patienter i palliativ vård i deras hem, men att det krävdes noggranna förberedelser inför ingreppet. Komplikationer efter inläggning var få.

Abstract [en]

Background: Many patients choose to be in their home during the final time of their lives. The number of patients in palliative care in the home environment is increasing and more advanced treatment can be offered at home. Patients who receive palliative care at home often have a need for a central line to receive medication, infusion, or to take blood samples.

Aim: The aim of the study was to shed light on nurses' experiences of inserting a peripherallyinserted central catheter (PICC) on patients in palliative care in a home environment.  

Method: A conventional content analysis with an inductive approach to analyze the six semi-structured interviews was used. 

Results: The results were presented in three categories with nine subcategories. The three categories are: need for formal and prior competence, preparations for and during implementation and evaluation of insertion of PICC. The nine sub-categories that emerged were: to have experience of inserting PICC, to be creative, to have knowledge of the patient's health condition, that there are material resources, to collaborate with other care units, to work at home is a challenge for the work environment, to be able to set aside time, that there is risk for complications and to register the number of PICCs inserted. Informants' previous experiences of inserting PICCs in hospitals were a prerequisite for being able to insert PICCs at patient's home. Being prepared by having knowledge of the patient's condition as well as the home environment was important. Working in someone´s home required creativity to handle situations and problems that may arise. Evaluation of complications took place continuously.

Conclusion. The results showed that the informants' acquired experiences of inserting PICC in inpatient care during their previous professional life were the basis for successful insertions of PICC:s to patients in palliative are in their homes, but careful preparations were required before the procedure. 

Place, publisher, year, edition, pages
2021. , p. 25
Keywords [en]
conventional content analysis, experiences, home environment, nurse, peripherally inserted central catheter, suffering from care
Keywords [sv]
 erfarenheter, hemmiljö, konventionell innehållsanalys, perifert inlagd central venkateter, sjuksköterska, vårdlidande
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-16907Local ID: EXD800OAI: oai:DiVA.org:hv-16907DiVA, id: diva2:1582840
Subject / course
Nursing science
Educational program
Specialist nursing programme
Supervisors
Examiners
Available from: 2021-08-23 Created: 2021-08-04 Last updated: 2021-08-23Bibliographically approved

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