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I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård
University West, Department of Health Sciences, Section for nursing - undergraduate level.
2017 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
In the presence of death : Nurses´ experiences of meeting dying patients in palliative care (English)
Abstract [sv]

Att möta en människa i livets slutskede berör alla involverade både emotionellt och existentiellt. Trots den goda viljan att möta den döende människan på ett värdigt och hänsynsfullt kan det vara svårt att veta vilket tillvägagångssätt och bemötande som är det bästa.

Sjuksköterskor kan möta patienter inom palliativ vård på sjukhusavdelningar, hemsjukvård och på särskilda boenden. Mötet med patienter inom palliativ vård skapar känslor, dilemman och överväganden hos sjuksköterskor. Den palliativa vården är komplex som innefattar att se till den psykiska, fysiska, sociala samt andliga aspekten vilket kräver reflektion både på ett personligt- samt professionellt plan hos sjuksköterskor. Palliativ vård kan vara emotionellt utmanande som kräver att sjuksköterskan finner en balans mellan närhet och distans till patienten och närstående. Omgivning och samarbete bör fungera för att sjuksköterskan ska ha möjlighet att räcka till för patienten i livets slutskede vilket innefattar aspekter såsom omgivning, miljö, kollegor men även utveckling av kunskap och erfarenhet.

Abstract [en]

Background: Nurses meet patients in palliative care in different wards, in homecare and hospices. The role of the nurse is to provide patients and relatives with good care. A holistic care includes psychological, physical, social and spiritual needs.

Aim: The aim of the study was to highlight experiences of nurses meeting dying patients in palliative care.

Method: The method to contribute to an evidence-based care based on analysis of qualitative research as described by Friberg (2012) was chosen for the study. Ten scientific articles were analyzed and the result was three categories, with eight sub-categories.

Results: The three categories were: death leaves nobody untouched, relations in the shadow of death, and needs on the environment when death approaches. Nurses described their reactions and feelings in relation to the care of a patient in the palliative phase, emotions that both concern and strain. The relationships were important in palliative care, both with patients and relatives. Aspects such as environment, colleagues and knowledge were of importance to a nurse in palliative care.

Conclusion: Experiences to meet dying patients in palliative care were described as demanding, but also a privilege. It was considered important to include and to co-operate with the patients’ relatives. The colleagues were needed to provide a good care for the dying patient. Nurses reach security through continuous development of knowledge, experience and reflections.

Place, publisher, year, edition, pages
2017. , 23 p.
Keyword [en]
Death, experience, nurses, palliative care, terminally ill patients
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-10738Local ID: EXO502OAI: oai:DiVA.org:hv-10738DiVA: diva2:1075543
Subject / course
Nursing science
Educational program
Nursing Programme
Supervisors
Examiners
Available from: 2017-02-20 Created: 2017-02-20 Last updated: 2017-02-20Bibliographically approved

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