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Communication about existential issues with patients close to death—nurses' reflections on content, process and meaning
Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden / Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Solna, Sweden.ORCID-id: 0000-0003-0976-531X
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2014 (Engelska)Ingår i: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 23, nr 5, s. 562-568Artikel i tidskrift, Editorial material (Refereegranskat) Published
Abstract [en]

Objective: Encountering dying patients with implicit existential questions requires the nurses to have positive and comfortable attitude to talking about existential issues. This paper describes the nurses' reflections on existential issues in their communication with patients close to death. Methods: Nurses (n=98) were recruited from a hospital, hospices and homecare teams. Each nurse participated in five group reflection sessions that were recorded, transcribed and analysed using qualitative content analysis. Results: Three domains and nine themes emerged. The content domain of the existential conversation covered living, dying and relationships. The process domain dealt with using conversation techniques to open up conversations, being present and confirming. The third domain was about the meaning of existential conversation for nurses. The group reflections revealed a distinct awareness of the value of sensitivity and supportive conversations. Conclusion: This study supports the assertion that experience of talking about existential issues and supporting environment make nurses comfortable when counselling patients close to death. It was obvious from this study that having the courage to be present and confirming, having time and not trying to 'solve' every existential problem were the most important factors in conversations with the patients close to death. © 2013 John Wiley & Sons, Ltd.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2014. Vol. 23, nr 5, s. 562-568
Nyckelord [en]
Communication, Counselling, End-of-life care, Existential, Hospice, Nurse
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Medicin
Identifikatorer
URN: urn:nbn:se:his:diva-8712DOI: 10.1002/pon.3456ISI: 000333767200010PubMedID: 24323829Scopus ID: 2-s2.0-84897980529OAI: oai:DiVA.org:his-8712DiVA, id: diva2:683145
Anmärkning

Correspondence Address: Strang, S.; Institute of Health and Care Sciences, University of Gothenburg, Box 457, SE-405 30 Gothenburg, Swedemail: susann.strang@gu.se

Tillgänglig från: 2014-01-02 Skapad: 2014-01-02 Senast uppdaterad: 2017-12-06Bibliografiskt granskad

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