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Distriktssköterskors erfarenheter av att vårda patienter i livets slutskede inom palliativ hemsjukvård: En intervjustudie
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
District nurse’s experiences of caring patients at the end of life in palliative home care : An interview study (English)
Abstract [sv]

När patienten önskar att få avsluta sitt liv i hemmet krävs det att den avancerade vården också flyttas till hemmet. Distriktssköterskor har övergripande omvårdnadsansvar inom palliativ hemsjukvård och kan uppleva etiska, moraliska och kommunikativa svårigheter. För en god palliativ omvårdnad krävs det att distriktssköterskor är engagerade, har erfarenhet och har avancerad kompetens inom palliativ vård. Syftet med denna studie är att belysa distriktssköterskors erfarenheter av att vårda patienter i livets slutskede inom palliativ hemsjukvård. Nio distriktssköterskor intervjuades. För att analysera data användes en kvalitativ innehållsanalys med induktiv ansats. Analysen resulterade i fyra teman med tillhörande åtta underteman. Teman benämns; Kunna samarbeta och samverka i vården, Kunna vårda anhöriga, Kunna hantera negativa känslor och Skapa en god vårdmiljö. Slutsatsen blev att, ett bra teamarbete är viktigt för distriktssköterskor men att ha olika vårdaktörer kan försvåra vårdarbetet. Det är viktigt för distriktssköterskor att kunna möta anhöriga och ta emot sorg då sorgen kunde komma som missnöje. Detta kan påverka vårdpersonalen negativt. Det är viktigt att distriktssköterskor får stöd vid känsla av otillräcklighet och känslomässiga reaktioner. Fortsatt forskning kan riktas ur anhörigas synvinkel för att kunna förstå anhörigas reaktioner.

Abstract [en]

When the patient wishes to die at their own home requires that the advanced care also moved to their home. District nurses have primary care responsibilities in palliative home care and may experience ethical, moral and communicative difficulties. For a good palliative care requires that district nurses is involved, have the experience and have advanced skills in palliative care. The purpose of this study is to illuminate district nurses' experiences of caring for patients in the final stage in palliative home care. Nine district nurses were interviewed. To analyze the data, a qualitative content analysis with an inductive approach was applied. The analysis resulted in four main themes with its eight sub- themes. Main themes titled; Being able to collaborate and cooperate in care, Being able to care for relatives, Being able to manage negative emotions and Able to create a good care environment. The conclusion was that, a good teamwork is important for district nurses but having different care providers can complicate caring. It is important for district nurses to meet relatives and receive grief when grief could come as dissatisfaction. This could affect the nursing staff negatively. It is important that district nurses are supported in the sense of inadequacy and emotional reactions. Further research may be aimed at relatives ' point of view in order to understand family members' reactions.

Place, publisher, year, edition, pages
2014. , 29 p.
Keyword [en]
district nurses, experiences, palliative care
Keyword [sv]
distriktssköterskor, erfarenheter, palliativ vård
National Category
Other Natural Sciences Medical and Health Sciences
Identifiers
URN: urn:nbn:se:his:diva-9027OAI: oai:DiVA.org:his-9027DiVA: diva2:715090
Subject / course
Nursing/Nursing Science
Educational program
Primary Health Care - Specialist Nursing Programme
Presentation
2014-04-10, 14:26
Supervisors
Examiners
Available from: 2014-05-05 Created: 2014-04-30 Last updated: 2014-05-05Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • sv-SE
  • Other locale
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Output format
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