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Sjuksköterskors upplevelser kring palliativ vård i hemmet: En litteraturöversikt
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' experiences about palliative care in the home : a literature review (English)
Abstract [sv]

Bakgrund: Palliativ vård är ett förhållningssätt för att främja livskvalitén hos patienter och närstående vid obotlig sjukdom för att de ska få ett värdigt slut. Sjuksköterskan har ett stort ansvar att tillgodose patientens alla behov så som det fysiska, psykiska, sociala och existentiella. Att vårda patienter som erhåller palliativ vård i hemmet kan vara en utmaning för sjuksköterskan och en viss kompetens kan behövas.

Syfte: Att beskriva sjuksköterskors upplevelser kring palliativ vård i hemmet.

Metod: Litteraturöversikt baserad på 15 vetenskapliga artiklar. Artiklarna inhämtades vid databaserna Cinahl, PubMed, PsycINFO och var publicerade mellan åren 2009-2019. Datainsamlingen analyserades systematiskt innan de bearbetades in i resultatet.

Resultat: Fyra kategorier identifierades av vad sjuksköterskor upplevde kring att ge palliativ vård i hemmet. Dessa var; Samarbete och kommunikation, Kompetens och kunskap och Relation till patient och närstående samt Känslomässiga upplevelser.

Slutsats: Sjuksköterskor upplevde pendlande känslor när de arbetade med palliativ vård i hemmet och stöd från kollegor ansågs därför vara en viktig del i arbetet. Stöd och kunskapsutveckling ansågs dock vara otillräcklig för sjuksköterskor och önskan av mer stöd samt utbildning var märkbart. Trots detta så bidrog den palliativa vården med en personlig utveckling hos sjuksköterskan. En god relation med patienter och närstående skapade även en tillfredställning för sjuksköterskan.

Abstract [en]

Background: Palliative care is a way of promoting the quality of life of patients and their loved ones in incurable illness so they can have a worthy ending. Nurses have a responsibility to meet every need that the patients have, such as the physical, mental, social and existential needs. Caring for the patients who are receiving palliative care at home can be a challenge for the nurses and some experience may be needed.

Aim: To describe nurses experiences about palliative care at home.

Methods: The literature review is based on 15 articles. The articles were found in the following databases; Cinahl, Pubmed and PsycINFO. They were published between the years 2009-2019. The data was systematically analyzed before it was processed into the result.

Results: Four categories were identified by the nurses who were providing palliative care at home. These were; Collaboration and communication, Emotional experiences, The relationship with their patients and their loved ones as well as Skills and knowledge.

Conclusions: Nurses experienced different feelings when they worked with palliative homecare, support from colleagues was therefore an important part of the work. However, the support and knowledge development were considered insufficient by the nurses and a wish for more support and education was noticeable. Despite this the palliative care contributed to a personal development for the nurse. A good relationship with patients and their loved ones also created a feeling of satisfaction for the nurse.

Place, publisher, year, edition, pages
2020.
Keywords [en]
Nurses, Experience, Palliative care, Homecare, Literature review
Keywords [sv]
Sjuksköterskor, Upplevelse, Palliativ vård, Hemsjukvård, Litteraturöversikt
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-31785OAI: oai:DiVA.org:du-31785DiVA, id: diva2:1390168
Available from: 2020-01-31 Created: 2020-01-31

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