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“Hur gör jag nu?” Sjuksköterskors upplevelser av att vårda palliativt: En litteraturöversikt
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
“How do I do now?” Nurses’ experiences of nursing in palliative care : A literature review (English)
Abstract [sv]

Bakgrund: En person som vårdas i livets slutskede benämns palliativ. Med detta menas att patienten inte längre kan botas utan de symtom som patienten har lindras. De 6 S:n är en omvårdnadsmodell inom palliativ vård och syftar till personcentrerad vård som kan bidra till en värdig död. För att kunna uppnå en god vårdrelation krävs en förmåga hos sjuksköterskor att kunna sätta sig in i patientens situation. Sjuksköterskor utbildas idag inom palliativ vård i grundutbildningen. Dessa ser dock olika ut runtom i Sverige. Syfte: Beskriva hur sjuksköterskor upplever att vårda patienter palliativt utifrån grundutbildningen. Metod: En litteraturöversikt med kvalitativ utgångspunkt utgör metoden. Resultat: Två kategorier har bildats genom analysen; Negativa upplevelser och Positiva upplevelser. Ur dessa har fem underkategorier formats; Frustration, Otillräcklig och ensam, Utmanande vård, Personligt involverad och Inre styrka. Diskussion: Den palliativa vården skapar mycket känslor. Sjuksköterskorna upplever utmaningarna som uppstår i palliativa vårdandet som positiva, men uttrycker att de behöver mer kunskap kring hur de ska bemöta patienternas existentiella frågor och emotionella behov. Konklusion: Erfarenheten har en central roll inom den palliativa vården. Mer kunskap kring palliativ vård behövs i sjuksköterskornas grundutbildning.

Abstract [en]

Background: A person in the stage of end of life is called palliative. This means that the patient no longer can be cured; only the symptoms can be alleviated. The “6:S” is a nursing model in palliative care and the purpose is person-centered care that can contribute to a worthy death. To achieve a good care relationship, the ability of nurses to get into patient's situation is needed. Today nurses’ are trained in palliative care in the under graduate education. However, across Sweden it looks different. Aim: Describe how nurses experience palliative care based on basic education. Method: A qualitative literature review is the method. Result: Two categories have been formed through the analysis; Negative experiences and Positive experiences. From these five subcategories has been formed; Frustration, Inadequate and lonely, Challenging care, Personally involved and Internal strength. Discussion: The palliative care creates a lot of emotions. Nurses experience the challenges as positive, but express that they need more knowledge about how to respond to the patient’s existential issues and emotional needs. Conclusion: Experience is central in palliative care. More knowledge about palliative care is needed in the nurse's basic education. 

Place, publisher, year, edition, pages
2017. , p. 24
Keywords [en]
Education, experiences, nurse, palliative care, safety
Keywords [sv]
Palliativ vård, sjuksköterska, trygghet, upplevelser, utbildning
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-14518OAI: oai:DiVA.org:his-14518DiVA, id: diva2:1161010
Subject / course
Nursing/Nursing Science
Educational program
Nursing - Study Programme
Supervisors
Examiners
Available from: 2017-11-30 Created: 2017-11-28 Last updated: 2017-11-30Bibliographically approved

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