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Ångest i mötet med döden inom palliativ hemsjukvård: utifrån ett sjuksköterskeperspektiv
Linköping University, Department of Medical and Health Sciences. Linköping University.
Linköping University, Department of Medical and Health Sciences. Linköping University.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Facing anxiety when approaching death in palliative home care : Nursing perspectives (English)
Abstract [sv]

Sammanfattning

Inledning: Allt mer av distriktssköterskans omvårdnadsarbete går mot att vårda människor i livets slut. Döendet för med sig existentiella tankar som kan orsaka ångest hos patienter och deras närstående.

Bakgrund: Palliativ vård förebygger och lindrar lidande genom tidig upptäckt, noggrann analys och behandling av smärta och andra fysiska, psykosociala och existentiella problem. Den innefattar även stöd till närstående under och efter vårdtiden.

Syftet med studien var att undersöka hur distriktssköterskor upplever ångest i livets slutskede, hos döende patienter, deras närstående och sig själva, med fokus på orsaker

Metod: Studien har en kvalitativ design där fyra fokusgruppsintervjuer har genomförts med sammanlagt 20 distriktssköterskor. Kvalitativ innehållsanalys användes för att analysera datamaterialet.

Resultat: Sjuksköterskorna beskrev att brist på trygghet och tillit skapade ångest för patienter och deras närstående. Känslor av otillräcklighet gav ångest hos sjuksköterskorna. Mötet med döden väckte existentiella tankar och utlöste ångest hos patienter, deras närstående och sjuksköterskorna. Kontinuitet och tillgänglighet var viktiga för att ge trygghet. Sjuksköterskorna ansåg att bästa sättet att bearbeta och hantera svåra situationer var att samtala med kollegor och stödja varandra.

Konklusion: Studien visar att tid och trygghet är centralt för att lindra ångest hos patienter, närstående och distriktssköterskor i palliativ vård. Palliativ vård är utmanade, kräver mod och kreativitet.

Nyckelord: Palliativ vård, hemsjukvård, distriktssköterskor, ångest

 

Abstract [en]

Introduction: Today, community health nurses work increasingly more with the provision of end-of-life care. Dying and the existential dimension may cause anxiety in patients and their family.

Background: Palliative care prevents and relieves suffering through early detection, careful analysis and treatment of pain and other physical, psychosocial and existential problems. It also includes support for the family during and after the period of care.

Aim: The purpose of this study was to examine how community health nurses experienced anxiety during the last phase of a patient’s life. The nurses' experience of anxiety in dying patients, their families and in the nurses themselves was examined with a focus on the causes and attitudes.

Design and method: The study used a qualitative design where four focus group interviews were conducted with 20 community health nurses. The data was analyzed using qualitative content analysis.

Results: Nurses felt that lack of safeness and confidence created anxiety in patients and their families. Feelings of inadequacy created anxiety among nurses. According to the nurses encounter with death brought on existential thoughts and created anxiety among patients, their families and the nurses themselves. Continuity and accessibility were important to provide safeness. The nurses felt that the best way to process and handle difficult situations was through discussion with colleagues and by giving each other support.

Conclusion: This study shows that according to nurses’ experiences, time and safeness are central to relieve anxiety in patients, family members and community health nurses in palliative care. Palliative care is challenging, demands courage and creativity.

Place, publisher, year, edition, pages
2011. , 32 p.
Keyword [en]
Palliative care, home care services, community health nurses, anxiety
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:liu:diva-68113ISRN: LIU-IMH/SID-A--11/003—SEOAI: oai:DiVA.org:liu-68113DiVA: diva2:416311
Subject / course
Primary Health Care Specialist Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-06-30 Created: 2011-05-11 Last updated: 2011-06-30Bibliographically approved

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