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Sjuksköterskors upplevelser av att vårda i livets slutskede: en litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2012 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Aim: To describe nurses' experiences providing end of life care to patients. Method Descriptive literature study, 15 articles were included. The search was made in PubMed, CINAHL and by manual search. The articles were reviewed, analyzed and summarized. Results: For newly graduated nurses’ experience in end of life care proved to be something new, developing, difficult to manage and frightening, but expected in the profession. Experienced nurses describe that the experience changes over time, worries decreased with experience and they learned to deal with the emotions involved. They recognize the dying process and see death as a part of life, as release from suffering. Spirituality, religion and culture affected work both positively and negatively. Both newly graduated and experienced nurses felt a lack of time, and education, obstacles in the health care environment, and difficulties in supporting and interacting with patients and families. They have different ways of handling problems, for example support, advice, humor and distancing. Conclusion: End of life care is a difficult part of the nurse's work especially for newly graduated nurses. For the patients’ relatives, this is a unique event that they will remember for life, influenced by the way the nurse cared for the dying. To make the last phase in the patient's life a good experience for everyone involved the nurses need continuous support, advice and education.

Abstract [sv]

Syfte:

Att beskriva sjuksköterskors upplevelser av att vårda patienter i livets slutskede. Metod: Deskriptiv litteraturstudie, 15 artiklar inkluderades. Sökningen gjordes i PubMed, CINAHL och genom manuell sökning. Artiklarna granskades, analyserades och sammanställdes. Huvudresultat: Nyutexaminerade sjuksköterskors upplevelse av att vårda i livets slut var något nytt, utvecklande, svårhanterbart och skrämmande men väntat i yrket. Erfarna sjuksköterskor beskriver att upplevelsen förändras över tid, oron minskade med erfarenhet och de lärde sig hantera känslorna. De känner igen döendeprocessen och ser döden som en del av livet, befrielse från lidande. Andlighet, religion och kultur påverkar arbetet både positivt och negativt. Nyutexaminerade och erfarna sjuksköterskor upplevde tidsbrist, behov av utbildning, hinder i vårdmiljön, svårigheter i stöttningen och samspel med patienter och närstående. De använder olika sätt att hantera svårigheter genom t.ex. stöd, råd, humor och distansering. Slutsats: Att vårda i livets slutskede är en svår del i sjuksköterskans arbete speciellt för nyutexaminerade. För de närstående är detta en unik händelse som kommer följa med resten av livet och påverkas av sjuksköterskans sätt att vårda i livets slutskede. För att göra den sista tiden i patientens liv till en bra upplevelse behöver sjuksköterskorna kontinuerligt få stöttning, råd och utbildning.

Place, publisher, year, edition, pages
2012. , 27 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-11801Archive number: SSKHk09-15OAI: oai:DiVA.org:hig-11801DiVA: diva2:524196
Subject / course
Nursing science
Educational program
Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-05-02 Created: 2012-04-30 Last updated: 2012-05-02Bibliographically approved

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