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Närstående till personer som vårdas palliativt – deras behov av stöd under vårdtiden samt hur personalens bemötande påverkar dem: En beskrivande 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.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syftet med litteraturstudien var att beskriva hur hälso-och sjukvårdspersonalens bemötande påverkar närstående till personer som vårdas palliativt samt beskriva närståendes behov av stöd under vårdtiden. Vidare var syftet att granska inkluderade artiklars design. Litteraturstudien var av beskrivande design och inkluderade 13 artiklar som söktes fram i databaserna PubMed och Academic Search Elite samt genom manuell sökning. Huvudresultatet visade att närstående var närvarande dygnet runt vilket begränsade deras frihet samt att bidragande stöd kunde lindra vårdtyngden och underlätta för närstående. Stödet från hälso- och sjukvårdpersonal beskrevs både som svagt och tillfredställande. Information saknades och var ibland motstridig och bristfällig. Relevant information kunde minska vårdtyngden, känslor av rädsla, osäkerhet och ensamhet samt underlätta till att behålla kontroll. Delaktighet samt involvering i omvårdnaden och beslutsfattandet var starkt stödjande samt ett sätt att behålla kontroll. Närstående tappade lätt kontroll då det professionella stödet inte var tillgängligt eller saknades helt, informationen var bristfällig samt då resurserna var otillräckliga. Det var viktigt att personalen tog sig tid, såg närstående, talade direkt till dem samt bekräftade dem. Slutsatsen bedömdes vara att närstående har ett behov av stöd under vårdtiden genom delaktighet, information och kontroll. Ett positivt och stödjande bemötande från hälso- och sjukvårdpersonalen kan stärka närstående.

Abstract [en]

The purpose of this study was to describe how health care professionals’ standard of conduct affects next of kin to people in palliative care and describe what support next of kin were in need of during time of care. A further aim was to examine the included articles´ design. The literature study was of a descriptive design and included 13 articles that were searched in PubMed, Academic Search Elite and by manual search. Main results showed that next of kin were present around the clock which limited their freedom. Contributing support could alleviate the care burden and facilitate next of kin. Support from health care professionals was described as both weak and satisfying. Information was lacking and was sometimes conflicting and inadequate. Relevant information could reduce care burden, feelings of fear, uncertainty and loneliness and also facilitate the retention of control. Participation and involvement in care and decision-making was highly supportive and a way to maintain control. Next of kin easily lost control when professional support was not available or missing entirely, when the information was incomplete and resources were inadequate. It was important that the staff took the time, saw to the next of kin, spoke directly to them and confirmed them. The conclusion were that next of kin has a need for support during the time of care through participation, information and control A positive and supporting response from health care professionals can strengthen next of kin.

Place, publisher, year, edition, pages
2013. , 28 p.
Keyword [en]
Palliative care, next of kin, meet, support
Keyword [sv]
Palliativ vård, närstående, bemötande, stöd
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-15735Archive number: SSKVk11- 07OAI: oai:DiVA.org:hig-15735DiVA: diva2:664379
Subject / course
Nursing science
Educational program
Nursing
Supervisors
Examiners
Available from: 2013-11-15 Created: 2013-11-14 Last updated: 2013-11-15Bibliographically approved

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