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ATT STÖTTA NÄRSTÅENDE VID PALLIATIV VÅRD: En intervjustudie om närståendes upplevelser i palliativ vård
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Den palliativa vården tar sin början då det inte längre finns ett kurativt mål med vårdandet, utan fokus skiftas till att främja patientens livskvalitet och välbefinnande genom att minska lidandet. I en utav Socialstyrelsens fyra hörnstenar om palliativ vård står det beskrivet att även den närstående ska erhålla stöd från sjuksköterskan, både under och efter vårdtiden. Syfte: Syftet med studien var att beskriva närståendes upplevelser av stöd från sjuksköterskan under patientens palliativa vårdskede. Metod: Intervjustudie med en kvalitativ ansats. Informationen inhämtades genom sex stycken intervjuer med närstående till patienter som vårdats palliativt. Intervjuerna genomgick en kvalitativ innehållsanalys utifrån Lundman och Hällgren Graneheims (2012) anvisningar. Resultat: Resultatet beskrevs i två kategorier. Den ena kategorin belyste kommunikationens betydelse, där underkategorierna var kommunikation mellan sjuksköterska och närstående, kommunikation mellan sjuksköterska och andra vårdprofessioner samt kommunikation mellan närstående och närstående. Den andra kategorin tog upp sjuksköterskans roll som trygghetsgivare till närstående under den palliativa vården. Underkategorier blev tillgänglighet, omtänksamhet och engagemang, skapande av en vårdande miljö, samt symptomlindring. Slutsats: Studien slår fast att sjuksköterskan har en viktig roll i att skapa trygghet och god kommunikation under palliativ vård. Vidare syns även ett behov av att informera närstående om möjligheter till ekonomiskt stöd.

Abstract [en]

Background: Palliative care begins when there’s no longer a curative treatment. Instead focus is shifted to encourage the life quality and well-being of the patient, by decreasing his or her suffering. In one of Sweden’s National Board of Health and Welfare’s publications regarding palliative care, one of the cornerstones is that relatives should be supported by the nurse, both during and after the time of care. Aim: The aim of the study was to describe relatives experiences’ of support from the nurse during the patients’ palliative care. Method: Interview study with a qualitative approach. Information was gathered through six interviews with relatives to patients that had received palliative care. The interviews underwent a qualitative content analysis according to Lundman and Hällgren Graneheims’ (2012) instructions. Results: The result was described in two categories. One of the categories illustrates the importance of communication, where the sub-categories were communication between nurses and relatives, communication between nurses and other medical professions, and communication between relatives’ and relatives’. The other category brought up the nurses’ role as a caregiver to relatives during palliative care. Sub-categories were availability, thoughtfulness and engagement, the creation of a caring environment, and symptom relief. Conclusions: The study states that nurses have an important role in creating security and good communication during palliative care. Furthermore, a need to inform relatives regarding possibilities to receive economic support is observed.

Place, publisher, year, edition, pages
2015. , 36 p.
Keyword [sv]
Anhörig, Närstående, Palliativ vård, Sjuksköterskans roll, Stöd, Vård i livets slutskede.
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-39429OAI: oai:DiVA.org:lnu-39429DiVA: diva2:783479
Subject / course
Vårdvetenskap
Educational program
Nursing Programme, 180 hp
Presentation
2015-01-08, Växjö, 13:37 (Swedish)
Supervisors
Examiners
Available from: 2015-01-28 Created: 2015-01-26 Last updated: 2015-01-28Bibliographically approved

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