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En litteraturöversikt över hur patienter med cancersjukdom upplever bemötandet från hälso- och sjukvårdspersonal på slutna palliativa avdelningar
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
A literature review of how patients with a cancer disease experience the encounters with healthcare professionals in inpatient palliative wards (English)
Abstract [sv]

Bakgrund: Varje år diagnosticeras flera miljoner människor med cancer. Cellerna i kroppen kan mutera och bilda tumörer. En elakartad tumör räknas som en cancertumör. Vid behandling av cancer tar ansvarig läkare ställning till ifall patientens cancersjukdom går att bota eller om behandling ska vara lindrande, det vill säga palliativ. Den palliativa vården ska ske på patientens villkor, utformat utifrån personcentrerad vård. Individen ska respekteras och bemötas som en unik person. Patienten har rätt till självbestämmande, tydlig information, att bevara sin integritet samt att få symtomlindring.

Syfte: Syftet är att undersöka hur patienter med en cancersjukdom som vårdas palliativt på slutenvårdsavdelning upplever bemötandet från hälso- och sjukvårdspersonal.

Metod: Databaserna CINAHL Complete och Medline with Full Text användes vid informationssökning. Införskaffat material granskades och godkändes av båda författarna.

Resultat: Resultatet belyser patienters upplevelser av hälso-sjukvårdspersonalens bemötande. Studien resulterade i två teman. Tema ett: Hälso- och sjukvårdspersonalens förhållningssätt med två underteman: Närvaro och engagemang och förtroende och respekt. Tema två: Kommunikation och information, utan underteman.

Diskussion: Resultatet diskuterades utifrån Rosemarie Rizzo Parses teori där begreppen tillit och misstro identifierades. Patienterna upplevde att engagemang, ärlighet och medlidande var viktigt i bemötandet. Upplevelserna diskuterades utifrån Parses teori om Human Becoming och annan litteratur.

Abstract [en]

Background: Millions of people are yearly diagnosed with a cancer disease. The cells in the body can for different reasons mutate and become tumours. If the tumour is determined as bad it’s considered cancerous. The responsible physician takes a stand if the cancer disease is treatable or if the treatment should be palliative. The palliative care should be shaped from the terms set by the patient. The patient ought to receive care from healthcare staff, where they respect the individual and treat them in a kind manner, so called person centered care. The patient is to be encouraged to have the freedom to control their own life, the right to information, preserve their integrity and receive adequate alleviation of symptoms.  

Aim: A literature review over how patients with a cancer disease experience the encounters with healthcare professionals in inpatient palliative wards.

Method: The databases CINAHL Complete and MEDLINE with Full text were used for information retrieval. The retrieved information was audited and approved by both authors.

Results: The results highlight patient experiences of the professional-patient relation. The study resulted in two themes. The first theme: Healthcare Professional’s approachment with two subtopics: Presence and commitment and trust and respect. The second theme: Communication and information, without subtopics.

Discussion: The results were discussed on the basis of Rosemarie Rizzo Parse's theory after the subjects trust and mistrust were identified. Patient experienced that involvement, honesty and benevolence were important. The experiences were discussed based on Parse's theory about Human Becoming and other literature.

Place, publisher, year, edition, pages
2018. , p. 37
Keywords [en]
Palliative care, Cancer, person centered care, Professional-patient relation, Patient experience, Information
Keywords [sv]
Palliativ vård, Cancer, Personcentrerad vård, Bemötande, Patienters upplevelser, Information
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7207OAI: oai:DiVA.org:esh-7207DiVA, id: diva2:1275427
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-01-07 Created: 2019-01-06 Last updated: 2019-01-07Bibliographically approved

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