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Sjuksköterskors upplevelser av att vårda patienter i ett palliativt skede: En litteraturöversikt
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
Nurse's experience of caring for patients in a palliative phase : A literature review (English)
Abstract [sv]

Bakgrund: Palliativ vård innebär att ge lindrande aktiv helhetsvård samt stöd och ökad livskvalitet när obotlig symtomgivande sjukdom inte längre går att bota.Varje år avlider mellan 90 000 till 100 000 människor i Sverige och de flesta är i behov av palliativ vård före döden. Sjuksköterskan har en viktig roll i sitt arbete med att skapa en meningsfull och naturlig resa mot döden. Detta bygger på att sjuksköterskan bevarar patientens integritet, lindrar symtom, ger god omvårdnad och stöd till patient och närstående. 

Syfte: Syftet var att belysa sjuksköterskors upplevelser av att vårda patienter i ett palliativt skede.

Metod: En litteraturöversikt enligt Friberg (2017) har genomförts. Vid sökning av vetenskapliga artiklar har databaserna Cinahl Complete, PubMed, Nursing and Allied Databas och Medlineanvänts. Samtliga artiklar beskrev sjuksköterskors upplevelse av palliativ vård. Etiskt granskade artiklar som har bedömts innehålla god kvalitét valdes ut. Utvalda studier utfördes inom varierad vårdkontext. Litteraturstudien grundar sig på nio kvalitativa vetenskapliga artiklar samt en kvantitativ artikel.

Resultat: I resultatet framkom tre teman och sju subteman. Dessa teman var anknutna till positiva och negativa aspekter samt arbetsmiljöns betydelse vid sjuksköterskors palliativa vårdarbete. Sjuksköterskor upplevde palliativt vårdande som meningsfullt och berikande. Fluktuerande känslor, såsom hopp och förtvivlan, beskrevs i samband med vårdandet av lidande patienter. Utbildning och klinisk erfarenhet gav en känsla av trygghet hos sjuksköterskorna. 

Diskussion:  Resultatetdiskuteras i relation till tidigare forskning och författarnas egna tankar samt utifrån Katie Erikssons omvårdnadsteori.

Abstract [en]

Background: Palliative care is an approach of care provided for relief of suffering, support to patients and their families and increase quality of life when severe illness no longer can be cured. Every year, between 90,000 to 100,000 people die in Sweden and most of them are in need of palliative care before death. The nurse has an important role to play in creating a meaningful and natural journey towards death. This is based on the nurse maintaining the integrity of the patient, relieving symptoms, providing good care and support for the patient and close relatives.

Aim: The aimof this studywas to explore the nurses experiences of caring for patients on a palliative stage.

Method: A literature review according to Friberg (2017) has been completed. When searching for scientific articles, the databases Cinahl Complete, PubMed, Nursing and Allied Database and Medline were used. All articles described the nurses experience of palliative care. Ethically reviewed articles that have been assessed to contain good quality were selected. The selected studies were conducted within varied care context. The literature study is based on nine qualitative scientific articles and one quantitative article. 

Results: In the result, three themes and seven subtemes emerged. These topics were related to positive and negative aspects as well as the importance of the working environment in the nursings palliative care work. The results showed that nurses experienced palliative care as meaningful and enriching. Fluctuating emotions, such as hope and despair, were described in connection with the care of suffering patients. Education and clinical experience gave a sense of safety in nurses.

Discussion: The result isdiscussed in relation to previous research, the authors own thoughts and based on Katie Eriksson's nursing theory.

Place, publisher, year, edition, pages
2018. , p. 29
Keywords [sv]
Sjuksköterska, Palliativ vård, Upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7345OAI: oai:DiVA.org:esh-7345DiVA, id: diva2:1293433
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-03-04 Created: 2019-03-04 Last updated: 2019-04-02Bibliographically approved

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