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Sjuksköterskors syn på faktorer som bidrar till god teamkommunikation i palliativ vård: En intervjustudie med sjuksköterskor inom kommunens hemsjukvård
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses` views on factors that contribute to good team communication in palliative care : An interview study with nurses within municipality`s home health care (English)
Abstract [sv]

Bakgrund: Att arbeta som sjuksköterska i kommunens hemsjukvård   innebär möten med patienter som har en livshotande sjukdom. I detta arbete ingår att samarbeta i teamet för att kunna vara tillgänglig utifrån patientens behov och önskemål. För uppnå detta krävs en gemensam syn på vården i livets slutskede inom teamet, något som kräver god kommunikation. 

Syfte: Syftet var att undersöka vad sjuksköterskor i palliativ vård anser bidrar till god kommunikation inom teamet.

Metod: För att undersöka vad sjuksköterskor anser bidrar till god kommunikation inom teamet valdes en kvalitativ design. Tio sjuksköterskor intervjuades som arbetar i allmän palliativ vård i en kommun i Sydsverige. Materialet analyserades med induktiv innehållsanalys.

Resultat: Analysen resulterade i två huvudkategorier: Samverkan i teamet och Planering med   samtliga i teamet. Kategorin Samverkan har två underkategorier vilka beskriver vikten av olika möten i det dagliga arbetet för att erhålla råd och stöd vid vård av patienter med en livshotande sjukdom. Kategorin Planering har två underkategorier vilka beskriver vikten av samsyn och trygghet i teamet. Detta innebär till exempel att det var viktigt att samtliga i teamet  kommunicerade med varandra för att uppnå samsyn kring vårdens mål i livets   slutskede, något som ledde till upplevd trygghet i arbetet.

Diskussion: Resultatet diskuteras i förhållande till aktuell forskning inom ämnesområdet med Habermas kommunikativa dialogetik som utgångspunkt.

Abstract [en]

Background: Working as a nurse in the municipality's home care system involves meetings with patients who have a life-threatening illness. This work includes collaborating in the team in order to be accessible based on the patient's needs and wishes. To achieve this, a mutual view of care is required within in the team  which depends on good communication.

Aim: The purpose was to investigate what nurses in palliative care consider contributing to good communication within the team.

Method: In order to investigate what nurses consider contributing to good communication within the team, a qualitative design was chosen. Ten nurses working in general palliative care in a municipality in southern Sweden were interviewed. The material was analyzed with inductive content analysis.

Results: The analysis resulted in two main categories: Collaboration in the team and Planning with all of the team. The collaboration category has two subcategories which describe the importance of different meetings in the daily work team to obtain advice and support in the care of patients with a life-threatening illness. Category Planning has two subcategories which describe the importance of consensus and security in the team. This means, for example, that it was important for everyone in the team to communicate with each other in order to achieve consensus on the goals in the end of life care.

Discussion: The result is discussed in relation to current research in the subject area with Habermas   communicative dialogue ethics as the starting point.

Place, publisher, year, edition, pages
2019. , p. 36
Keywords [sv]
Kommunikation, Team, Etik, Palliativ vård, Personcentrerad vård, Sjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7577OAI: oai:DiVA.org:esh-7577DiVA, id: diva2:1320570
Educational program
Postgraduate Diploma in Specialist Nursing - Palliative Care 60 ECTS
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-06-07 Created: 2019-06-05 Last updated: 2019-06-17Bibliographically approved

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