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Sjuksköterskans upplevelser av att vårda patienter med cancer i palliativt skede: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurse’s experiences in caring for patients with palliative cancer : A literature review (English)
Abstract [sv]

Bakgrund: Cancer är en sjukdom som drabbar allt fler människor. Om sjukdomen blir obotlig övergår vården från kurativ till palliativ. Men allt fler patienter vårdas palliativt på avdelningar där sjuksköterskan inte besitter en specialiserad kunskap. Sjuksköterskans ansvar innefattar att bygga en vårdande relation med patienter och närstående och samtidigt bedriva vård av god kvalité, i en känslomässigt påfrestande miljö. Forskning kring sjuksköterskans upplevelse av att vårda palliativt med bristfällig kunskap visar sig ha begräsningar. Rätt redskap behöver ges för att en god vård ska kunna bedrivas, som även verkar gynnande för sjuksköterskan. 

Syfte: Syftet med litteraturöversikten var att beskriva sjuksköterskors upplevelser av att vårda patienter med cancer i palliativt skede. 

Metod: En litteraturöversikt genomfördes utefter Fribergs metod. Sökningarna genomfördes i databaserna: Cinahl Complete, Medline och PubMed. Där åtta artiklar med kvalitativ design valdes ut och färgkodades för att urskilja teman.  

Resultat: Resultatet delades in i tre temanRelationens betydelse med patienter och anhöriga, Att påverkas och involveras känslomässigt ochHinder i att vårda palliativt. De innefattar främst sjuksköterskornas upplevelser av emotionell involvering och upplevda hinder.

Diskussion: Metoddiskussionen belyser litteraturöversiktens styrkor och svagheter. I resultatdiskussionen diskuterades resultatet utifrån tidigare forskning, Rosemarie Rizzo Parses vårdvetenskapliga teori och författarens egna reflektioner. Indelade i två teman: Hantering av känslor och Behov av ökad kunskap.

Abstract [en]

Background: Cancer is a disease that affects more and more people. If the disease becomes incurable, care transitions from curative to palliative. But more and more patients are being treated palliatively in departments where the nurse does not possess specialized knowledge. The nurse's responsibility includes building a caring relationship with patients and close relatives and at the same time conducting good quality care, in an emotionally stressful environment. The research on the nurse's experience of caring for palliative with inadequate knowledge proves to have limitations. The right tools need to be provided in order for good care to be provided, which also seems beneficial to the nurse.

Aim: The aim of this literature review was to describe the experiences of nurses caring for patients with palliative cancer.                         

Method: A literature review was conducted according to Fribergs method. Searches was made in the databases: Cinahl Complete, Medline and PubMed. Where eight articles with a qualitative design was selected and was color-coded to distinguish themes.  

Results: The result was divided in three themes: The importance of the relationship with patients and their relatives, Being affected and emotionally involved and Obstacles in palliative nursing. They mainly include the nurses' experiences of emotional involvement and perceived obstacles. 

Discussion: The method discussion highlights the literature reviews strengths and weaknesses. In the results discussion, the results were discussed based on previous research, Rosemarie Rizzo Parses theory and the author's own reflections. Divided into two themes: Handling of emotions and Need for increased knowledge.

Place, publisher, year, edition, pages
2019. , p. 31
Keywords [en]
Cancer, Experiences, Nurses, Palliative care
Keywords [sv]
Cancer, Palliativ vård, Sjuksköterskan, Upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7997OAI: oai:DiVA.org:esh-7997DiVA, id: diva2:1395487
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2020-02-25 Created: 2020-02-22 Last updated: 2020-02-25Bibliographically approved

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