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Vad patienter tycker är viktigt i palliativ vård: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2021 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
What patients value in palliative care : A literature review (English)
Abstract [sv]

Bakgrund: Den palliativa vårdens syfte är att lindra lidande och främja livskvalitet för patienter med obotlig sjukdom eller skada. Den ska erbjudas alla som har behov av den, oavsett kön och diagnos. Inom den allmänna palliativa vården ska sjuksköterskans utifrån patientens behov skapa en balanserad och anpassad omvårdnad. En av de viktigaste omvårdnadsåtgärderna är att främja välbefinnande och ge god smärtlindring.

Syfte: Syftet var att beskriva vad patienter med cancerdiagnos tycker är viktigt i palliativ vård på sjukhus.

Metod: Metoden var en litteraturöversikt med tio kvalitativa vetenskapliga artiklar som hämtades från databaserna PubMed och Cinahl Complete. Artiklarna analyserades enligt Fribergs analysmodell. Den teoretiska referensramen som användes var de 6 S:n, en modell för personcentrerad vård.

Resultat: Analysen resulterade i 5 teman: (1) Sjuksköterskans roll, (2) vårdpersonalens bemötande och förhållningssätt, (3) symtomlindring och livskvalitet, (4) delaktighet i vården och (5) vårdmiljö. 

Sammanfattning: Sjuksköterskans kompetens var viktig för patienterna, såväl den medicinska som kommunikativ. Det var betydelsefullt att vårdpersonalen var lyhörda för patientens önskemål och behov, att de var empatiska och kunde visa glädje. Med ett personcentrerat arbetssätt kunde vårdpersonal söka kunskap om patienten och utifrån den ge god vård. I de fall patienterna inte längre kunde vara delaktiga i sin vård skulle närstående vara beslutsfattande.

Abstract [en]

Background: The aim of palliative care is to alleviate suffering and promote quality of life for patients with incurable disease or injury. It should be offered to everyone in need of it, regardless of gender and diagnosis. In generalized palliative care, the role of the nurse is to provide a balanced nursing care tailored to the specific needs of the patient. One of the most important aspects of care interventions is to promote well-being and provide good pain relief. 

Aim: The aim was to describe what patients diagnosed with cancer perceived to be important in palliative care in hospitals.

Method: The method was a literature review based on ten qualitative articles selected from two databases, PubMed and Cinahl Complete. The articles were analyzed according to Friberg's analysis model. The theoretical frame of reference in this study was the 6 S, which is a model for person-centered care. 

Results: The analysis resulted in 5 themes: (1) The role of the nurse, (2) treatment and approach of nursing staff, (3) symptom relief and quality of life, (4) participation in care and (5) care environment. 

Conclusion: Both the medical and the communicative competence of the nurse was valued by the patients. It was important that the care staff were responsive to the patient's wishes and needs, that they were empathetic and could exhibit joy. With a person-centered approach, care staff could seek knowledge about the patient and based on that they provide good care. In cases where patients no longer could be involved relatives would be decision-makers. 

Place, publisher, year, edition, pages
2021. , p. 32
Keywords [en]
Palliative care, Patients experience, Person-centered care
Keywords [sv]
Palliativ vård, Patienters upplevelser, Personcentrerad vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-9355OAI: oai:DiVA.org:esh-9355DiVA, id: diva2:1627409
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2022-01-13 Created: 2022-01-13 Last updated: 2022-05-03Bibliographically approved

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