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Co-creating possibilities for patients in palliative care to reach vital goals: A multiple case study of home-care nursing encounters
Ersta Sköndal University College, Palliative Research Centre, PRC. Linköpings universitet.
Ersta Sköndal University College, Palliative Research Centre, PRC. Linné universitetet.
Ersta Sköndal University College, Palliative Research Centre, PRC.
Ersta Sköndal University College, Department of Health Care Sciences. Karolinska Institutet.
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2013 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 20, no 4, 341-351 p.Article in journal (Refereed) Published
Abstract [en]

The patient's home is a common setting for palliative care. This means that we need to understand current palliative care philosophy and how its goals can be realized in home-care nursing encounters (HCNEs) between the nurse, patient and patient's relatives. The existing research on this topic describes both a negative and a positive perspective. There has, however, been a reliance on interview and descriptive methods in this context. The aim of this study was to explore planned HCNEs in palliative care. The design was a multiple case study based on observations. The analysis includes a descriptive and an explanation building phase. The results show that planned palliative HCNEs can be described as a process of co-creating possibilities for the patient to reach vital goals through shared knowledge in a warm and caring atmosphere, based on good caring relations. However, in some HCNEs, co-creation did not occur: Wishes and needs were discouraged or made impossible and vital goals were not reached for the patients or their relatives. Further research is needed to understand why. The co-creative process presented in this article can be seen as a concretization of the palliative care ideal of working with a person-centered approach.

Place, publisher, year, edition, pages
2013. Vol. 20, no 4, 341-351 p.
Keyword [en]
case study research, home care, nurse–patient interaction, nurse–patient relationships, palliative care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-2428DOI: 10.1111/nin.12022OAI: oai:DiVA.org:esh-2428DiVA: diva2:652376
Available from: 2013-09-30 Created: 2013-09-30 Last updated: 2015-11-04Bibliographically approved

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Bergdahl, ElisabethBenzein, EvaTernestedt, Britt-MarieElmberger, EvaAndershed, Birgitta
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