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Sjuksköterskors erfarenheter av att möta total smärta i palliativ vård: En litteraturöversikt
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' experiences in meeting total pain in palliative care : A literature review (English)
Abstract [en]

Background: Pain is one of the most common and feared symptoms in palliative care and may cause suffering and reduced quality of life of the dying person. The pain has several different dimensions and is a subjective experience of each individual. How the nurse meets the palliative patient's pain is essential to good health of the patient, which allows a good and worthy death.

Aim: The aim was to highlight nurses' experiences in meeting total pain in palliative care.

Method: The literature review is based on ten scientific studies of which seven studies with a qualitative approach, a study using quantitative methods and two studies with mixed method. The studies included in the literature review has been reviewed and approved by an ethics committee. Searches were made in the databases MEDLINE and CINAHL Complete full text.

Results: The results showed that nurses experienced difficulties to meet patients who experienced total pain. The nurses felt that they had insufficient knowledge and experience in meeting patients with total pain. The nurse worked much with existential conversation.

Discussion: Nurses experienced an uncertainty in the face of existential questions, which is a difficult but important part of the work. This is discussed and anchored in Rosemarie Rizzo Parse nursing theory Human becoming along with the concept of caring.

Abstract [sv]

Bakgrund: Smärta är ett av de vanligaste och mest fruktade symtomen i den palliativa vården och kan medföra lidande och försämrad livskvalitet hos den döende människan. Smärtan har flera olika dimensioner och är en subjektiv upplevelse hos varje enskild individ. Hur sjuksköterskan möter den palliativa patientens smärta är avgörande för en god vård av patienten vilket ger möjlighet till en god och värdig död.

Syfte: Syftet var att belysa sjuksköterskors erfarenheter av att möta total smärta i palliativ vård.

Metod: Litteraturöversikten baseras på tio vetenskapliga studier varav sju studier med kvalitativ metod, en studie med kvantitativ metod samt två studier med mixad metod. De studier som inkluderats i litteraturöversikten har granskats och godkänts av en etisk kommitté. Sökningar gjordes i databaserna Cinahl Complete och MEDLINE full text.

Resultat: Resultatet visade att sjuksköterskor upplevde svårigheter att möta patienter som upplevde total smärta. Sjuksköterskorna upplevde sig ha bristande kunskap och erfarenhet av att möta patienter med total smärta. Sjuksköterskan arbetade mycket med existentiella samtal.

Diskussion: Sjuksköterskor upplevde en osäkerhet i att möta existentiella frågor, vilket är en svår men viktig del i arbetet. Detta diskuteras och förankras i Rosmarie Rizzo Parses omvårdnadsteori Mänsklig tillblivelse tillsammans med begreppet vårdande.

Place, publisher, year, edition, pages
2015. , 37 p.
Keyword [en]
Pain, Palliative care, Nurse, Caring, Knowledge, Parse human becoming theory
Keyword [sv]
Smärta, Palliativ vård, Sjuksköterska, Vårdande, Kunskap, Parse omvårdnadsteori
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5195OAI: oai:DiVA.org:esh-5195DiVA: diva2:922871
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-04-25 Created: 2016-04-25 Last updated: 2017-02-15Bibliographically approved

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