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Kulturmöten vid palliativ vård: En litteraturöversikt om sjuksköterskors erfarenheter vid möten med patienter med en invandrarbakgrund
Ersta Sköndal University College, Department of Health Care Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Cultural encounters in palliative care : A literature review of nurses' experiences in meetings with patients with an immigrant background (English)
Abstract [sv]

Bakgrund: Palliativ vård syftar till att ge stöd och lindring till döende patienter för att främja livskvalitet oavsett vilken etnisk bakgrund man har. Vårt samhälle är mångkulturellt och idag möter sjuksköterskor allt fler invandrarpatienter som kan ha olika uppfattning om hälsa, sjukdom, döendet och döden. Detta innebär att det kommer att ställas andra eller nya krav på vårdpersonalen.

Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda patienter med annan etisk bakgrund än de själva vid palliativ vård.

Metod: En litteraturöversikt över elva vetenskapliga kvalitativa artiklar genomfördes. Artiklarna har eftersökts i databaserna CINAHL Complete, pubMed och SveMed+. Dessa kombinerades i olika konstellationer för att få fram sökträff som svarade på syftet. Sökord som användes var: transcultural nursing”, ”multicultural”, ”palliative”, immigrants”, ”nurse”, ”experience”, “attitude”.

Resultat: Resultat visar att många sjuksköterskor upplevde att det var svårt att bemöta invandrarpatienter. Kommunikationssvårigheter var ett vanligt problem vid kulturmöten. Att vara kulturellt medveten, och ha förståelse för kulturer och sedvänjor, samt visa hänsyn till individualitet var enligt sjuksköterskorna viktiga faktorer som kunde förbättra palliativ vård till invandrarpatienter.

Diskussion: Resultatet diskuteras med stöd av Madeleins Leiningers omvårdnadsteori som utgångspunkt, där främst diskuterades. Vidare diskuterades vilken kulturell kompetens som behövs för att sjuksköterskan ska kunna ge en god transkulturell omvårdnad.

Abstract [en]

Background: The aim of palliative care is to provide support and relief to dying patients in order to indorse the quality of life regardless of their ethnical background. Our society is multicultural. It is more common today that nurses meet patients with different ethical cultural backgrounds who may hold different opinions about health, illness, dying and death. This means that it will impose to or new requirements for caregivers.

Aim: To describe nurses' experiences of caring for patients with different ethical background than themselves in palliative care.

Method: The method that was used is a qualitative literature review. Eleven scientific qualitative articles are included in this study. Articles have been sought in the databases CINAHL Complete, PubMed and SveMed +.Selected. These were combined in different configurations to retrieve a search result that responded to the purpose. Keywords used were :”transcultural nursing”, ”multicultural”, ”palliative”, immigrants”, ”nurse”, ”experience”, “attitude”.

Results: The result shows that many nurses felt difficulties to approach immigrant patients. Communication difficulties were the common problem in cultural encounters. To being culturally aware, to understand the cultures and customs, and to take the individuality was as nurses important factors that could improve the palliative care of migrant patients.

Discussions: The results are discussed with the support of Madeleine Leininger nursing theory as a basis, which mainly discussed. Further discussed about which cultural competence is needed for the nurse to be able to provide good transcultural nursing.

Place, publisher, year, edition, pages
2016. , 34 p.
Keyword [en]
Culture, Palliative care, Transcultural nursing, Cultural competence, Communication
Keyword [sv]
Kultur, Palliativ vård, Transkulturell omvårdnad, Kulturell kompetens, Kommunikation
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5300OAI: oai:DiVA.org:esh-5300DiVA: diva2:937252
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-06-17 Created: 2016-06-15 Last updated: 2016-06-17Bibliographically approved

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