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Distriktssköterskors upplevelser av att arbeta med palliativa patienter i hemmet
University of Gävle, Department of Caring Sciences and Sociology.
2008 (Swedish)Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
Abstract [sv]

Sammanfattning

Syftet med studien var att utifrån distriktssköterskors berättelser beskriva deras arbete med palliativa patienter inom hemsjukvård samt deras upplevelse av arbetet. Studien hade en beskrivande design och tio distriktssköterskor från fem olika hälsocentraler i Mellansverige deltog i studien. Data samlades in via semistrukturerade intervjuer och analyserades utifrån kvalitativ innehållsanalys. Resultatet redovisas utifrån kategorier som bildade två teman. Temat ”Att balansera mellan nuet och planera slutet – att vara steget före” framkom ur kategorierna Att se patientens livssituation och utföra omvårdnadsåtgärder, Att strukturera arbetet, Att stödja och ha kontakt med närstående, Att uppleva utvecklings och utbildningsbehov samt Att vara professionell i sitt förhållningssätt och beskriver distriktssköterskornas upplevelse av att vårda palliativa patienter. Distriktssköterskornas insatser hos patienten intensifierades allteftersom sjukdomen fortskred, kontakten med närstående och andra vårdgivare beskrevs som god. Temat ”Att uppleva stimulans och påfrestningar” bildades ur kategorierna Att vara professionell i sitt förhållningssätt och Att uppleva och hantera egna känslor och beskriver distriktssköterskornas egna känslor inför att vårda palliativa patienter. Distriktssköterskorna upplevde sitt arbete som värdefullt och viktigt, dock upplevdes det som påfrestande med flera palliativa patienter samtidigt samt att det var extra jobbigt med yngre patienter.

Abstract [en]

Abstract

The aim of the study was to describe district nurses’ work with palliative patients in home care and their experience of the work. The study had a descriptive design and ten district nurses from five different health care centres in the Middle of Sweden participated in the study. Data were collected with semi-structured interviews and analysed with qualitative content analysis. The results are presented from the categories, which formed two themes. The theme “To balance between the prevailing situation and to plan the end – to lie ahead. emerged from the categories To see the patient’s life situation and to perform nursing interventions, To structure the work, To support and have contact with relatives, To experience developmental and educational needs and To be professional in one’s approach and describes the district nurses’ experience of caring for palliative patients. The district nurses’ efforts at the patients home were intensified as the disease progressed, the contact with the relatives and other caregivers were described as good. The theme “To experience stimulation and strain” emerged from the categories To be professional in one’s approach and To experience and handle one’s own feelings and describes the district nurses’ feelings about caring for palliative patients. The district nurses experienced their work as important and valuable; however it was also experienced as trying with several palliative patients at the same time and extra tough when the patients where younger.

Place, publisher, year, edition, pages
2008. , p. 33
Keywords [en]
district nurse, palliativ care, home care
Keywords [sv]
distriktssköterska, palliativ vård, hemsjukvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-775Archive number: SPECDSK/vt08nr4OAI: oai:DiVA.org:hig-775DiVA, id: diva2:120367
Uppsok
samhälle/juridik
Supervisors
Examiners
Available from: 2008-10-27 Created: 2008-10-27

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard-cite-them-right
  • ieee
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  • Other style
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Language
  • sv-SE
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  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
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