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Distriktssköterskors upplevelser av att vårda patienter i palliativt skede inom kommunal hemsjukvård
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
2019 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Palliativ vård innebär att vården är lindrande och inte botande, där fokus ligger på att främja livskvalitet ända in i döden. Den palliativa vården varierar i Sverige. Palliativ vård är ett stort ansvarsområde för distriktssköterskor anställda vid kommunal hemsjukvård.

Syfte: Syftet med studien var att beskriva distriktssköterskors upplevelser av att vårda patienter i palliativt skede inom kommunal hemsjukvård.

Metod: Studien hade en kvalitativ ansats med deskriptiv design. Data samlades in via semistrukturerade intervjuer, där tio distriktssköterskor från kommunal hemsjukvård med erfarenhet av palliativ vård i hemmet deltog. Materialet analyserades med kvalitativ innehållsanalys.

Huvudresultat: Distriktssköterskorna beskrev att de upplevde arbetet med den palliativa vården som utmanande men även som positivt och tillfredsställande. Att kunna göra skillnad, ha involverade anhöriga och ett specialiserat palliativt team angavs som de största fördelarna i den palliativa vården. Svårigheterna var bristande samarbete, eller när patientens anhöriga inte var införstådda med situationen. Distriktssköterskorna uppgav att de var nöjda med sitt sätt att hantera sina känslor, där de flesta sökte stöd hos kollegorna i första hand. Svårare känslor uppstod oftare vid vård av yngre patienter eller när barn var inblandade.

Slutsatser: Distriktssköterskorna i föreliggande studie upplevde arbetet med patienter i palliativt skede som utmanade, utvecklande och känslosamt, men att det gav mycket tillbaka. Svårigheter som belystes var framförallt bristande samarbete och svårare känslohantering vid vård av yngre patienter eller när barn var inblandade. Studien kan leda till ökad förståelse hos olika yrkeskategorier som kommer i kontakt med patienter i palliativt skede samt belyser behovet av samarbete för att förbättra omvårdnaden av patienten.

Abstract [en]

Background: Palliative care means that the care is soothing and not curative, where the focus is on promoting quality of life, right into death. Palliative care varies in Sweden. Palliative care is a major area of ​​responsibility for district nurses employed in municipal home care.

Purpose: The purpose of the study was to describe district nurses’ experiences of caring for patients in palliative stages in municipal home care.

Method: The study used a qualitative approach with a descriptive design. Data were collected via semi-structured interviews, ten district nurses from municipal home care with experience of home-based palliative care participated. The material was analyzed using qualitative content analysis.

Results: The district nurses described that they experienced the work with palliative care as challenging, but also as positive and satisfactory. Being able to make a difference, having involved relatives and a specialized palliative team was stated as the biggest benefits in palliative care. The difficulties were the lack of co-operation, or if the patients’ relatives were not aware of the situation. The district nurses stated that they were satisfied with their way of dealing with their feelings and that most of them sought support from their colleagues in the first place. Often, more difficult emotions occurred when it came to the care of younger patients, or when children were involved.

Conclusion: The district nurses in this study experienced the work with patients in palliative stages as challenging, developing and emotional, but it was very rewarding. Difficulties that were highlighted were, above all, a lack of co-operation and a more difficult emotional management when it came to caring for younger patients, or when children were involved. The study can lead to an increased understanding for different healthcare providers who come into contact with patients in palliative stages and it highlights the need for collaboration to be able to get improved patient care.

Place, publisher, year, edition, pages
2019. , p. 38
Keywords [en]
co-operation, district nurse, feelings, home care, palliative care
Keywords [sv]
distriktssköterska, hemsjukvård, känslor, palliativ vård, samarbete
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-30644OAI: oai:DiVA.org:hig-30644DiVA, id: diva2:1350724
Subject / course
Nursing
Educational program
Specialist nursing – master’s programme (one year)
Supervisors
Examiners
Available from: 2019-09-13 Created: 2019-09-12 Last updated: 2019-09-13Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • ieee
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  • sv-SE
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