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Nyutexaminerade allmänsjuksköterskors upplevelser av att  vårda patienter i livets slut: En kvalitativ intervjustudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2011 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Att beskriva nyutexaminerade allmänsjuksköterskors upplevelser av att vårda patienter i livets slut.

 Metod: Författaren har genomfört en kvalitativ intervjustudie med beskrivande design. Undersökningsgruppen valdes ut genom bekvämlighetsurval och bestod av sju allmänsjuksköterskor som jobbat max två år som sjuksköterska. Det insamlade materialet analyserades utifrån en kvalitativ innehållsanalys. Resultat I analysen framkom sju kategorier. De intervjuade sjuksköterskorna beskrev en tillfredsställelse i arbetet med patienter i livets slut, vilket kunde dels bero på att de utvecklades i det jobb de gör, men det kunde också bero på att de fick uppskattning från patient och anhöriga. Trots arbetstillfredsställelsen som sjuksköterskorna beskrev kunde de även få en känsla av otillräcklighet i vårdandet av patienter i livets slut, vilket kunde vara en konsekvens av brist på tid och personal. De beskrev även att de ibland blir ledsna och grubblar efter att en patient avlidit. Sjuksköterskorna beskrev även en glädje trots sorg i sitt jobb, detta kunde vara om de såg att en patient mådde bra trots sin sjukdom. Erfarenhet ger trygghet ansåg också sjuksköterskorna. Både jobbigt och befriande när döden inträdde var något som sjuksköteskorna beskrev. Nära och fin men påfrestande relation var hur sjuksköterskorna beskrev relationen till patient och anhöriga. 

Slutsats: Anhöriga hade en stor del i vårdandet av patienter i livets slut, och detta påverkade hur sjuksköterskor tänkte och kände kring detta. I mötet med patienter och deras familjer kunde trygghet som kommer med erfarenhet, underlätta. 

 

Abstract [en]

Aim: To describe the new graduated registered general nurses' experiences of caring for patients in the end of life. Method: The author conducted a qualitative interview with descriptive design. The study group was selected by convenience sample and consisted of seven general nurses who had worked maximum two years as a nurse. The collected material was analyzed from a qualitative content analysis.

Results: The analysis revealed seven categories. The nurses that were interviewed described a job satisfaction that could partly be because they were developed in the work they do, but it could also be because they got appreciation from patients and relatives. Despite the job satisfaction that the nurses described, they could also get a sense of inadequacy, which could be a consequence of lack of time and personnel. They also explained that they sometimes become sad and would think a lot after a patient died. The nurses also described a joy in their job, this could be if they saw that the patients were feeling well despite their illness. With experience the nurses felt more confidence in their job. The nurses also explained that they thought it was both difficult and liberating when death occurred. Near and nice but stressful relationship is how the nurses described the relationship with the patient and relatives.

 Conclusion: Relatives have a big part in caring for patients in end of life, and this affects the way nurses think and feel about the situation. In meeting with patients and their families, feeling safe in the situation because of earlier experience, can make it easier. 

Place, publisher, year, edition, pages
2011. , p. 21
Keywords [en]
Newly qualified, General nurses, Experience, Patients in end of life
Keywords [sv]
Nyutexaminerade, Allmänsjuksköterskor, Upplevelser, Patienter i livets slut
Identifiers
URN: urn:nbn:se:hig:diva-9289Archive number: SSKHK08/vtnr26OAI: oai:DiVA.org:hig-9289DiVA, id: diva2:418334
Subject / course
Nursing science
Educational program
Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-05-26 Created: 2011-05-22 Last updated: 2011-05-26Bibliographically approved

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