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Sjuksköterskors upplevelser av att arbeta med patienter i ett palliativt skede: Litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund; Historiskt sett har palliativ vård varit en del av sjuksköterskans ansvarsområde. Sjuksköterskans roll inom palliativ vård är relationsskapande, stödjande, kommunikativ och koordinerad.

Syfte; Syftet i den föreliggande litteraturstudien var att beskriva sjuksköterskors upplevelser av att arbeta med patienter i ett palliativt skede samt att beskriva undersökningsgruppen i de inkluderande studierna.

Metod; Denna litteraturstudie har en deskriptiv design och baseras på tolv vetenskapliga studier med kvalitativ ansats publicerade mellan år 2006-2016. De vetenskapliga studierna identifierades i databaserna PubMed och Cinahl. Studiernas innehåll granskades utifrån likheter och olikheter. Antal deltagare, bortfall, ålder, könsfördelning samt yrkesverksamma år som sjuksköterska granskades i den medologiska aspekten.

Huvudresultat; Fyra huvudteman identifierades av författarna; Svårigheter att bibehålla sin professionella roll, Upplevelser vid etiska dilemman, Krävande och givande upplevelser i mötet mellan sjuksköterska och patient och Upplevelser av otillräcklighet och osäkerhet. Gällande granskning av studiernas undersökningsgrupper påvisades att majoriteten av deltagarna var kvinnor.

Slutsats; Enligt tidigare studier upplevde sjuksköterskorna det krävande att arbeta med patienter i ett palliativt skede. I denna litteraturstudie framkom det tydliga kunskapsluckor hos sjuksköterskorna gällande patienters symtom, behandling samt hur olika svåra situationer skulle hanteras. Detta påvisar att det behövs mer kontinuerlig utbildning inom palliativ vård.

Abstract [en]

Background; Historically palliative care has been a part of the nurse's responsibility. The nurse's role in palliative care is relationship-building, supportive, communicative and coordinated.

Aim; The aim of the present literatur review was to describe nurses' experiences of working with patients in a palliative stage and to describe the investigation group in the including studies.

Methods; This literature review has a descriptive design and is based on twelve scientific studies with a qualitative approach and were published between the years 2006-2016. The scientific studies were found in the databases PubMed and Cinahl. The content of the studies were reviewed on the basis of their similarities and differences. Number of participants, dropout, age, gender and number of years in work as a nurse were reviewed in the methodological aspect.

Results; Four main themes were identified by the authors; Difficulties to maintain their professional role, Experiences of ethical dilemmas, Demanding and rewarding experiences in the meeting between the nurse and patient and Experiences of inadequacy and insecurity. The current review of the studies investigation group showed that the majority of participants were women.

Conclusions; According to previous studies, the nurses experiences were demanding while working with patients in a palliative stage. This literature review showed clear gaps in the nurses knowledge regarding patient symptoms, treatment and how different difficult situations should be handled. This demonstrates the need for more continuous education in palliative care.

Place, publisher, year, edition, pages
2016. , 34 p.
Keyword [en]
emotions, experience, nurses, palliative care, terminal care.
Keyword [sv]
känslor, palliativ vård, sjuksköterskor, terminalvård, upplevelser.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-21464OAI: oai:DiVA.org:hig-21464DiVA: diva2:926026
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2016-05-09 Created: 2016-05-03 Last updated: 2016-05-09Bibliographically approved

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