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Sjuksköterskors erfarenheter av palliativ sedering
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.
2023 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Sjuksköterskan är omvårdnadsansvarig och har en central roll inom palliativ vård där målet är att främja välbefinnande och värdighet för patienten. I de fall palliativa patienter upplever outhärdliga symtom trots symtomlindring kan en sista utväg för minskat lidande vara palliativ sedering. Syfte: Syftet var att sammanfatta och beskriva sjuksköterskors erfarenheter av palliativ sedering. Metod: Studiens design är deskriptiv och resultatet är uppbyggt på tio vetenskapliga artiklar som söktes fram via databaserna PubMed och CINAHL. Huvudresultat: Resultatet i litteraturstudien visade att sjuksköterskor som arbetat med palliativ sedering hade flera olika roller. Inom yrkesrollen skulle sjuksköterskan utföra omvårdnad, administrera läkemedel, samarbeta med läkare och bemöta anhöriga. Resultatet visade även att palliativ sedering kunde väcka etiska frågeställningar hos sjuksköterskor vilket kunde leda till emotionell påfrestning. Framträdande i studierna var att trots svårigheter fanns en vilja och tröst i att sjuksköterskans handlingar syftar till att lindra lidande i livets slutskede. Slutsats: Sjuksköterskor kan uppleva etiska svårigheter och en emotionell börda i sin yrkesroll som sjuksköterska vid palliativ sedering. De kan även möta utmaningar då de har flera roller att axla vid palliativ sedering och förutom att lindra patientens lidande ska de också vara ett stöd för anhöriga och informera dem. Sjuksköterskor har en betydelsefull roll i livets slutskede eftersom deras främsta fokus är att främja välbefinnande för patient och anhöriga.

Abstract [en]

Background: The nurse is responsible for the nursing care and has a central role in palliative care where the aim is to promote well-being and dignity for the patient. In cases where palliative patients experience unbearable symptoms despite symptom relief medications, a last resort for reduced suffering may be palliative sedation. Aim: The aim was to summarize and describe nurses’ experiences of palliative sedation. Method: The study’s design is descriptive and the results are based on ten scientific articles that were gathered through the databases PubMed and CINAHL. Main results: The results of the literature study showed that nurses who had worked with palliative sedation had several different roles. Within the professional role, the nurse would provide nursing care, administer medications, collaborate with doctors and care for patients’ relatives. The results also showed that palliative sedation could raise ethical dilemmas for the nurses, which could lead to emotional distress. However, prominent in the studies was that despite difficulties there was a will and comfort in the fact that the nurses’ actions aim to alleviate suffering in the end of the patients’ lives. Conclusion: Nurses can experience ethical difficulties and an emotional burden related to their professional role in palliative sedation. Nurses can face challenges as they have several roles to play during palliative sedation, and in addition to alleviating the patients’ suffering, the nurses also have to support and give information to the patients’ relatives. Nurses play an important role in patients end of life-care since their main focus is to promote well-being for the patient and relatives.

Place, publisher, year, edition, pages
2023. , p. 32
Keywords [en]
nurses, experience, palliative sedation
Keywords [sv]
sjuksköterskor, erfarenhet, palliativ sedering
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-41641OAI: oai:DiVA.org:hig-41641DiVA, id: diva2:1752429
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2023-05-02 Created: 2023-04-21 Last updated: 2025-10-02Bibliographically approved

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Citation style
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  • Other locale
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