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Palliativ omvårdnad i livets slutskede: En litteraturstudie ur ett sjuksköterskeperspektiv
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2023 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Palliativ vård i livets slutskede ges till patienter med obotlig sjukdom och sker på vårdavdelningar, äldreboenden samt i hemmet. Målet med palliativ vård är att lindra patienters lidande samt att främja deras livskvalité. Tidigare forskning beskriver patienters och anhörigas upplevelser av palliativ vård i livets slutskede. Syfte: Att beskriva sjuksköterskors upplevelser av palliativ omvårdnad i livets slutskede. Metod: En kvalitativ litteraturstudie av 11 vårdvetenskapliga artiklar. Resultat: Utifrån analysen skapades två huvudteman och fem subteman. Det första temat Utmaningar för palliativ omvårdnad i livets slutskede beskrev sjuksköterskornas upplevelser av bristande kommunikation, osäkerhet, organisatoriska faktorer samt emotionella utmaningar. Det andra temat Möjligheter för palliativ omvårdnad i livets slutskede beskrev sjuksköterskornas upplevelser av vårdrelation samt personcentrerad vård och dess betydelse för den palliativa vården. Slutsats: För att sjuksköterskor ska kunna uppleva större säkerhet i vården av patienter i livets slutskede behövs mer utbildning och stöd från organisationen och medarbetarna. Att avsätta tid för reflektion och samtal i arbetsgruppen kan bidra till att skapa en bättre arbetsmiljö vilket kan resultera i god palliativ omvårdnad.

 

 Nyckelord: kvalitativ, livets slutskede, sjuksköterskor, litteraturstudie, upplevelser.

Abstract [en]

Background: End-of-life care is provided to patients with terminal illnesses in healthcare, nursing homes and at home. The aim of palliative care is to alleviate patients suffering and to promote their quality of life. Previous research describes patients and relatives' experiences of palliative care at the end of life. Aim: To describe nurses experiences of palliative care at the end of life. Method: A qualitative study based on 11 nursing research articles. Results: Two main themes and five sub- themes were created from the analysis. The first theme was challenges in palliative care at the end-of-life, the nurses experienced a lack of communication, uncertainty, organizational factors and emotional challenges. The second theme, opportunities for palliative care at the end-of-life, the nurses described the importance of a caring relationship and person-centered care to provide good palliative care. Conclusion: In order for nurses to be able to experience greater safety in the care of patients at the end of life, more training and support from the organization and employees is needed. Setting aside time for reflection and conversation in the work group can contribute to creating a better work environment, which can result in good palliative care. 

 

Keywords: end of life care, experiences, nurses, qualitative, literature review.

Place, publisher, year, edition, pages
2023.
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-62154OAI: oai:DiVA.org:mdh-62154DiVA, id: diva2:1746641
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Examiners
Available from: 2023-03-31 Created: 2023-03-29 Last updated: 2023-03-31Bibliographically approved

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