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Sjuksköterskors erfarenheter av att vårda döende patienter: En systematisk litteraturstudie
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Döendet är naturlig del i livet som berör alla människor. Sjuksköterskor möter döende patienter i vården. Anhöriga beskriver att den döende närstående är i behov av information och närvaro från vårdpersonal. Ibland beskriver anhöriga att vårdpersonal brister i kommunikation och tillgänglighet i den döendes vård. Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda döende patienter. Metod: Elva artiklar analyserades med kvalitativ metod genom systematisk litteraturstudie med beskrivande syntes. Resultat: Två teman och fem tillhörande subteman framkom. Temat Relationella utmaningar med tre subteman Att samspela med patienter, Att samspela med anhöriga och Att samspela i vårdteamet. Det framkom att det ibland var utmanande för sjuksköterskor att samspela med patienter, anhöriga och andra professioner. Temat Existentiella utmaningar synliggjorde två subteman Att vara närvarande och Att bli personligt påverkad. Det framkom att sjuksköterskor blev påverkade i vården av döende patienter och hade varierande sätt att bearbeta sina emotioner. Slutsats: Sjuksköterskornas samspel med döende patienter, anhöriga och vårdteamet var av betydelse för bemötande. Sjuksköterskornas närvaro främjade trygghet hos döende patienter. Sjuksköterskor blev ofta personligt påverkade av relationen till döende patienter och dess anhöriga som bearbetades genom exempelvis fysisk aktivitet.

Abstract [en]

Background: Dying is natural and affects all people; nurses will face dying in the care of patients. The relatives' perspective is that the dying person is in need of, among other things, information and the presence of healthcare staff. Relatives sometimes describe that care staff lack communication and accessibility in the dying person's care. Aim: To describe nurses' experiences of caring for dying patients. Method: Eleven articles were analyzed by a qualitative method through systematic literature study with descriptive synthesis. Results: Two themes and five associated sub-themes emerged. The theme Relationship Challenges, which provided three sub-themes: Interacting with patients, Interacting with relatives and Interacting in the care team. It was discovered that it was sometimes challenging for nurses to interact with patients, relatives and other professions. The theme Existential Challenges highlighted two sub-themes Being Present and Being Influenced. Analysis showed that nurses were influenced in the care of dying patients and had varying ways of processing their emotions. The presence of nurses created security for dying patients. Conclusion: The nurses' interaction with dying patients, relatives and the care team was important in meeting their varying needs. The presence of the nurses promoted the safety of dying patients. Nurses' risk of being personally affected by the relationship with dying patients. The personal impact was processed through, for example, physical activity.

Place, publisher, year, edition, pages
2020. , p. 46
Keywords [en]
Dying patients, experiences, nurses, relatives, systematic literature study
Keywords [sv]
Anhöriga, döende patienter, erfarenheter, sjuksköterskor, systematisk litteraturstudie
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-52707OAI: oai:DiVA.org:mdh-52707DiVA, id: diva2:1502702
Subject / course
Caring Science
Presentation
2020-11-19, Västerås, 15:46 (Swedish)
Supervisors
Examiners
Available from: 2020-11-24 Created: 2020-11-20 Last updated: 2020-11-24Bibliographically approved

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