Dissertations / Theses: 'Existential suffering and existential care'

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Granström, Frida. "Att separeras från livet : Patienters upplevelser av existentiellt lidande i palliativt skede - En litteraturstudie." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-7295.

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Background: Living with an incurable disease means facing existential challenges that the person must relate to. Being in a palliative phase also means that the person undergoes a lot of changes which often causes suffering. Suffering in palliative care is seen as multidimensional, something that affects the whole person, which is why a holistic view is a central part of palliative care. Aim: The aim of this literature study was to describe patient's experiences of existential suffering in the palliative phase. Method: A literature study based on ten qualitative articles. Results: Four main themes were found; experiences of a changed life-situation, experiences of loneliness, experiences of meaningless and experiences of loss. Conclusion: The study shows, from an existential point of view that coping and handling with an imminent death is complex and difficult in several ways. Patients in palliative care are a vulnerable patient group whose existential suffering may be enhanced by the way health professionals provide care. The study also shows a need for further research in this area aiming to support health care professionals to alleviate existential suffering.

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Josefsson, Josefine, and Anna Johansson. "Hur sjuksköterskan kan lindra det existentiella lidandet hos patienter inom palliativ vård : En litteraturbaserad studie grundad på analys av kvalitativ forskning." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-7354.

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Background: When a patient suffer from a disease and is in need of palliative care, it is normal to have existential questions and thoughts. For some patients these questions can be painful and the nurse need to have knowledge about dealing with these kind of questions and thoughts to be able to relieve and/or prevent this kind of suffering. Aim: The aim was to describe how the nurse can prevent the existential suffering among patients with palliative care. Method: A literature-based study was based on eight qualitative studies. Results: The results showed that nurses meet patients in the palliative care environment which may suffer from existential problems when their questions and thoughts don´t get answered. It showed that the most important a nurse can do is to give time to these calls and build up a safe relation to the patient. This allows the nurse to read the patients existential questions and observing possibly suffering. The result is organized in two categories "To see and confirm" and " To listen and give support" and see subcategories " Use body language", " Create reliable relationship", respond to the existential questions", "Give the patient time", " take help from others in hard situations" and "to focus on other things" Conclusion: It is easy to only focus on the physical illness while caring for a patient and believe that it is creating suffering. Extensive human suffering is not shown at first sight although it is just as important to relieve.

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Tangstad, Bodil, and Zenitha Wiberg. "Sjusköterskors perspektiv på att arbeta med existentiell smärta hos patienter i palliativt skede : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3613.

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Sammanfattning Den palliativa vården karaktäriseras av en värdegrund med ledorden empati, närhet, helhet och kunskap. Syftet med värdegrunden är att främja individens livskvalitet, lindra lidande och erbjuda ett existentiellt stöd i livets slut. Grunden för en god personcentrerad vård bygger på att relation mellan vårdare, patient och närstående främjas samt att bli lyssnad på och sedd som person. Existentiell smärta är vanligt förekommande hos patienter i palliativt skede som känslor av ensamhet, isolering, meningslöshet, separation och dödsångest. Patienten ger uttryck av behov att bli bemött med respekt, empati och inte bli övergiven av sin vårdgivare. Flera studier har påvisat brister där sjukvården inte kan definiera och förstå existentiella behov. Syftet med studien var att beskriva sjuksköterskors perspektiv på att arbeta med existentiell smärta hos patienter i palliativt skede. Metoden som valdes för studien var en litteraturöversikt för att undersöka kunskapsläget inom området. Databaserna CINAHL complete, PubMed, PsycINFO samt SweMed+ genomsöktes systematiskt med valda sökord vilket resulterade i att 16 artiklar identifierades som svarade mot studiens syfte utifrån valda urvalskriterium. Resultatet visade att sjuksköterskor såg ett ansvar för att skapa en god relation och kommunikation till patient och närstående, i arbetet med existentiell smärta hos patienter i palliativt skede. Viktiga komponenter för en fördjupad relation var tid, tajming, närvaro och visad empati. Lyhördhet hos sjuksköterskan sågs som viktigt för att kunna tolka och lindra patientens existentiella smärta. Många sjuksköterskor såg arbetet som meningsfullt i de situationer då de kände att de lindrade patientens existentiella smärta. Arbetet innebar känslomässig involvering och i en del situationer var balansen mellan distans och närvaro svårt att identifiera. Arbetet öppnade även upp för reflektion kring livet och döden. En del sjuksköterskor beskrev arbetet med existentiell smärta hos patienten som för mödosamt och såg det inte som deras uppgift att sitta ner och prata om döden. Sjuksköterskorna saknade verktyg för att kunna handla och hantera i olika situationer med existentiell smärta hos patienten. Slutsatsen i föreliggande studie var sjuksköterskors möten med patienter med existentiell smärta i palliativt skede ser olika ut då varje människa är unik med olika behov och resurser. Arbetet med existentiell smärta hos patienter involverade sjuksköterskan känslomässigt och balansen mellan närvaro och distans var svår att identifiera. Mer utbildning, diskussion och träning i att bemöta existentiell smärta behövs för att stärka sjuksköterskor i deras arbete med patienten i palliativt skede.
Abstract Palliative care is characterized by a foundation of values with the catchwords empathy, holism and knowledge. The purpose of the values is to promote the individual's quality of life, alleviate suffering and offer an existential support in the end of life. The foundation for a good person-centered care is based on the relationship between caregiver, patient and next of kin are being promoted and being listened to and seen as a person. Existential pain is common in patients in palliative phase such as loneliness, isolation, meaninglessness, separation and death anxiety. The patient gives the expression of needs to be met with respect, empathy and not be abandoned by his caregiver. Several studies have demonstrated the gaps where the health care system can't define and understand the existential needs. The aim of the study was to describe the nurses' perspectives on working with existential pain in patients in the palliative phase. The method chosen for the study was a literature review to examine the state of knowledge in the field. The databases CINAHL complete, PubMed, PsycINFO and SweMed+ were systematically searched with selected keywords, which resulted in 16 articles being identified which corresponded to the study's aim based on the chosen selection criteria. The result showed that nurses saw a responsibility to create a good relationship and communication with the patient and next of kin, in the work with existential pain in patients in the palliative phase. Important components for a deeper relationship were time, timing, attendance and shown empathy. Responsiveness of the nurse was seen as important to be able to interpret and alleviate the patient's existential pain. Many nurses saw the work as meaningful in the situations which they felt that they alleviated the patient's existential pain. The work involved emotional involvement and in some situations where the balance between distance and presence was difficult to identify. The work also opened up for reflection on life and death. Some nurses described the work with existential pain of the patient as too laborious and did not see it as their duty to sit down and talk about death. Some nurses described that they missing tools to be able to act and handle in different situations with existential pain in the patient. Conclusion in this study, the nurses' meetings with patients with existential pain in palliative stage is different as each person is unique with different needs and resources. The work of existential pain in patients involved the nurse emotionally and the balance between the presence and distance were difficult to identify. More education, discussion and training in addressing existential pain are needed to strengthen nurses in their work with the patient in palliative phase.

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Frosthagen, Eva-Marie, and Åsa Linder. "Sjuksköterskors omvårdnad av patienter med existentiell smärta." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-15785.

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Inom den palliativa vården är vanliga symtom smärta och i synnerhet existentiell smärta. Obehandlad existentiell smärta får konsekvenser för graden av patientens lidande. Begreppet ”total pain” har haft stor betydelse för hospicerörelsen och palliativ medicin. Syftet med studien var att beskriva sjuksköterskors omvårdnad av patienter med existentiell smärta inom palliativ vård för att därmed kunna minska patientens lidande. En litteraturstudie har utförts där 13 vetenskapliga artiklar har analyserats. I resultatet framkom att för att kunna bedöma och bemöta existentiella behov måste sjuksköterskan ha kunskap om vilka de existentiella/andliga behoven är. För att kunna bedöma smärta finns ett mätinstrument som kan användas för att lättare upptäcka existentiella/andliga behov. I artiklarna framkom att de existentiella/andliga behoven var: att ha en tro, bra relationer, känna meningen med livet, känna hopp och tröst, bli sedd och lyssnad på. Omvårdnadshandlingar som sjuksköterskan kan utföra för att minska patientens existentiella/andliga lidande visade sig vara: Att samtala och ha tid för patienten, holistiskt synsätt, skapa en kärleksfull miljö så att patienter kan känna hopp, inre frid och en mening med livet. Det ingår i sjuksköterskans ansvar att kunna se och möta de existentiella behoven och grunden i omvårdnaden är att samtala, kunna lyssna och ha tid för patienten. Mer utbildning, kunskap och forskning inom detta område behövs för att sjuksköterskan ska kunna utföra en helheltsvård och därmed kunna minska patientens lidande i livets slutskede.
Pain and in particular existential pain are common symptoms within the palliative care. Untreated existential pain has consequences for the degree of patient suffering. The concept of "total pain" has been crucial for the hospice movement and palliative medicine. The purpose of this study was to describe nurses caring for patients with existential pain in palliative care to reduce patient suffering. A literature review was performed including analysis of 13 scientific articles. The results showed that in order to assess and respond to the existential needs of patients the nurses must have knowledge about the existential/spiritual needs. To assess pain there is a measuring instrument which can be used to better detect existential/spiritual needs. The articles revealed that the existential/spiritual needs were: to have a faith, good relationships, know the meaning of life, have hope and comfort, being seen and listened to. Management that the nurse can do to reduce the patient's existential/spiritual suffering were: The importance of communication and having time for the patient, holistic approach, creating a loving environment so that patients can have hope, inner peace and a meaning of life. It is included in the nurse's responsibility to view and respond to the existential needs and the foundation of nursing is to converse, to listen and have time for the patient. More education, knowledge and research in this area are needed for the nurse to perform a holistic care and thereby reduce the patient's suffering in the terminally ill.

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Syrén, Susanne. "Det outsagda och ohörsammade lidandet : Tillvaron för personer med långvarig psykossjukdom och deras närstående." Doctoral thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-7360.

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Syrén, Susanne (2010). Det outsagda och ohörsammade lidandet. Tillvaron för personer med långvarig psykossjukdom och deras närstående (Being in the world with long term psychotic illness – the unspoken and unheard suffering), Linnaeus University Dissertations No 6/2010. ISBN: 978-91-86491-07-9. Written in Swedish with a summary in English. Aim: The overall aim of the thesis was to describe the lived experience of being in the world with long term psychotic illness. This is described from three perspectives; the perspective of persons diagnosed with long term psychotic disorder; the perspective of their relatives; and a family perspective. Method: Three studies were conducted guided by a reflective lifeworld approach grounded in phenomenology. The data were generated through individual, group, and family interviews. Data were analyzed for essential meanings of being in the world. Results: Persons with long term psychotic illness live in a borderland of paradoxes between the usual and unusual. For the ill persons the existence is incomprehensible and defenceless with feelings of not being at home in the body and in the world. They search for themselves in a care context that is contradictory, simultaneously good and hostile. These experiences are mostly unspoken, a struggle with doubts about having health or illness, what is good or evil, and about being usual or unusual. The relatives exist in a dilemma of the possible and impossible, a continual infinite struggle. Co-existing with their ill family member is a communion and a longing for togetherness is prominent. Relatives struggle with responsibilities for themselves and for their ill family member. In these unheard struggles the relatives yearn for participation in the formal care context. Family interviews with persons with long term psychotic illness and their relatives revealed a co-existence hovering between chaos and boredom while striving for a peaceful and quiet life. Thefamilies search for constancy and predictability in the presence of incomprehensible and threatening dangers. The experience of being a We balances the unshared meanings of being in the world and the loss of being able to experience and do things together. The experience of being a We keeps their individual existence and co- existence from falling apart.Conclusion: Persons with long term psychotic illness and their relatives have to withstand extensive existential suffering, which is unspoken and unheard. Formal caring should be existential caring, supporting the ill person’s comprehensibility and understanding of life, and feelings and experiences of being at home. Further, relatives should be acknowledged both as persons and carers and invited to participate in formal care. These results also point to the importance of strengthening feelings of togetherness and of being a We through systemic oriented existential conversations, where the ill person, their relative and a formal carer converse together.

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Elmäng, Hanna, and Linnea Andersson. "Att leva med obotlig cancer : en studie av självbiografier och bloggar." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13090.

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Bakgrund: Fler och fler människor i Sverige diagnostiseras med cancer. I cancervården blir den palliativa omvårdnaden viktig. Därför blir sjuksköterskan betydelsefull när patienten kämpar i slutet av livet. I den palliativa vården uppstår ofta existentiellt lidande så som hopplöshet, sorg och en önskan om att dö för att slippa lidandet. Syfte: Syftet med studien var att förstå patienters upplevelser av att leva med obotlig cancer. Metod: En kvalitativ metod har använts där fyra självbiografier och två bloggar analyserats med hjälp av innebördsanalys. Resultat: Studien kom fram till att människorna som drabbats av cancer fick en livsförändring efter att de fått diagnosen vilket innebar nya rutiner i vardagen och existentiella funderingar. Diskussion: För att vårdpersonalen skulle kunna stödja patientens existentiella behov var det viktigt att de var lyhörda för patientens funderingar. Familjens omsorg var viktig för att patienten skulle känna stöd och på detta sätt känna en mening av att leva vidare. För att patienten skulle få ett bra välbefinnande behövdes en god relation med vårdpersonalen som resulterade i en trygg och fridfull sista tid. Slutsats: Livet tog en ny vändning efter cancerbeskedet. Det var viktigt för de drabbade att de levde i nuet och accepterade sjukdomen för att få en bra sista tid i livet.
Background: More and more people in Sweden are diagnosed with cancer. In cancer care is palliative care is important. Therefore, the nurse is important when the patient struggling at the end of life. In palliative care often occur existential suffering as hopelessness, sadness and a desire to die to avoid suffering. Purpose: The purpose of this study was to understand the patient’s experiences from a life with incurable cancer. Method: A qualitative method was used, in which four autobiographies and two blogs were analysed using significance analysis. Results: After the person was diagnosed with cancer the life took a new turn, where the existential questions became a central part. Discussion: It was important that the health care stuff was responsive to the patient’s concerns to be able to support the patient’s existential needs. The family’s care played a big part for the patient to be motivated to carry on. A good relationship between the nurse and the patient were necessary to the patient to be wellbeing and to have a safe and peaceful last time in life. Conclusion: The life took a new turn when the patient got the diagnose incurable cancer. It is now important that the patient accepts the disease and lives in the present to get a good last experience of life.

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Lönnesjö, Rebecca, and Nathalie Björkman. "Sjusköterskans förmåga att kommunicera med patienter i livets slutskede för att lindra existentiellt lidande." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-44125.

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Bakgrund: Palliativ vård innebär att ge vård till patienter i livets slutskede där målet syftar till att lindra lidandet. Lidandet anses vara ett problemområde för den palliativa patienten. Existentiellt lidande yttrar sig individuellt och är vanligt förkommande för palliativa patienter. Sjuksköterskan besitter fyra ansvarsområden enligt ICN:s etiska kod, vilket innefattar att främja hälsa, lindra lidande, förebygga sjukdom och återställa hälsa. Kommunikationen är ett viktigt verktyg för att anpassa omvårdnaden utifrån den unika patientens behov. Syfte: Undersöka sjuksköterskans förmåga att kommunicera med patienter i livets slutskede och om detta kunde bidra med att lindra det existentiella lidandet. Metod: En allmän litteraturstudie som var skapad utifrån ett systematiskt förhållningssätt med en induktiv ansats. Resultat: Kommunikationen visade sig ha en betydande roll för att lindra lidandet hos den existentiellt lidande patienten. Viktiga egenskaper som identifierades var sjuksköterskans kommunikation via relation samt kommunikationsverktygen: empatisk kommunikation, tid och tidpunkt, en relation byggd på förtroende samt sjuksköterskans förmåga att initiera till samtal. Slutsats: Litteraturstudien påvisade flera kommunikationsverktyg som kunde vara behjälpligt i kommunikationen med den existentiellt lidande patienten. Att som sjuksköterska kunna identifiera patientens behov av att samtala, utläsa lämplig tidpunkt samt att kunna tolka när det finns ett behov av att ta ett steg tillbaka ansågs viktigt.
Background: Palliative care involves providing care to patients in the final stages of life where the goal is to alleviate suffering. Suffering is considered a problem area for the palliative patient. Existential suffering manifests itself individually and is common in palliative care. The nurse has four responsibilities under the ICN Code of Ethics, which includes promoting health, alleviating suffering, preventing illness and restoring health. Communication is an important tool for adapting nursing based on the unique patient’s needs. Purpose: To investigate the nurse's ability to communicate with patients at the end of life and whether this could help alleviate existential suffering. Method: A general literature study that was created based on a systematic approach with an inductive focus. Results: Communication proved a major significant role in alleviating the suffering of the existentially suffering patient. Important characteristics that were identified were the nurse's communication through relationship and the communication tools: empathic communication, time and moment, a relationship based on trust and the nurse's ability to initiate conversations. Conclusion: The literature study identified several communication tools that could be helpful in communicating with the existentially suffering patient. As a nurse, being able to identify the patient's need to talk, read out the appropriate time and to be able to interpret when there is a need to take a step back was considered important.

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Burman, Catharina. "Äldre i palliativ vård : den äldre människans behov av existentiella samtal." Thesis, Sophiahemmet Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1630.

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Asker, Teresia, and Cecilia Håkansson. "Existentiellt lidande hos cancerpatienter i kurativ vård. En litteraturstudie om patienters upplevelser, sjuksköterskors bemötanden och möten mellan patienter och sjuksköterskor." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24979.

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Det existentiella lidandet återfinns i samband med frågor som rör människans frihet, tillvarons mening, känslor av ensamhet och isolering i livssituationen samt i mötet med döden. Dessa frågor är universellt mänskliga och uppträder därför oavsett människans bekännande till eller avståndstagande från andlighet eller religiositet. Syftet med denna litteraturstudie var dels att beskriva hur det existentiella lidandet tar sig uttryck hos cancerpatienter i kurativ vård men också att beskriva sjuksköterskors bemötanden gentemot dessa patienter och de möten som uppstår mellan patienter och sjuksköterskor. De resultat som framkom av studien visade på att det existentiella lidandet karaktäriseras av förändringar och är en stor del av det totala lidande som cancerpatienter utstår. Samtidigt är emellertid sjuksköterskor, till följd av rädsla och okunskap, i många fall oförmögna att möta de förväntningar och behov som patienterna har. Den teoretiska referensram som använts utgörs av valda delar av Katie Erikssons omvårdnadsteori.
The existential suffering is found in relation to questions about human freedom, meaning of existence, feelings of loneliness and isolation in life and encountering death. These questions are of a universal human character and are therefore to appear irrespective of human confession to or dissociation from spirituality or religiosity. The aim of this review was partly to describe the existential suffering in cancer patients in curative care, partly to describe nurses´ treatments to these patients and the encounters that arise between patients and nurses. The findings emerging in the study revealed that the existential suffering is characterized by changes and is a great part of the total suffering that cancer patients endure. At the same time are nurses, as a result of fear and ignorance, in many cases unable to encounter the patients´ experiences and needs. The theoretical framework used, consist of selected parts of Katie Eriksson´s nursing theory.

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Westergren, Maja, and Oscar Södergren. "Spiritual and Existential needs in palliative care." Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3677.

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Background: Previous research has shown that the understanding and knowledge about the spiritual needs is not given high priority among nursing staff. During the latest years the body and its functions has controlled the healthcare and the spiritual needs has been placed in the background. All humans have spiritual needs that must be satisfied irrespective of religious background. Aim: The aim of this study was to in a caring perspective illustrate patients’ spiritual and existential needs in palliative care. Method: The study is a literature review where 12 articles has been analyzed and summarized to give an overview of rescent research. The approach for the work of the analysis of the articles was qualitative content analysis. Results: The spiritual needs increase in palliative care. To handle the increased needs coping strategies are needed. Nursing staff, relatives and religion are considered by the patient to be important resourses in order to handle the situation. The spiritual needs are not always payed attention to because of lack of knowledge among health care personal. Discussion: The older generation are most likely more spiritual and religious convinced. The sum of this becomes that most of the palliative care patients have a religious belief, that might explain the meaning of spirituality in palliative care. Conclusion: The spiritual needs increase in palliative care and the most important as a nurse is to pay attention to and answer these needs. Through education and increased awareness of spiritual needs, the palliative care could improve considerably.

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Shapiro, Beth. "Physicians' views and practices regarding palliative sedation for existential suffering in terminally ill patients." Thesis, Saybrook Graduate School and Research Center, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3566412.

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This study examined hospice physicians' understanding of and attitudes toward existential suffering and palliative sedation, including their understanding of existential suffering, their responses to existential suffering, their use of palliative sedation as a treatment for existential suffering, and the influences on physicians' attitudes and behaviors about palliative sedation. Data were collected through a semi-structured, one-on-one, in-person interview conducted with five physicians employed at one hospice. Each interview was audio-recorded and lasted approximately 60 minutes. The data were examined using thematic analysis. The physicians had consistent views regarding the complex nature of existential suffering and agreed that it is difficult to define and diagnose. They explained that they alleviate existential suffering by helping patients work through it through conversation over time (usually with other hospice team members). The physicians unanimously emphasized that palliative sedation should be a last resort—and typically given only for intractable physical suffering. Examination of the influences on physicians' decisions to administer palliative sedation revealed that their background, training, and experiences, as well as their personal values and beliefs, countertransference, their assessment of patient's actual need, and ethical concerns influenced their decisions about palliative sedation. Four recommendations are offered based on the study results: Increase physicians' comfort and competence with patients' existential suffering, incorporate training in the use of self for physicians, destigmatize the intervention of palliative sedation, and revisit the terminology of palliative sedation. Limitations affecting the study include small sample size as well as possible researcher bias due to her experience as a hospice social worker and views about palliative sedation. Continued qualitative research throughout the medical field is recommended to further build the body of knowledge about physicians' understanding of and response to patients' existential suffering.

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Udo, Camilla. "Existential issues in surgical care : Nurses’ experiences and attitudes in caring for patients with cancer." Doctoral thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-17414.

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The overall aim of this thesis was to explore surgical nurses’ experiences of being confronted with patients’ existential issues when caring for patients with cancer, and to examine whether an educational intervention may support nurses in addressing existential needs when caring for patients with cancer. Previously recorded discussions from supervision sessions with eight healthcare professionals were analysed (I), written descriptions of critical incidents were collected from 10 nurses, and interviews with open questions were conducted (II). An educational intervention on existential issues was pilot tested and is presented in Studies III and IV. The intervention was the basis of a pilot study with the purpose of testing whether the whole design of the educational intervention, including measurements instruments, is appropriate. In Study III and IV interviews with 11 nurses were conducted and 42 nurses were included in the quantitative measurements of four questionnaires, which were distributed and collected. Data was analysed using qualitative secondary analysis (I), hermeneutical analysis (II), and mixed methods using qualitative content analysis and statistical analyses (III-IV). Results in all studies show that existential issues are part of caring at surgical wards. However, although the nurses were aware of them, they found it difficult to acknowledge these issues owing to for example insecurity (I-III), a strict medical focus (II) and/or lacking strategies (I-III) for communicating on these issues. Modest results from the pilot study are reported and suggest beneficial influences of a support in communication on existential issues (III). The results indicate that the educational intervention may enhance nurses’ understanding for the patient’s situation (IV), help them deal with own insecurity and powerlessness in communication (III), and increase the value of caring for severely ill and dying patients (III) in addition to reducing work-related stress (IV). An outcome of all the studies in this thesis was that surgical nurses consider it crucial to have time and opportunity to reflect on caring situations together with colleagues. In addition, descriptions in Studies III and IV show the value of relating reflection to a theory or philosophy in order for attitudes to be brought to awareness and for new strategies to be developed.

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Murphy, Ellen Louise. "Existential practitioners' experience of feeling competent in death work : an interpretative phenomenological analysis." Thesis, Regent's University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.646078.

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Competency assessment and evaluation for all psychological therapies are now a common requirement. Recent international research studies have resulted in the development of the phrase ‘death competence’ as “tolerating and managing clients’ problems related to dying, death, and bereavement” with an urging for death work competence to be an ethical imperative (Gamino & Ritter, 2012). A further study of 176 death work professionals using an open ended question and content analysis proposed a model of death work competence that suggests it is dependent on more than knowledge and skills, with the emergence of emotional and existential coping as key elements (Chan & Tin, 2012). This study aims to build on this existing research with an Interpretative Phenomenological Analysis of six existential practitioners` experience of feeling competent in their death work, grounding the research in Heidegger`s notion of being-towards-death. The aim was to get as close as possible to the lived experience of death work competency in a small, purposive sample to investigate the subjective meanings and understandings of their death work competency. Semi structured interviews were conducted with five major themes emerging. These were frameworks for death work competency; existential engagement in competent death work; existential ways of being in death work; the psychological impact of death work on feelings of competency and the elusive essence of death work competency. The significant finding was the primary import placed by all participants on dialogues with personal mortality, suffering and death as providing them with “competency in adversity” and “competency in fragility” that were vital for their competent death work, both personally and professionally. These findings match the identification of existential coping and emotional coping as key elements in death work competency in the previous research. From this research a tentative framework is proposed for death work competency that looks to include these vital elements of an engagement with existential issues and personal mortality, for counselling psychologists and death work practitioners. Further research is suggested with regards to the absence or presence of similar experiences of death work competencies in other fields of death work with wider implications for training in both professional organisations and teaching institutions.

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Albinsson, Lars. "A Palliative Approach to Dementia Care : Leadership and organisation, existential issues and family support." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2930.

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The main purpose of this thesis was to apply the WHO and NHS palliative care approach to dementia care.

Thirty-one staff-members in mid-Sweden (studies I and II) and 20 next-of- kin (study IV) were interviewed. In study III, 316 staff-members from dementia care and 121 staff-members from palliative cancer care responded to a questionnaire about family support. The interviews were tape-recorded and analysed with a qualitative phenomenographic (I and II) and a hermeneutic approach (IV). The questionnaires (III) were analysed using qualitative and quantitative content analysis.

The staff-members stated almost unanimously that daily leadership was lacking, and consequently clear goal formulations and care planning were rare (I). Proper teamwork between the doctor and the staff who worked on a daily basis with the patients was absent (I). With respect to existential issues, education and staff discussions were lacking (II). The staff were at a loss concerning how to deal with these issues. Nevertheless, these issues are central to family-members who have to deal with an existential crisis (IV). Important questions emerged about obligation and guilt, faithfulness, responsibility, and paying back what you once received. Existential isolation could be identified e.g. in the reversal of roles experienced as "being a parent to your parent" and in the burden of "visiting a living dead person".

There were no routines for bereavement visits. The type of support suggested for dementia family members is partly similar to support in palliative cancer care, but it also differs in other respects such as feelings of guilt because the early signs of the disease are misunderstood, the need for respite because of the long trajectory of dementia diseases, and the occurrence of anticipatory grief because in the late phase family members can no longer make any contact at all with the patient (III).

A palliative approach can improve the quality of life for the dementia patient and for the family. It can be used as a basis for a clear goal formulation. Some of the suggestions listed in this thesis for improving the quality of care are more a reflection of the need for a change in attitudes rather than the need for substantial budget increases.

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Koebbel, Christian Max. "Talking about life in a serious way : existential-phenomenological therapeutic practice in primary care." Thesis, Middlesex University, 2016. http://eprints.mdx.ac.uk/21271/.

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Theoretical literature suggests that the counselling psychology core modality of existential therapy provides a good fit with the NHS primary care context, despite a lack of research and official recognition. The outlined research qualitatively enquires into the experience of practitioners delivering existential-phenomenological practice within primary care. The focus lies on developing a theory of how these practitioners negotiate their professional practice. Nine practitioners of varying degrees of experience were interviewed and a theory was iteratively constructed, employing a constructionist Grounded Theory methodology. The resulting theory comprises of four major categories: ‘The Medicalness of Primary care’, ‘Existential-phenomenological Practice in Primary Care’, ‘Negotiating Practice in Primary Care’ and ‘The Impact of Professional Experience’. These were verified through a member check with a subsample of seven participants. Existential-phenomenological practice in primary care is conceptualised as a multi-faceted practice, integrated by a flexible existential-phenomenological ‘attitude’. Working to the demands of the medical model of primary care present a departure from more traditional existential therapy and practitioners are often ambivalent about this. Yet, the grounded theory suggests that practitioners are able to maintain their existential-phenomenological identity, and that they perceive their work to be both possible and valuable. The present theory outlines some of the demands that primary care makes on existential-phenomenological practice, but also the practice-strategies employed to negotiate these. These include limitations in time, goal-setting, psychometric tests, diagnostic labels and differing levels of practitioner experience. Especially for novice practitioners, but also training institutions this outline might serve to tackle the lack of practice guidelines in the field of existential-phenomenological practice in primary care. Overall, the findings contribute to a dialogue between the community of existential-phenomenological practitioners and the medical model. Further, they support future research that might argue for an inclusion of existential-phenomenological practice into primary care offerings.

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Hutchinson, Jennifer. "Emotional Response to Climate Change Learning: An Existential Inquiry." Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1602019356792951.

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Broberger, Jenny, and Eva Silverlantz. "Sjuksköterskors erfarenheter av att möta patienter med existentiellt lidande : En litteraturbaserad studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-12233.

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BAKGRUND: Att uppleva existentiellt lidande är en naturlig del av att vara människa. Att lindra lidande ingår i sjuksköterskors ansvarsområde. En god kommunikationsförmåga krävs för att skapa ett samtal som lindrar lidandet. SYFTE: Att belysa sjuksköterskors erfarenheter av att möta patienter med existentiellt lidande. METOD: Litteraturbaserad studie grundad på fjorton kvalitativa vetenskapliga artiklar. RESULTAT: Ur analysen av datamaterialet framkom tre kategorier såsom: Strävan mot lindring, hinder för ett adekvat professionellt yrkesutövande och professionell och personlig påverkan med nio underkategorier. KONKLUSION: När sjuksköterskor får utbildning och kunskap i hur existentiellt lidande kan hanteras blir de betydligt bättre på att tillgodose patienters behov av detta. Avsaknad av tydliga regelverk, som betonar vikten av att se patienters existentiella lidande, gör att den delen av omvårdnaden hamnar i skymundan.
BACKGROUND: To experience the existential suffering is a natural part of being human. To relieve suffering is part of nurses' responsibility. It requires good communication skills to create an encounter to alleviate the suffering. OBJECTIVE: To elucidate nurses' experiences of meeting patients with existential suffering. METHOD: Literature-based study, based on fourteen qualitative research articles. RESULTS: Three categories emerged from the analysis: Striving towards alleviation, barriers to adequate practicing professional and professional and personal impact with nine subcategories. CONCLUSION: When nurses are educated and get the knowledge about how existential suffering can be managed, they become much better at meeting the needs of patients. Lack of a distinct regulatory framework which emphasizes the importance of recognizing patients' existential suffering, puts that part of caring in the background.

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Åhlund, Camilla, and Linda Åström. "Att vara medvandrare i en andlig och existentiell livsvärld : En kvalitativ litteraturbaserad studie om sjuksköterskors erfarenheter av andliga och existentiella möten vid livets slut." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-12332.

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Background: About 91000 people died in Sweden in 2016 and of those who died an estimate of 70000-75000 needed palliative care. When facing one’s own death it actualises questions about life and death and what happens thereafter. An important aspect of caring for patients at the end of life is the existential and spiritual dimension and therefore it is important that nurses have adequate knowledge and insight to be able to provide the best possible spiritual care for the patients. Aim: The aim of this study was to illustrate nurses’ different experiences of existential and spiritual encounters with patients at the end-of-life. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was used. An analysis of thirteen qualitative articles was carried out and resulted in 3 main themes and 12 subthemes. Results: The results of the study showed that some important factors with regards to existential encounters were courage, good communication skills, presence and the ability to care with love and compassion and to instill a sense of hope. For the nurses the encounters fostered a process of inner growth as they started to reflect on their own sense of spirituality and on issues of death and dying. Barriers included lack of time, knowledge and staff shortages. Conclusion: There is a need for sufficient time, education and support for the nurses to feel more prepared and comfortable in meeting the existential needs of the patients. Keywords: Palliative care, existential, spiritual, experience, nurse

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Westerberg, Susan. "Palliative Care : The role of Counsellors." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2237.

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The following article is a study about counsellors working with terminally ill patients receiving Palliative care. In an effort to understand their role in the Palliative team and how they participate in the care of dying individuals, four counsellors working in four different Palliative hospices in Stockholm were interviewed by using structured interviews. The key questions concern the methods and interventions counsellors use, the risk factors that the job entails, the support they receive and finally their reflections about life and death The literature on the topic was accessed via Ersta Sköndal Högskola College library and Internet database. The results of the study reveal that Palliative Care Approach takes into consideration all aspects of an individual (physical, psychological, social and spiritual). Counsellors are part of a multidisciplinary team and their role is to focus on the social and psychological aspects. They undertake comprehensive assessments of the patient’s context and their coping strategies through the use of psychosocial theories such as Sense of Coherence and Logo therapy. Via their skilled use of core counselling skills they establish close relationships with patients and families. At the same time they are always mindful of keeping the right distance. Counsellors are the receivers of a lot of emotional pain and suffering of patients and families and as such this transference can lead to emotional exhaustion. Access to good support is an essential prerequisite for avoiding burnout. Close encounters with death leads to reflections of life and death. Counsellors need to be well developed and experienced in order to provide good quality palliative care.

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Andersson, Camilla, and Kristina Andersson. "Existentiell smärta hos patienter med cancer i palliativt skede." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-9018.

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Smärta i livets slutskede behöver inte bara innebära det fysiska obehaget, utan kan även ha psykiska, sociala och existentiella dimensioner. Existentiell smärta har en stor plats i den palliativa vården, kropp och själ hör ihop. Tankar kring livets mening, skuld och vad som händer efter döden kan ge existentiell smärta. De existentiella behoven är enligt många studier försummade. Vårdpersonal undviker ofta dessa frågor.Syftet med studien var att beskriva existentiell smärta hos patienter med cancer i palliativt skede. Metod: En allmänlitteraturstudie genomfördes med kvalitativa artiklar. Resultatet visade att existentiell smärta förekom i stor omfattning. Informanterna upplevde ensamhet och skuldkänslor och smärtan beskrevs ofta i fysiska termer. Smärtan hade också samband med förlust av olika funktioner. Det fanns även tankar kring andlighet och rädsla för den okända framtiden.Diskussion: Det är viktigt att sjuksköterskan är uppmärksam på patientens behov av närhet eller ensamma stunder. Vårdpersonal kan även hjälpa patienten att återfinna sin autonomi genom att identifiera de funktioner som faktiskt finns kvar. Genom samtal kan patienten få stöd att orka leva de sista dagarna samt att möta den okända framtiden. Slutsatsen är att det krävs god kunskap i kommunikation och smärtbehandling för att kunna identifiera och lindra existentiell smärta.
Pain in the end of life means not only the physical discomfort, but can also have psychological, social and existential dimensions. Existential pain plays a major role in palliative care. Dealing with the meaning of life, guilt and death can provide existential pain. The existential needs are as many studies indicate neglected. Health professionals often avoid these issues. The purpose of this study was to describe the existential pain in cancer patients in a palliative setting. Method: A literature review was conducted with qualitative articles. The results showed that existential pain was widespread. The informants experienced loneliness and guilt and the pain was often described in physical terms. The pain was also associated with loss of various functions. There were also thoughts about spirituality and fear of the unknown future. Discussion: It is important that the nurse is attentive to patient’s needs for closeness or lonely moments. Medical professionals can also help patients regain their autonomy by identifying the features that actually exist. Through conversation, the patient may receive strength to live the last days and to face the unknown future. The conclusion is that in order to identify and alleviate existential pain it requires a good knowledge in communication and pain management.

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Rédei, C. Anna. "Finns det mening i lidandet? Psykiskt lidande som problem eller möjlighet i psykoterapi : En kvalitativ studie." Thesis, Ersta Sköndal Bräcke högskola, S:t Lukas utbildningsinstitut, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7890.

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Inledning: Depression är en av de vanligaste psykiatriska diagnoserna i Sverige (Folkhälsomyndigheten, 2017). Depression leder till att livet känns meningslöst, vilket ger lidandet en existentiell dimension. Att studera psykoterapeuters syn på lidande utifrån existentiella och psykoanalytiska perspektiv motiveras eftersom forskning har visat att interventioner som adresserar dessa specifikt har varit framgångsrika. Syftet med studien var att undersöka denna fråga ytterligare. Frågeställningar: Hur föreställer sig psykodynamiska psykoterapeuter psykiskt lidande och hur arbetar de med det i terapin? Vilken betydelse tillskriver de, de existentiella dimensionerna för det psykiska lidandet? Metod: En kvalitativ metod har använts. Sex terapeuter intervjuades med utgångspunkt från en semi-strukturerad intervjuguide, intervjuerna analyserades tematiskt. Resultat: Tre huvudteman om lidande framkom i intervjuerna: Att vara människa, skapar både möjlighet och hinder för mening och läkande, kärlekens betydelse. Diskussion: Analysen pekade på en mångfald av uppfattningar om lidandet och sättet att arbeta med det. Den visade dock på en samstämmighet vad gäller upplevelsen av kärlekens betydelse för lidandet och pekade på att psykodynamiska terapeuter, i diskussionen om konfidenters lidande i kärlek och religion, närmade sig existentiella perspektiv.
Introduction: Depression is one of the most common psychiatric diagnoses in Sweden (Folkhälsomyndigheten, 2017). Depression causes life to feel meaningless, which gives it an existential dimension. Studying psychotherapists’ views of suffering from an existential and psychoanalytic perspective is motivated since research has shown that interventions that address it have been successful. The purpose of the study was to investigate this question further. Research questions: How do psychotherapists envisage mental suffering and how do they work with it in therapy? What significance do psychotherapists attribute to the importance of the existential dimensions for mental suffering? Method: A qualitative has been used. Six therapists were interviewed based on a semi-structured interview guide, the interview responses were thematically analysed. Results: Three main themes on suffering emerged in the interview responses: To be human, suffering creates both opportunities and obstacles to meaning and healing, the importance of love. Discussion: The interviews indicated a variety of ideas about suffering and ways of working with it. However, they pointed to a consensus regarding the experience of the importance of love for suffering and showed that psychodynamic therapists, in the discussion of clients’ suffering in love and religion, approached existential perspectives.

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Gamgam, Leanderz Åsa. "Existentiell omvårdnad : vårdpersonalens upplevelser -en litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-11928.

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Bakgrund: Intresset för existentiella frågor har ökat inom hälso-och sjukvården. Eftersom många människor i dagens samhälle lider av psykisk ohälsa skulle det vara viktigt för vårdpersonal att integrera andlig omvårdnad i mötet med patienten. Även om många studier redan gjorts och det är välkänt att existentiell omvårdnad ska vara en del av humanistisk omvårdnad, finner vårdpersonal det svårt att ge existentiell omvårdnad.Syfte: med uppsatsen var att beskriva vårdpersonalens upplevelser av existentiell omvårdnad. Metod:är en litteraturöversikt som analyserades med hjälp av kvalitativ innehållsanalys beskriven av Hällgren Graneheim och Lundman. Resultatet:visar att rädsla kan uppkomma när vårdpersonalen berörs inombords. Medvetenhet om egen sårbarhet kan även medföra att vårdpersonalen undviker existentiell omvårdnad. Vårdpersonalens förhållningssätt till egen andlighet innefattar att veta var det egna jaget står. Genom att diskutera situationer med andra fördjupas förståelsen för de egna upplevelserna. Ett medvetet närvarande i stunden och att hålla tillbaka sig själv verkar också utgöra en förutsättning för existentiell omvårdnad.Diskussion:Sårbarhet hos vårdpersonalen utgjorde hinder. Förutsättningarna förbättrades när vårdpersonalen ökade medvetenheten om den egna andligheten. Slutsats: Det ansågs viktigt att vårdpersonalen var medveten om sin egen andlighet för att kunna möta patientens existentiella behov. Background: The interest of existential issues has increased in healthcare. Since a lot of people in today´s society suffer from poor mental health, it would be an important task to healthcareprofessionals to integrate existential care in the meeting with the patient. Eventhough there has been a lot of studies done in the field of existential care, for it is wellknown that existential care should be a part of humanistic caring, healthcareprofessionals found it problematic to give existentialcare. The aim of this study wasto describe healthcareprofessionals experiences of existential care. Method: Literature review which was analyzed using qualitative content analysis described by Hällgren Graneheim and Lundman has been used as a method. The resultshowed that fear arose when healthcareprofessional were affected within. Awareness of their own vulnerability resulted in avoiding existential care. Healthcareprofessionals attitudes to their own spirituality involved knowing where the own self was positioned. By discussing situations with others deepens the understanding of their own experiences. A conscious presence in the moment and to restrain oneself also seems to be a prerequisite for spiritual care. Discussion: Vulnerability of healthcareprofessionals formed barriers. The conditions improved when healthcareprofessionals increased awareness of their own spirituality. Conclusion: It was considered important that healthcareprofessionals were aware of their own spirituality in order to meet the patient's existential needs.
Background: The interest of existential issues has increased in healthcare.Since a lot of people in today´s society suffer from poor mental health, it would be an important task to healthcareprofessionals to integrate existential care in the meeting with the patient. Eventhough there has been a lot of studies done in the field of existential care, for it is wellknown that existential care should be a part of humanistic caring, healthcareprofessionals found it problematic to give existentialcare. The aim of this study wasto describe healthcareprofessionals experiences of existential care. Method: Literature review which was analyzed using qualitative content analysis described by Hällgren Graneheim and Lundman has been used as a method. The resultshowed that fear arose when healthcareprofessional were affected within. Awareness of their own vulnerability resulted in avoiding existential care. Healthcareprofessionals attitudes to their own spirituality involved knowing where the own self was positioned. By discussing situations with others deepens the understanding of their own experiences. A conscious presence in the moment and to restrain oneself also seems to be a prerequisite for spiritual care. Discussion: Vulnerability of healthcareprofessionals formed barriers. The conditions improved when healthcareprofessionals increased awareness of their own spirituality. Conclusion: It was considered important that healthcareprofessionals were aware of their own spirituality in order to meet the patient's existential needs.

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Sjölund, Anna-Carin, and Annelie Stacksjö. "Att bemöta döende patienters existentiella tankar och reaktioner : -teamets samlade erfarenheter." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107723.

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Syfte: Studiens syfte var att ta del av teamets samlade erfarenheter av deras uppfattningar om vilka känslor, existentiella tankar och reaktioner döende patienter kan ge uttryck för, hur team-medlemmarna bemöter dessa samt deras uppfattning om teamets betydelse. Urval: Tio deltagare ur vårdteamet på hospice, nio kvinnor och en man, deltog i studien. Metod: Data samlades in genom semistrukturerade kvalitativa intervjuer. Analysresultat: Analysarbetet resulterade i tre teman. Dessa teman var Döende patienters existentiella tankar och reaktioner, Personalens bemötande samt Teamets betydelse. Resultat: Döende människors tankar och reaktioner kan yttra sig på flera olika sätt. Detta beroende på exempelvis individens personlighet, var i sjukdoms- respektive anpassningsprocessen patienten befinner sig samt möjligheten till stöd från närstående. Informanterna beskrev ett gott bemötande som; att vara närvarande, ge fysisk beröring, prioritera, se individen, vara lyhörd, respektera individen, bekräfta, inge hopp, skapa trygghet samt skapa förtroende. De nämnde även teamets betydelse för patienten, de närstående samt team-medlemmarna själva. Slutsats: Grundläggande för ett gott bemötande är att patienten känner förtroende för personalen. Detta förtroende kan skapas genom att bland annat stanna upp och lyssna på patienten, se och bekräfta denne, ge fysisk beröring samt vara ärlig och uppriktig. Ett gott bemötande kräver också att personalen flyttar fokus från sig själv till patienten och möter individen där denne är.

Aim: The aim of this study was to investigate the team members collected perception of the feelings, existential thoughts and reactions expressed by terminal patients, how the different team members respond to such feelings and their perception of the importance of the team. Sample: Ten members of the healthcare team at the hospice, consisting of nine women and one man, participated in the study. Method: Data was collected during the spring of 2009 through semi-structured qualitative interviews. Analysis Results: The analytical process resulted in three themes. These themes were: Terminal patients’ thoughts and reactions to existential questions, Interaction with the personnel and The importance of the healthcare team. Results: Terminal patients express their thoughts and reactions in different ways. Many factors contribute to the patient’s individual response: his/her personality, how long the patient has been ill, as well as support received from family and friends. The informants described a good response like; to be present, giving physical touch, prioritize, see the individual, listening, respecting individual, acknowledge, inspire hope, creating a haven and creating confidence. They also mentioned the team's importance to the patient, family and friends and the team members themselves. Conclusion: It is fundamental that the patient has confidence in the personnel. According to some of the participants, this confidence is earned by: listening to the patient, respecting and affirming the patient, answering his/her questions, physical contact, and by being honest and frank. Good care requires that the caregiver does not focus on himself but on the patient, meeting each patient as an individual.

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Alexmovitz, Guilherme Aparecido Costa. "A paixão de Vincent: um estudo sobre o sofrimento de Vincent van Gogh." Pontifícia Universidade Católica de São Paulo, 2012. https://tede2.pucsp.br/handle/handle/15217.

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Made available in DSpace on 2016-04-28T20:38:33Z (GMT). No. of bitstreams: 1 Guilherme Aparecido Costa Alexmovitz.pdf: 678546 bytes, checksum: bb8ef8aef047a8522a2faa45f5e8a7dc (MD5) Previous issue date: 2012-10-23
Due to the geniality and tragic history of the Dutch painter Vincent van Gogh, psychiatrists, psychologists, and scholars from around the world have written several works in order to explain the suffering that culminated in his suicide. The present work aims to approach that suffering through the existential-phenomenology approach, which allows one to understand the suffering of the painter from his own life experience. A total of one hundred and fifty-six letters sent to his brother Théo, from 1872 to 1880, was analyzed and understood through Martin Heidegger s concept of attunement, which allowed the understanding of suffering as a way of being in the world. From this theoretical framework, I elected three possible forms of the artist s suffering different attunements that were present in several moments of this particular period of his life: the weight of the other, nostalgia, and fanaticism. The result of the analysis pointed to the existential meaning behind the painful Van Gogh s way of being in the world: the search for belonging
Devido à genialidade e à trágica história do pintor holandês Vincent van Gogh, psiquiatras, psicólogos e estudiosos do mundo todo produziram estudos para explicar o sofrimento que culminou em seu suicídio. O presente trabalho objetiva aproximar-se deste sofrimento por meio da abordagem da Fenomenologia Existencial, visando compreender o sofrer do pintor a partir de sua própria experiência de vida. Um total de cento e cinquenta e seis cartas enviadas por ele ao seu irmão, Théo, no período de 1872 a 1880, foi analisado tendo como referência o conceito de tonalidade afetiva, de Martin Heidegger, que permitiu compreender o sofrimento enquanto um modo de estar-no-mundo. A partir deste referencial teórico, foi possível eleger três tonalidades afetivas que se fizeram presentes em vários momentos deste período específico de sua vida: o peso do outro, a nostalgia e o fanatismo. O resultado da análise aponta para o sentido existencial deste modo sofrido de estar no mundo de Vincent van Gogh: a busca pelo pertencimento

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Johansson, Marléne. "Faktorer som påverkar sjuksköterskors bemötande av patienters existentiella behov : systematisk litteraturstudie." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-4730.

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BAKGRUND: Omvårdnad skall bedrivas holistiskt enligt International code of etics (ICN) trots detta bedrivs den till viss del naturvetenskapligt med fokus på den medicinska delen, som i sig är viktig. Tydliga riktlinjer för andlig omvårdnad saknas och forskningen är begränsad. SYFTE: Syftet med denna studie var att utifrån aktuell omvårdnadsforskning beskriva faktorer som påverkar sjuksköterskors bemötande av frågor med existentiellt innehåll. METOD: Systematiskt litteraturstudie där sju artiklar och en avhandling ingick vilka var etiskt granskade. RESULTAT: Fyra kategorier identifierades, adekvat kompetens, tillåtande vårdmiljö, holistisk människosyn och reduktionistisk människosyn. Existentiellt, andligt behov har inte en självklar plats i omvårdnad och detta kan relateras till utbildning saknas samt utbildningsansvariga och vårdorganisationens förmåga att strukturera detta. Sjuksköterskor som har längre tids erfarenhet av att bemöta patienters andliga behov utför andlig omvårdnad holistiskt och kan utföra detta utan kliniska och vetenskapliga riktlinjer. SLUTSATS: För att sjuksköterskan skall kunna utveckla sin förmåga att bemöta andligt behov krävs utbildning både före och under yrkeskarriär. En sjuksköterska behöver också stöd från och samarbete med andra yrkeskategorier som präst, psykolog och/eller socionom.
BACKGROUND: Spiritual nursing should be a natural part of nursing due to holistic guidelines in accordance with the International code of ethics (ICN) for nurses, but that isn’t the case. Nurses tend to focus on the patients biological needs, which also is important. There are no current official guidelines for spiritual nursing and there is lack of scientific studies in this subject. AIM: The objective of this study was based on current studies, to describe factors that influence nurses’ respond to questions with spiritual content from patients. METHOD: A systematic review, based on seven scientific articles and one academic dissertation. RESULTS: Four categories were identified; adequate competence, a supportive healthcare environment and holistic outlook on people and reductionistic outlook on people. Patients’ spiritual needs are not always met, because of the nurses’ lack of education in the subject and support from the healthcare organization. Nurses, who have longer time experiences in responding to patients spiritual needs, are able to support patients in a holistic way without clinical and scientific guidance. CONCLUSION: It is important that the nurses’ needs for education in spiritual care are met, both before and during their career, so they can respond to patients’ spiritual needs and be able to provide holistic care. To maintain spiritual care the nurses also need support from the healthcare organization and other professions such as priest, psychologist and social worker.

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Gidlund, Åse, and Maria Malmqvist. "Existentiella upplevelser hos närstående till patienter i palliativ vård : En litteraturstudie." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1879.

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Bakgrund: Närstående till patienter i palliativ vård upplever ofta en väldigt svår livssituation. Livet sätts på prov och närstående upplever både fysiska och psykiska påfrestningar av olika slag. I Socialstyrelsens kunskapsstöd för palliativ vård anges att närstående till patienter i palliativ vård bör erbjudas stöd i form av samtal som rör emotionella och existentiella frågor. Trots det tyder forskning på att närstående fortfarande upplever att de inte får det stöd de behöver för att hantera svåra känslor och existentiella funderingar. Syfte: Att belysa existentiella upplevelser hos närstående till patienter i palliativ vård. Metod: En allmän litteraturstudie baserad på 10 artiklar med kvalitativa data. Resultat: Sju mönster identifierades: maktlöshet – kontroll; oro, stress – trygghet; hopplöshet – hopp; ensamhet – samhörighet; minskat själv – personlig växt; meningslöshet – meningsfullhet och begränsat liv – helt liv. Dessa beskriver sju kontinuum av existentiella upplevelser som närstående kan röra sig utmed, fram och tillbaka, över tid. Slutsats: Närståendes existentiella upplevelser påverkas av både patientens mående, de närståendes egna resurser och vårdpersonalens stöd och insatser. Det upplevs som viktigt att komma till acceptans med hjälp av egna resurser och med stöd av vårdpersonal, att känna delaktighet i vårdandet av den sjuke, få information och kunskap, kunna bibehålla sitt vardagsliv, att få möjlighet att berätta och att bli bemött som en unik individ med egna intressen och behov. Klinisk betydelse: Lindring av existentiellt lidande är en av sjuksköterskans viktigaste och svåraste uppgifter. Denna litteraturstudie bidrar med kunskap om närståendes existentiella upplevelser och diskuterar hur sjuksköterskan kan bemöta och stödja dessa upplevelser.
Background: Next-of-kin to patients in palliative care often experience a difficult life situation. Life is put on trial and next-of-kin experience both physical and mental stresses of various kinds. The National Board of Health and Welfare (Socialstyrelsen) has issued a knowledge support for palliative care, which states that next-of-kin to palliative patients should be offered support in the form of conversations about emotional and existential issues. Despite this, research suggests that next-of-kin still feel that they do not get the support they need to manage difficult emotions and existential musings. Aim: To illuminate the existential experiences of next-of-kin to patients in palliative care. Method: A general literature review based on ten articles comprising qualitative data. Result: Seven patterns were identified: powerlessness – control; anxiety, stress – assurance; hopelessness – hope; loneliness – togetherness; reduced self – personal growth; meaninglessness – meaningfulness and restricted life – complete life. These patterns describe seven continua of existential experiences that next-of-kin can move along, back and forth, over time. Conclusion: Next-of-kin’s existential experiences are affected by both the patient ́s wellbeing, the next-of-kin's own resources and nursing staff support. It is experienced as important to come to acceptance by using ones own resources and with the support of health professionals, to be included in the care of the patient, to get information and knowledge, to be able to maintain everyday life, to get the opportunity to share thoughts and to be met as a unique individual with own interests and needs. Clinical significance: Relief of existential suffering is one of the nurse's most important and difficult tasks. This study contributes to the knowledge of next-of-kin’s existential experiences and discusses how nurses can respond to and support these experiences.

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Josgrilberg, Fabíola Pozuto. "Possibilidades de compreensão do corporar, a partir da analítica do ser-aí: outra leitura para a atenção psicológica." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/47/47131/tde-24022014-104307/.

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A presente tese busca refletir a respeito do existenciário corporar, a partir da narrativa de uma história pessoal, com ênfase na atenção psicológica. Percorrendo várias linhas da Psicologia para compreender a história de Frederico, e seu modo de presença junto ao outro, a pesquisa encontra na analítica do ser-aí outras possibilidades de compreensão para o corporar, que se difere fundamentalmente da concepção de corpo orgânico. O trabalho parte para investigar se é possível pensar na corporeidade, como existencial do ser-aí, a partir das considerações heideggerianas e como elas podem encaminhar, em paralelo a história de Frederico, possíveis compreensões do corporar. A pesquisa segue perpassando, juntamente, pelos existenciais do ser-aí, a saber, ser-nomundo, abertura, espacialidade, compreensão-de-ser, modos de se encontrar exisitindo, dentre outros. Por fim, tenta-se mostrar como a tonalidade afetiva, o horizonte disposto e o gesto estão em relação direta com o corporar. Das indagações brotadas, reflexões surgem na direção de poder melhor compreender o modo da presença de Frederico
The present thesis aims at analyzing the existentiell bodying forth, from a personal history narrative perspective, with emphasis on psychological attention. After reviewing several Psychologies theories in order to try to understand Frederico´s history, and his presence mode with the other, the research finds in the analytical Dasein other possibilities to comprehend bodying forth, which differs fundamentally from the body organic concept. The text goes on to investigate if it is possible to think of corporality, as a Dasein´s existential, according to Heideggers analytical considerations, and how the heideggerian approach can show the way, alongside Fredericos history, to possible understandings of the bodying forth. The research also discusses the Dasein´s existentials, as being-in-theworld, disclosedness, spatiality, finding oneself, among other concepts. In the end, the text attempts to show how being attuned, disposed horizon and gesture are in direct relation to the bodying forth. From the made inquiries arise reflections to better understand Fredericos presence mode

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Rodrigues, Michele Viviane de Carvalho. "Desvelando o sentido do cuidado de enfermagem: vivências do ser com câncer." Programa de Pós- Graduação em Enfermagem da UFBA, 2010. http://www.repositorio.ufba.br/ri/handle/ri/9594.

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Ao longo da história, o câncer sempre foi estigmatizado como sinônimo de morte, e apesar do avanço ocorrido nas últimas décadas, ele ainda traz consigo a sensação de morte iminente. O câncer atualmente é considerado um problema de saúde pública devido a sua alta prevalência. O ser com câncer está inserido nas diversas instituições de saúde. O cuidado ao ser com câncer requer um envolvimento de diversas áreas de conhecimento, por se tratar de uma assistência bastante complexa. Diante do exposto, utilizei como questão de investigação: Qual o sentido do cuidado de enfermagem para o ser com câncer? E como objetivo, compreender qual é o sentido do cuidado de enfermagem na perspectiva do ser com câncer. Trata-se de um estudo fenomenológico que utilizou como referencial a Análise Existencial de Viktor Frankl, que através de uma visão existencialista discorre sobre situações de sofrimento, culpa e morte e como fundamentos os valores vivenciais, criativos e atitudinais. A pesquisa foi realizada em um hospital público da cidade de Salvador, que atende a diversas especialidades e presta serviço, também, na área oncológica a nível ambulatorial e de internação. Os colaboradores da pesquisa foram 12 seres com câncer em tratamento ambulatorial e em unidades de internação do hospital. Eles aceitaram participar do estudo e assinaram o termo de consentimento livre e esclarecido. As entrevistas foram realizadas nos meses de setembro e outubro de 2009 com o uso do gravador no intuito de obter a fidedignidade das informações coletadas. Foram utilizadas duas questões, uma de aproximação: o(a) senhor(a) tem recebido cuidados de enfermagem desde que chegou aqui? E outra norteadora: Qual o significado do cuidado de enfermagem para o(a) senhor(a)? O processo de análise do discurso foi desenvolvido na perspectiva de Martins e Bicudo. Dos relatos dos seres emergiram três grandes categorias: Desvelando os valores que atribuem sentido às vivências de cuidado de enfermagem do ser com câncer, que teve como subcategorias: revelando os valores vivenciais na religiosidade do ser com câncer diante da finitude da vida, revelando os valores atitudinais no agir da equipe de enfermagem e revelando os valores criativos no agir da equipe de enfermagem; Desvelando as vivências do ser com câncer em busca de cuidados, que teve como subcategorias: criando vínculos nas relações de cuidados, comparando as vivências de cuidado e acesso ao tratamento, expressando sentimentos que atribuem sentido ao cuidado de enfermagem; Revelando as vivências do ser com câncer com os cuidados de enfermagem, e como subcategorias: expressando sentimentos que atribuem significado ao cuidado de enfermagem ao cuidado de enfermagem e qualificando o cuidado recebido pela equipe de enfermagem. Compreende-se que o desvelar do sentido do cuidado nas vivências do ser com câncer através da revelação do fenômeno possibilitou apreender os significados de busca pelo cuidado, do cuidado recebido, das vivências de estarem com câncer, de apreender o sentido do cuidado e os valores que atribuem significado, sem exaurir outras possibilidades.
Salvador

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Eriksson, Ida, and Maja Åström. "Inte bara analgetika : En litteraturöversikt om smärtlindrande omvårdnadsåtgärder för patienter med cancersjukdom i palliativ vård." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2606.

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Bakgrund: Inom den palliativa vården är patienter med cancersjukdom vanligt förekommande. Att ha en cancersjukdom kan generera smärta. Som vårdgivare är det viktigt att förstå att smärta är multidimensionell och en subjektiv upplevelse, för att ge en adekvat smärtlindring. Smärtlindring kan ske på olika sätt, dock är den farmakologiska lindringen med analgetika i fokus. Men vilka omvårdnadsåtgärder finns att tillgå? Syfte: Att beskriva smärtlindrande omvårdnadsåtgärder och dess inverkan på patienter med cancersjukdom i palliativ vård. Metod: Tio vårdvetenskapliga artiklar har använts i en litteraturöversikt för att besvara syftet. Artiklarna har granskats och analyserats. Resultat: I resultatet framkommer det att smärtlindrande omvårdnadsåtgärder i kombination med analgetika förespråkas av såväl sjuksköterska som patient. Massage och fysisk beröring var de mest förekommande omvårdnadsåtgärderna. Något som också genererade smärtlindring var sjuksköterskans närvaro, att denne tog sig tid för att skapa kontakt, och att sjuksköterskan besatt kunskap kring smärtlindrande omvårdnadsåtgärder. Betydelsen av omvårdnadsåtgärder vid smärtlindring belyses då de lindrar patientens smärta utifrån ett holistiskt synsätt. Den existentiella smärtan kunde reduceras, till skillnad från när endast analgetisk behandling användes. Diskussion: En diskussion har förts utifrån resultatet samt den teoretiska utgångspunkten De 6 s:n, som är en modell tillämpad i palliativ vård. Det centrala i De 6 s:n är patientens Självbild, som den palliativa vården bör formas utifrån. Betydelsen av en god kommunikation mellan patient och sjuksköterska diskuteras, samt vikten av att patienten får möjlighet till kontroll över sin situation. Kontroll kan uppnås genom smärtlindrande omvårdnad och därmed påverka patientens självbild positivt. För att smärtlindrande omvårdnadsåtgärder ska impliceras krävs kunskap och tid, något som både sjuksköterskan och organisationen har ansvar för. Ett gott samarbete inom vårdteamet krävs.
Background: Patients with cancer are common within palliative care. Having cancer can generate pain and to provide adequate pain relief it is important to understand that pain is both a multidimensional and a subjective experience. Pain management can be approached in different ways however the current focus is on pharmacological relief with analgesics. But what pain relieving care options are available? Aim: To describe pain relieving care options and their impact on patients with cancer in the palliative care. Methods: Ten nursing articles were studied in this literature review to answer the purpose. All the articles were reviewed and analyzed. Results: Pain relieving care in combination with analgesic treatment is advocated by both nurse and patient. Massage and physical contact were the most commonly used care option. Pain relief also resulted from nurses being present and nurses taking the time to make personal contact with patients. It was also seen to be significant for nurses to possess knowledge of pain relieving options. The importance of nursing care in pain relief is highlighted as they can offer a holistic approach to treating the patient's pain. Existential pain can also be reduced which analgesics alone cannot treat. Discussions: A discussion has been based on the results and the nursing model of care; The 6 S-words. The patient’s self-image is central in the 6 S-words, and something that the palliative care should be shaped around. The significance of good communication between patient and nurse is discussed, stressing the importance of the patient being in control of his or her situation. Control that is achieved by non-pharmacological therapies that can positively affect the patient´s self-image. Implementing pain relieving care requires knowledge and time meaning that it becomes the responsibility of both the nursing staff and the organization as a whole. Good cooperation within the care team is essential.

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Krook, Caroline. "Se – än lever jag! : Livsåskådning och lärande i livets slutskede." Doctoral thesis, Stockholms universitet, Institutionen för samhälle, kultur och lärande (SKL), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7119.

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The purpose of the study has been, by adopting a view of life and a learning perspective, to reach an understanding of the way in which cancer patients in a palliative care context understand and cope with their existential life situation. I asked the following questions: 1) How does their personal view of life influence the patients’ understanding and coping with the illness and existential life situation? 2) What existential questions are central to the patients? 3) What is personal learning all about? 4) What prerequisites are important for fostering the patients’ personal learning? Interviews focusing on narratives were conducted with ten patients who have an incurable cancer disease. The interviews were taped and transcribed into texts. A hermeneutic method was applied to understand the content and import of the patients’ narratives. The results show that the patients achieve closure, which involves them making reassessments, adapting their life to the illness, being reconciled with themselves and with their relation to their surroundings. It is also about them wishing to bequeath a legacy and hand down desirable qualities, values and merits for future generations. Taking this view of life as their basis, the patients interpret their illness, existential questions and life situation, and structure their existence so as to make it comprehensible and meaningful. Life narratives can serve as a tool in enabling caregivers to identify patients’ existential questions, view of life, learning requirements and the way they make sense of things (”meaning-making”). By means of view of life support counselling caregivers can identify the patients’ personal ideas, values and support their needs. The patients can reach an awareness of their personal view of life. Reappraising and developing this can be viewed as a form of perspective shift or learning.

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Stridh, Cathrine, and Anette Svensson. "SJUKSKÖTERSKORS ERFARENHETER AV ATT MÖTA PATIENTER MED EXISTENTIELLA OCH ANDLIGA BEHOV INOM PALLIATIV VÅRD : En litteraturbaserad studie." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-4688.

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Bakgrund: Palliativ vård bygger på ett förhållningssätt där målet är att förebygga och lindra lidande samt förbättra livskvalité hos patienter och närstående. Vården tillhandahålls utifrån ett helhetsperspektiv vilket innefattar andliga och existentiella frågor. Dessa frågor kan vara komplexa att hantera för sjuksköterskan. Arbetet kan därför kännas slitsamt och påfrestande men samtidigt vara berikande och utvecklande. Förmåga att bemästra svåra situationer underlättas av att sjuksköterskan har goda kunskaper om existentialfilosofi och livsfrågor samt får stöd i yrkesrollen. Hur sjuksköterskan själv ser på sjukdom, lidande och död påverkar i sin tur mötet med patienterna. Syfte: Att beskriva sjuksköterskors erfarenheter av att möta döende patienter med existentiella och andliga behov inom palliativ vård Metod: Litteraturbaserad studie med grund i kvalitativ forskning utifrån 12 vetenskapliga artiklar. Resultat: Tre kategorier med tillhörande underkategorier utgör resultatet: Bygga en tillitsfull relation; Främja personlig växt; Hantera känslomässigt påfrestande situationer. Slutsats: Det krävs en tillitsfull relation för att sjuksköterskor ska kunna identifiera patienters andliga och existentiella behov. Sjuksköterskor utvecklar personlig växt utifrån relationer med patienter men upplever samtidigt att de ställs inför känslomässigt påfrestande situationer, vilket kräver stöd och handledning i yrkesrollen samt en balans i tillvaron.
Background: Palliative care is based on an approach where the purpose is to prevent and palliate suffering and improve quality of life for patients and their relatives. The care is based on holism, which means that both spiritual and existential aspects are included. This can be very complex to handle for the nurse. Therefore, nurses can experience their work situation as strenuous and trying at the same time as enriching and developing. An ability to handle difficult situations is, together with professional support, facilitated by the fact that nurses have sound knowledge of existential philosophy and existential questions. Significant when meeting the patients is the nurse’s own experience concerning illness, suffering and death. This relation influences the contact with patients. Aim: To describe nurses’ experience of meeting dying patients with existential and spiritual needs in palliative care. Method: Literature-based study on qualitative research from 12 scientific articles. Result: Three main categories with subcategories emerged; Developing a trusting relationship; Promote personal development; Dealing with emotionally stressful situations. Conclusion: A relation based on trust is required if nurses shall be able to identify a patient’s spiritual and existential needs. Nurses gradually increase personal development from relations with patients but simultaneously experience that they are confronted with emotionally stressful situations which require support and professional guidance together with a balanced life.

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Lundgren, Lisa, and Karolina Svensson. "Sjuksköterskors upplevelser av att möta patienters existentiella och andliga tankar i palliativ vård." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3987.

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Background: Existential and spiritual thoughts are a big part of pallative care. The terms existential and spiritual can be understood in many different ways. It may mean thoughts about faith or thoughts concerning life and death. The nurse in palliative care need to have good communication skills, be responsible and be present and supportive in meeting with the patient. Aim: To describe the nurse's experiences of meeting patients' existential and spiritual thoughts in palliative care. Methods: A literature review based on 10 scientific studies have been done. The studies have been downloaded from the following scientific databases; Academic Search preimer, CINAHL Plus with Full Text, and PubMed. Keywords that were used: Palliative care, Issue, Existential, Communication, Spiritial experiences, Nurse, Nurses, Existential questions, Nurse specialists. As a theoretical framework for this literature review, the model of the 6 S:n was applied. This model aims to create a holistic approach to the patient through planning, documentation, implementation and evaluation of ongoing care. The goal is to promote patients' wishes and thus a good death. Results: The results of the literature review is presented in four themes. The understanding of the concepts of existential and spiritual concerns the meaning and significance of the terms for the nurse. To feel responsible highlights the nurse's ability to meet existential and spiritual needs. To manage their own emotions focuses on how the nurse herself is influenced by patients' existential and spiritual needs and thoughts. The last theme Conversation is about using the conversation as a tool to meet patients' existential and spiritual thoughts. Discussions: Two following themes is presented in the discussion; The understanding of the concepts of existential and spiritual, and To feel responsible. These are discussed against the theory of the 6 S:n, with a focus on S:n contexts and strategies.

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Ripamonti, Lidia. "Edith Stein's critique of Martin Heidegger : background, reasons and scope." Thesis, Anglia Ruskin University, 2013. http://arro.anglia.ac.uk/581543/.

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This thesis is a critical assessment of Edith Stein’s critique of Martin Heidegger, which is focused on the definition of the human being. I explore Stein’s ontology of the person from the point of view of her examination of Heidegger’s existential ‘Dasein’ and the way she reaches a very different answer to the same question that Heidegger posed, the question of the meaning of being. To this end I examine key passages of Stein’s most important ontological work Finite and Eternal Being - An Attempt at an Ascent to the Meaning of Being along with its appendix Martin Heidegger’s Philosophy of Existence, in which she directly discussed Heidegger’s philosophy, focusing on his work Being and Time. In the first part of this research I draw a historico-philosophical overview of the academic and political background of the period between World War I and World War II in Germany in order to position both authors in context and investigate their philosophical influences as well as their ambiguous relationship with the phenomenological school. The central part is dedicated to Stein’s analysis of Heidegger’s Dasein: I compare and explain both authors’ approaches to the philosophical understanding of human being, person, life, soul and death. This investigation was carried out with both a hermeneutical and terminological analysis. I draw upon the results to demonstrate how Stein’s phenomenology of life experiences enlarges the borders of human finitude to embrace the possibility of its ontological horizon while Heidegger restricts and concentrates the entire ontological question on the Dasein, its existence and ultimately its finitude. My findings provide an assessment of the limits as well as the strengths of Stein’s critique. I demonstrate that Stein attempted to build a bridge between classical ontology and phenomenology, while Heidegger’s distance from the philosophical tradition was rooted in his methodological refusal. I also show how their opposite methods and findings present unexpected similarities and how Stein’s philosophical significance should be reconsidered in the light of her work. This research leads to various implications for today’s philosophical debate and makes it possible to view Stein’s theory of being in a wider ethical context, as presented in the final part of this work. I argue that Heidegger depersonalises and violates traditional ontology to explain the human being only in terms of pure existence, while Stein’s portrait of the ‘fullness’ and the meaning of life contributes to the discussion between philosophy and religion. In the final section of this work I show how some of the elements emerging from Stein’s critique of Heidegger can cast a light on the current ethical discussion about how death is understood and experienced socially, and how best to care for the dying.

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Jansson, Ellen, and Malin Holm. "Sjuksköterskors erfarenheter av att bemöta existentiella frågor som kan vara svåra att besvara : En intervjustudie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-15023.

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Bakgrund: Antalet patienter som är i behov av palliativ vård ökar inom hemsjukvården. Existentiella behov utgör en stor del av den palliativa vården och behöver tillgodoses för att patienter ska kunna känna livskvalité vid livets slut. Sjuksköterskor har en viktig del i att stödja och bemöta patienter i deras existentiella frågor.Syfte: Syftet är att beskriva sjuksköterskors erfarenheter av att bemöta patienters existentiella frågor inom palliativ vård i hemsjukvården.Metod: I studien intervjuades sju sjuksköterskor. En kvalitativ innehållsanalys användes för att analysera datamaterialet.Resultat: Två kategorier framkom, dessa var: Tillgodose patientens rättigheter och Följsamt förhållningssätt gentemot patienten. Sjuksköterskor erfar att patienters existentiella frågor är en svår men betydelsefull del av vården i livets slut. Andra erfarenheter som sjuksköterskor har är att samtal bör prioriteras och att känna in patientens behov för att kunna bemöta patienters existentiella frågor.Konklusion: Denna studie har synliggjort att sjuksköterskor inte behöver vara rädda för att bemöta existentiella frågor. Ett gott samarbete med andra professioner kan gynna både patient och sjuksköterska.
Background: Patients in need of palliative care increases in home care. Existential needs are a major part of palliative care and need to be provided for the patients to feel quality of life at the end of life. Nurses have an important part in supporting and responding to patients in their existential questions.Aim: The purpose is to describe the nurses experience of responding to patients existential questions in palliative care in home care.Method: In this study a qualitative content analysis was used. Seven nurses were interviewed.Result: Two categories emerged, these were: Provide the patients rights and Adaptable attitude towards the patients. Nurses experience that patients existential questions are a difficult but a significant part of end of life care. Other experiences that nurses have is that conversations should be prioritized and to see the patients needs to respond to patients existential questions.Conclusion: This study has revealed that nurses do not need to be afraid of responding to existential questions. Collaboration with other professions can benefit both patients and nurses.

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Paixão, Leilane Almeida. "Violência e sofrimento nas relações íntimo-afetivas : possibilidades compreensivas no contexto de uma delegacia da mulher." Universidade Católica de Pernambuco, 2014. http://www.unicap.br/tede//tde_busca/arquivo.php?codArquivo=948.

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O presente estudo teve como objetivo compreender o modo como se desvela o sofrimento, decorrente da violência nas relações íntimo-afetivas entre homens e mulheres, numa delegacia da mulher. Nesse trabalho, buscou-se pensar a violência relacionada a um mal-estar na contemporaneidade, vislumbrado pelo advento da técnica moderna e suas implicações para o Dasein, em seus modos de pensar, ser e estar no mundo. Para tanto, foi desenvolvido um estudo qualitativo, baseado na perspectiva fenomenológica existencial heideggeriana. Como estratégias de ação, foram realizados três meses de observação participante na Delegacia Especializada em Atendimento à Mulher (DEAM) de Recife-PE, bem como entrevistas narrativas de cunho etnográfico com 05 colaboradores: 03 mulheres e 02 homens. O conteúdo dos diários de bordo da pesquisadora, produzidos durante as observações, bem como as narrativas dos colaboradores, foram compreendidos à luz da Analítica do Sentido de Critelli (1996). As experiências observadas em campo e trazidas a partir das narrativas apontam para sentidos cristalizados nos modos de ser-com-o-outro, que se apresentam no cotidiano da DEAM através de cenas e queixas de ciúmes, sentimentos de posse, controle, tentativas de restrição do poder-ser do outro, rigidez nas posições binárias de gênero. Predominam nestes modos de ser-com, relações utilitárias em que o outro parece se configurar como instrumento a ser utilizado para algum benefício. Desvelam-se, ainda, nesse contexto, concepções sobre a violência mergulhadas no vazio impessoal, pautadas na falta de reflexão e em valores sociais pré-formatados que, por vezes, naturalizam a violência como única possibilidade de ser-com-o-outro em situações de conflito. Nesse contexto, a delegacia passa a ser convocada para que, através da lei, sejam adotadas medidas punitivas, repressivas e protetivas, na busca de aplacar a ignorância e amortecer a dor. Contudo, observa-se que, muitas vezes, a lei não consegue dar conta dessa violência que se alastra, tampouco de amparar o sofrimento das pessoas. Conclui-se que se faz cada vez mais importante problematizar, a partir de um pensamento que medita, a intensificação da violência e do desamparo na contemporaneidade, ensejada pelas implicações niilizantes da técnica moderna. Além disso, na medida em que o contexto sociocultural parece apontar para uma banalização do sofrimento humano, torna-se crucial pensar o acolhimento às mulheres e aos homens em situação de violência, a partir de uma ação clínica que não se deixe capturar pelos estereótipos binários vítima versus agressor, culpado versus inocente, masculino versus feminino; mas que abarque o humano, considerando esse seu momento histórico de desvelamento do ser.

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Wyner, Garret B. "The Wounded Healer: Finding Meaning in Suffering." Antioch University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1355854266.

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Källström, Sophia, and Daniela Martinez. "“Vi alla vet att vi ska dö en dag, men inte idag.” : En kvalitativ studie om hälso- och sjukvårdskuratorers upplevelser av existentiella frågor i palliativa patientsamtal." Thesis, Uppsala universitet, Centrum för socialt arbete - CESAR, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-446518.

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Kuratorer inom palliativ vård arbetar dagligen med döende patienter och existentiella samtal är vanligt förekommande. I tidigare forskning fanns inga perspektiv från palliativa kuratorer i frågor om existentiella samtal. Det framgick även att utbildning ofta saknades när vårdgivare höll denna typ av samtal. Därför undersöker studien hur palliativa kuratorer samtalar om existentiella ämnen när detta inte ingår i socionomutbildningen. Syftet med studien var att undersöka hur kuratorer inom palliativ vård arbetar med existentiella frågor i patientsamtal, för att kunna dra lärdomar om hur denna typ av frågor kan hanteras i kurativa samtal. Med en emotionssociologisk teoriram analyseras empirin från sex intervjuer med kuratorer inom palliativ vård. Detta för att kunna synliggöra den tysta kunskapen, exempelvis känsla av trygghet, emotionsuttryck och erfarenhet från samtal som enligt tidigare forskning ofta utgör grunden för existentiella samtal. Resultaten visar att kuratorer samtalar om meningsskapande, spiritualitet och döden, där känslor av sorg, ilska och glädje uppkommer. De palliativa kuratorerna upplever att de är bekväma att samtala om existentiella frågor, trots att de sällan fått särskild utbildning för detta. Denna trygghet kommer av en längre erfarenhet inom dessa typer av samtal, där kuratorn inte kan bistå patienten med något svar på hens frågor. I stället arbetar kuratorn med att normalisera patientens tankar och känslor samt med att stödja om patienten uttrycker existentiell oro. Kuratorerna upplevde att det finns en emotionell börda i deras yrken och hade olika sätt att hantera denna. Olika hanteringssätt innebar att ha en delad tjänst, ha tydliga gränser mellan privat- och arbetsliv och att få kollegialt stöd.
Counsellors in palliative care meet dying patients daily and conversations about existential issues are very common. In previous research there were no perspectives on conversations about existential matters from palliative counsellors. It was also made clear that education was often lacking when caregivers held these types of conversations. Therefore, this study examines how palliative counsellors converse about existential topics when this is not included in the social work education. The aim of this study was to investigate how counsellors in palliative care handle existential matters in patient conversations, to learn how this type of issues can be handled in counselling. The study uses a theoretical framework based on the sociology of emotions to analyze the empirical data from six interviews with counsellors in palliative care. This to make visible the tacit knowledge, for example a feeling of security, emotional expression, and experience from conversations, which according to previous research often constitutes the basis for existential conversations. The results show that counsellors converse about meaning-making, spirituality, and death, where feelings of sadness, anger and joy arise. Palliative counsellors feel comfortable talking about existential matters, even though they have rarely received any education for this. This feeling of security comes from a long experience with these types of conversations, where the counsellor cannot assist the patient with any answer to their questions. Instead, the counsellor works to normalize the patient's thoughts and feelings and to support if the patient expresses existential worry. The counsellors experienced that there is an emotional burden in their professions and had different ways of dealing with it. Different management methods were having a divided employment, having clear boundaries between private and working life and receiving collegial support.

Opponering skedde digitalt via Zoom.

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Bäckström, Linnéa, and Victoria Liljeberg. "Livet efter döden : Patienters upplevelser av att överleva hjärtstopp." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18027.

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Background: Approximately 10.000 out-of-hospital cardiac arrest occurs every year in Sweden. Surviving a cardiac arrest leads to a change in the victims life-world. Aim: The aim of the study was to describe people's experiences of surviving a cardiac arrest. Method: The method used is a literature study in which 11 qualitative scientific articles formed the basis for the result. Results: Four main themes emerged: coping with emotional challenges, being in need of support from health care, meeting the existential and living with physical and cognitive changes. Eight sub-themes emerged as well: Emotional stress, emotional support from the surroundings, need to be seen, need for information, thoughts about death and the future, living in a changed life situation, changes and their impact, and reflection on ones living habits. Conclusion: It is important for health care professionals to gain knowledge of people's experiences of surviving a cardiac arrest in order to best meet the needs of those affected and provide good health care.
Bakgrund: I Sverige drabbas cirka 10 000 personer av hjärtstopp utanför sjukhus varje år. Att överleva ett hjärtstopp medför en förändring av den drabbades livsvärld. Syfte: Syftet med studien var att beskriva personers erfarenheter av att överleva ett hjärtstopp. Metod: Metoden som har använts är en litteraturstudie där 11 kvalitativa vetenskapliga artiklar utgjorde underlaget för resultatet. Resultat: I resultatet framkom fyra huvudteman: Att hantera emotionella utmaningar, att vara i behov av stöd från sjukvården, att möta det existentiella samt att leva med fysiska och kognitiva förändringar. Det framkom även åtta subteman: Emotionella påfrestningar, emotionellt stöd från omgivningen, behov av att bli sedd, behov av information, tankar om döden och framtiden, leva i en förändrad livssituation, förändringar och dess påverkan samt reflektion kring levnadsvanor. Konklusion: Det är viktigt att sjukvårdspersonal erhåller kunskap om personers erfarenheter av att överleva ett hjärtstopp för att på bästa sätt kunna möta de drabbades behov och skapa en god vård.

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Skog, Ida, and Cecilia Kindmark. "Andlig och existentiell omvårdnad. : En litteraturstudie om sjuksköterskors upplevelser." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-49366.

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Bakgrund: Patienternas beskrivning av andlighet samt behovet av andlig och existentiell omvårdnad är varierad. Vissa patienter kopplar samman begreppet andlighet med religion medan andra patienter anser det vara något unikt, innefattande människans existens och meningen med livet. Patienterna kommer i kontakt med sin inre andlighet vid svår sjukdom då existentiella tankar och frågor uppstår, i dessa situationer ligger vikten i att bli bemötta med närvaro och förståelse. Det finns dock patienter vilka inte anser det ligga i sjuksköterskors ansvar att erbjuda andlig och existentiell omvårdnad. Syfte: Att beskriva sjuksköterskors upplevelser av andlig och existentiell omvårdnad. Metod: Kvalitativ litteraturstudie med beskrivande syntes. Elva kvalitativa artiklar ur ett sjuksköterskeperspektiv analyserades och presenterades i resultatet. Resultat: Analysen resulterade i två teman; Begränsade möjligheter och Betydelsen av relationer, följt av fyra subteman där sjuksköterskornas upplevelser av fenomenet beskrevs. Sjuksköterskorna beskrev att det var energikrävande att utföra existentiella samtal samt att de var rädda att göra fel på grund av otillräcklig kunskap. Tid var en bristande resurs då sjuksköterskorna upplevde en hög arbetsbelastning. De uttryckte att ett genuint intresse samt ett öppet sinne var en förutsättning för att kunna bemöta patienternas andliga behov. Sjuksköterskorna beskrev även att närvaro och fysisk beröring ingick i den andliga och existentiella omvårdnaden, dessutom bedrevs denna omvårdnad ibland utan ord. Slutsats: Det framkom att sjuksköterskorna hade både positiva och negativa upplevelser av andlig och existentiell omvårdnad. Viljan fanns ändå att vårda människan ur ett helhetsperspektiv där det ansågs viktigt att vara lyhörd och närvarande. Ibland upplevdes det finnas brister på resurser och kunskap vilket ledde till känslan av otillräcklighet, därav tillgodosågs inte alltid det andliga behovet av sjuksköterskorna.
Background: The patients description about spirituality and the need of spiritual and existential care are varied. Some patients connect the concept spirituality with religion while other patients consider it to be something unique, comprising the existential about being a human and the meening of life. The patients get in touch with their internal spirituality in severe disease when the upcome of existential thoughts and questions appear, in these situations the importance lies in beeing met with presence and understanding. Though, there are patients that doesn´t consider it to be nurses responsability to provide spiritual and existential care. Aim: To describe the nurses experiences about spiritual and existential care. Method: Qualitative literature study with descriptive synthesis. Eleven qualitative articles from a nurse perspective were analysed and presented in the result of the master thesis. Result: The analysis resulted in two themes; Limited possibilities and the importance of relationships, followed by four subthemes describing nurses experiences of the phenomenom. The nurses described it energy-consuming performing existential conversations and that the nurses worried about doing it wrong due the lack of skills. The nurses experienced that time were a lack of resource because of the high workload. The nurses felt that a genuine interest and an open mind were the basis to meet the patients spiritual needs. The nurses described presence and physical touch, being a part of the spiritual and existential care, this nursing could also be performed without words. Conclusion: It appeared that the nurse hade both positive and negative experiences about spiritual and existential care. Allthough there was a willingness of caring for the human from a holistic perpspective where the importance lay in sensitivity and presence. Sometimes there were shortcomings current resources and knowledge which led to feelings about inadequacy, thereof the nurse couldn´t allways cater for the spiritual need.

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Ström, Fanny, and Hannah Sarajärvi. "När livet är begränsat : Att leva med obotlig cancer." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18365.

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Bakgrund: Cancer är den största dödsorsaken för individer under 80 år i världen. År 2018 vårdades cirka 40 miljoner individer med palliativ vård, därför är det viktigt att sjuksköterskor har vetskap kring vad en god palliativ vård innebär. Cancer har både fysisk och psykisk påverkan på individernas liv vilket kan orsaka ett lidande. Syfte: Syftet med studien är att beskriva yngre vuxna individers upplevelser av att leva och vårdas med en obotlig cancersjukdom. Metod: Metoden var en kvalitativ innehållsanalys där datainsamlingen gjordes genom fyra narrativa berättelser i självbiografier. Resultat: Resultatet presenteras i fyra teman samt elva subteman. Människor i omgivningen hade en stor betydelse för individerna då de utgjorde ett stöd. Sjukdomen medförde fysisk påverkan genom biverkningar, symtom och en förändrad självbild medan psykisk påverkan kunde innefatta stark emotionell påverkan och existentiella tankar. Slutsats: Livet vändes upp och ner vid cancerbeskedet och individerna var tvungna att börja identifiera sig med sjukdomen. Cancer bidrog till lidande men genom acceptans kunde välbefinnande trots sjukdom uppnås. Det var viktigt att vårdgivare kunde bemöta unika tankar och behov för att skapa möjlighet till en god relation.
Background: Cancer is the leading cause of death for individuals under 80 in the world. In 2018 about 40 million individuals were in need of palliative care, therefore it`s important that nurses have knowledge of what good palliative care means. Cancer has both physical and mental impact on individuals’ lives, which can cause suffering. Aim: The aim of the study is to describe younger adults’ experiences of living and being cared for with terminal cancer. Method: The method was a qualitative content analysis in which data collection was done through four narrative stories in autobiographies. Results: The results were presented in four themes and eleven sub-themes. People in the surroundings were of great importance to the individuals as they provided support. The illness led to physical impact through side effects, symptoms and a changed self-image, while psychological impact could include strong emotional impact and existential thoughts. Conclusion: Life was turned upside down by the cancer diagnosis and the individuals hadto start identifying themselves with the disease. Cancer contributed to suffering but through acceptance, well-being despite disease could be achieved. It was important for caregivers to respond to unique thoughts and needs to create opportunities for a good relationship.

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Makenzius, Marlene. "Unintended Pregnancy, Abortion and Prevention : Women and Men's Experiences and Needs." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-179250.

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Women and men’s experiences and needs in relation to induced abortion, and their views on the prevention of unintended pregnancies were explored through questionnaire studies at 10 and13 Swedish women’s clinics (Papers I–IV). Among 798 women in age range 14 – 49, 35% had experience of at least one previous abortion, and in the age range 20 – 49, 41%. The risk factors for repeat abortion were having children (Odds Ratio [OR] = 2.57), lack of emotional support (OR 2.09), unemployment or sick leave (OR 1.65), tobacco use (OR 1.56), and low educational level (OR 1.5). Among 590 men in age range 16 – 63, 32% had been involved in at least one previous abortion. The risk factors were, being a victim of violence or abuse (OR 2.62), unemployment or sick leave (OR 2.58), and having children (OR 2.0). Tobacco use was common, among both women (33%) and men (50%), and among those with repeat abortion 41% and 57%, respectively. Some considered societal efforts important for prevention, (Paper I–II). Overall care-satisfaction (Paper III) was high (74% of women and 52% of men). For women, factors associated with high care-satisfaction were being well treated by the staff (OR 11.78), sufficient pain relief (OR 3.87), adequate information about the gynaecological examination (OR 2.25), suitable contraceptive counselling (OR 2.23), and accessibility to the clinic by phone (OR 1.91). For men, the factors were being well treated by the staff (OR 5.32) and adequate information about the abortion procedure (2.64). Existential experiences and needs related to abortion were investigated among 499 women. Three components were identified (Paper IV): existential thoughts (61% of women), existential practices (48%), and humanisation of the foetus (67%). A higher presence of existential components correlated with difficulty in deciding to abort and poor psychological wellbeing after the abortion. Interviews with 24 women and 13 men on their experiences and needs related to home abortion and views on the prevention of unwanted pregnancies revealed two overarching themes (Paper V). Home abortion increased autonomy: both women and men demonstrated self-care ability. However, autonomy was related to dependence: the desire to be treated with empathy and respect on equal terms and receive adequate information adapted to individual needs. They were motivated to avoid a subsequent abortion, but planned contraceptive follow-ups were rare. Both individual and societal challenges were implied: women and men experiencing repeat abortion appeared more disadvantaged and abortion involved complex aspects beyond medical procedures and routines. Thus, abortion care should be continuously evaluated to ensure care satisfaction, safety, and contraceptive adherence. Preventive efforts would include work opportunities, sex and relationship education, and cheap and effective contraceptives. Minimising differences between socioeconomic groups is important, and both individuals and society should share the responsibility for these efforts.
De senaste åren har kvinnor fått ökade möjligheter att välja mellan olika abortprocedurer, vilket medfört att andelen medicinska aborten har ökat och utgör 89% av alla inducerade aborter före utgången av graviditetsvecka 9. Den medicinska aborten kan avslutas i hemmet om kvinnan så önskar och inga hinder finns. Generellt finns begränsad kunskap om kvinnor och framför allt män som är involverade i en abort. Socialstyrelsens register ger endast information om; vilken vecka aborten avslutas i, abortmetod (medicinsk/ kirurgisk), kvinnans ålder, kommuntillhörighet, antal barn och tidigare aborter. Det innebär att det finns begränsad möjlighet att undersöka eventuella skillnader mellan olika grupper. En relativt hög andel (40%) av de abortsökande kvinnorna har erfarenhet av att ha gjort minst en tidigare abort, men kunskap om den gruppen är begränsad. Det övergripande syftet med den här avhandlingen var att undersöka kvinnors och mäns upplevelser och behov i samband med en abort och deras syn på förebyggande insatser. Kvantitativa och kvalitativa metoder har använts i de olika delarbetena (I– V) samt teoretiska modeller som utgår från folkhälso- och omvårdnadsperspektiv. Samtliga studier är godkända av den regionala etikprövningsnämnden i Uppsala. Delarbete I–IV bygger på resultat från en multicenter studie som genomfördes 2009, där 10 och 13 svenska kvinnokliniker deltagit. Syftet med delstudie I och II var att undersöka riskfaktorer för upprepad abort bland kvinnor och män. Två enkäter (kvinna/man) delades ut på kliniken i samband med att kvinnorna sökte för abort. Enkäten besvarades av 798 kvinnor efter genomgången abort. Männen som var involverade i graviditeten blev tillfrågade att delta i studien av kvinnorna och 590 män besvarade enkäten. Separata frankerade kuvert bifogades, vilket möjliggjorde att kvinnorna och männen kunde besvara enkäten oberoende av varandra. Resultatet i delarbete I och II visade att 35% av 798 kvinnor i åldern 14 – 49 hade erfarenhet av minst en tidigare abort och den andelen var högre i åldern 20 – 49; 41%. Upprepad abort var associerat med; att ha barn (Odds Ratio [OR] = 2.57), brist på emotionellt stöd (OR 2.09), att vara arbetslös eller sjukskriven (OR 1.65), rökning/snusning (OR 1.56), och låg utbildningsnivå (OR 1.5). För de 590 männen i åldern 16 – 63 hade 32% erfarenhet av minst en tidigare abort. Upprepad abort var associerat med; att ha varit utsatt för våld eller tvång (OR 2.62), att vara arbetslös eller sjukskriven (OR 2.58), och att ha barn (OR 2.0). Daglig tobaksanvändning var vanligt förekommande bland både kvinnor (33%) och män (50%), men vanligare bland dem med erfarenhet av upprepad abort (41%/57%). Konkreta åtgärder som kvinnor och män med aborterfarenhet efterfrågar i det förbyggande arbetet är fler arbetstillfällen, mer och bättre kvalitet på sexoch samlevnadsundervisningen i skolan, hög tillgänglighet till billiga och effektiva preventivmedel samt kvalificerad rådgivning. Slutsatserna i delarbete I och II är att kvinnor och män med erfarenhet av en abort löper hög risk för en upprepad abort. Personer med erfarenhet av upprepad abort är mer socioekonomiskt utsatta. Att minska skillnader mellan olika socioekonomiska grupper kan därför vara av betydelse i det förebyggande arbetet med oönskade graviditeter. Delarbete III syftade till att undersöka hur nöjda kvinnor och män upplevt vården i samband med en inducerad abort samt att identifiera faktorer som har samband med en hög grad av tillfredsställelse med vården. De flesta var nöjda med vården, men en fjärdedel (26%) av kvinnorna och nästan hälften av männen (48%) var inte helt nöjda. Den viktigaste faktorn för hög tillfredsställelse med vården var att ha fått ett gott bemötande bland både kvinnor (OR 11.78) och män (OR 5.32). Andra faktorer av betydelse var för kvinnorna att ha fått tillfredsställande; smärtlindring (OR 3.87), information om den gynekologiska undersökningen (OR 2.25), och preventivmedelsrådgivning (OR 2.23), samt att det var lätt nå kliniken via telefon (OR 1.91). För männen var även information om abortproceduren en viktig faktor för deras totala tillfredsställelse med vården (2.64). Slutsatserna i delarbete III är att en fjärdedel av kvinnorna och varannan man inte var helt nöjda, vilket indikerar att abortvården kan förbättras, speciellt avseende männen. Bland både kvinnor och män, är ett positivt bemötande från personalen den viktigaste faktorn för en tillfredsställande upplevelse av vården i samband med abort. Delarbete IV syftade till att undersöka förekomsten av existentiella tankar, känslor och handlingar bland 499 kvinnor som gjort en abort. Genom faktoranalys identifierades olika existentiella komponenter relaterade till en inducerad abort. Resultatet visade att sex av tio kvinnor hade existentiella tankar om livet, döden, mening och moral. Nästan hälften av kvinnorna uppgav att de hade behov att genomföra en symbolisk handling i relation till aborten, och 67% tänkte på fostret i termer av ett barn. Högre grad av existentiella faktorer korrelerade med större svårighet att fatta beslut om abort, och ett sämre psykiskt välbefinnande efter aborten. Slutsatserna i delarbete IV är att existentiella känslor, tankar och handlingar i samband med abort är vanligt förekommande. Detta är för vårdpersonalen en utmanande aspekt som inte självklart inkluderas i abortvården och dess styrdokument. Syftet med delarbete V, som var en kvalitativ studie, var att undersöka kvinnors och mäns upplevelser och behov i samband med hemabort. Syftet var även att belysa deras syn på samhälleliga åtgärder för att förebygga oönskade graviditeter. Kvinnorna rekryterades från fem olika kvinnokliniker och männen tillfrågades om att delta i studien genom kvinnorna. Tjugofyra kvinnor och 13 män intervjuades via telefon. Innehållsanalysen mynnande ut i två övergripande teman; autonomi som beskriver att beslutet om abort och valet av metod var väl genomtänkt av kvinnan, men oftast med stöd av partner. Hemmiljön ökade deras integritet och kontroll, vilket också underlättade deras möjligheter att fritt uttrycka och dela känslor; beroende som beskriver kvinnors och mäns önskan att bli behandlade med värdighet och respekt och att få tillfredsställande information som är individuellt anpassad för deras behov. Resultatet indikerar att hemabort ställer höga krav på vårdpersonalens kommunikationsförmåga. Kvinnor och män var motiverade att förebygga en ny oönskad graviditet men ett planerat återbesök var ovanligt. I det förebyggande arbetet av oönskade graviditeter ansågs fast arbete, förbättrad kommunikation/utbildning och subventionerade preventivmedel som viktigt. Slutsatserna i delarbete V är att hemabort ökar kvinnors och mäns autonomi, men samtidigt finns ett uttalat beroende av att vårdpersonalen utformar vården individuellt och med respekt för olika livssituationer. Rutiner och uppföljning bör därför kontinuerligt utvärderas för att säkerställa både kvaliteten av abortvården men också följsamheten i användningen av preventivmedel. Oönskade graviditeter och aborter är inte frågor som enbart berör kvinnor eller hälso- och sjukvården, det är större än så, ett delat ansvar som berör både individer och samhället.

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Hedström, Christer, and Sirak Mahmood. "Sjuksköterskors erfarenheter av samtal om existentiella frågor med patienter i palliativ vård : En litteraturöversikt." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5410.

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Bakgrund: Existentiella frågor som rör meningen med livet, friheten (att göra sina val i livet), existentiell isolering och döden kan bli aktuella när en människa möter en krissituation i livet nära döden. Exempel på när sådana krissituationer kan uppstå är när patienter befinner sig i livets slutskede inom palliativ vård. Sjuksköterskor kommer att möta patienter med dödliga sjukdomar och samtalsämnen som rör existentiella frågor kan då bli aktuella. Detta i sin tur ställer krav på sjuksköterskor att kunna möta patienternas behov av att samtala om dessa frågor. Hur sjuksköterskor förhåller sig i samtalssituationer till sina patienter är av betydelse för välbefinnandet eller frånvaron av den hos de döende människorna. Syfte: Att belysa sjuksköterskors erfarenheter av att samtala med patienter i palliativ vård om existentiella frågor. Metod: En litteraturöversikt baserad på tio originalartiklar inom vårdvetenskap. Systematiska databassökningar har genomförts. Den teoretiska utgångspunkten som användes var Joycee Travelbees vårdteori om mellanmänskliga relationer och kommunikation. Resultat: Fyra teman utvecklades och dessa var: Sjuksköterskors färdigheter och erfarenheter av samtal med tre underteman som sjuksköterskors uppfattning av existentiella frågor, aktivt lyssnande och timing. Det andra temat behandlade de existentiella samtalens innehåll. Temat berör samtal om liv och död men även vardagliga samtal med koppling till existentiella frågor, summeringen av livet och de livsval som gjorts. Det tredje temat beskrev sjuksköterskors sårbarhet och belyser hur sjuksköterskorna påverkas av samtalen med patienterna. Det fjärde temat handlar om faktorer som påverkar de existentiella samtalen med tre underteman tidsbrist, miljöns betydelse och betydelsen av stöd från kollegor. Diskussion: Att möta patienters behov av existentiella samtal kräver färdigheter i att lyssna och att samtala. Sjuksköterskan måste också väga in patienters vilja och önskan att samtala om dessa ämnen för det krävdes också av sjuksköterskan en förmåga att förstå och tolka behovet hos patienten vilket kunde vara ledtrådar om andligt eller existentiellt lidande. Travelbee visar på att det finns ett ömsesidigt skapande i den mellanmänskliga relationen men att sjuksköterskan har ett ansvar för att etablera och underhålla relationen dem emellan. I samtalet är det aktiva lyssnandet en viktig färdighet vilket bereder möjligheter till personcentrerad förståelse av patienters erfarenheter och ståndpunkter. Timing handlade om en förmåga att vid rätt tillfälle tillvarata de stunder som patienten ville samtala.
Background: Existential issues concerning the meaning of life, freedom (to make choices in life), existential isolation, and death can be encountered when a person faces a crisis in life close to death. An example of when such a crisis might occur is when patients are in the final stages of life in palliative care. Nurses will encounter patients with fatal diseases and topics related to existential questions can then be discussed. This in turn requires nurses to meet the patient´s needs to discuss these issues. How nurses relate to these situations as well as their attitudes are important when considering the well-being or lack or well-being when a patient is dying. Aim: To highlight nurses' experiences of talking with patients in palliative care about existential issues. Method: A systematic literature review was carried out including ten original articles in health care sciences. Joycee Travelbee´s care theory of interpersonal relationships and communication was used as the theoretical frame work. Result: Four main themes were developed these were: Nurses' knowledge and skills of conversation with the sub- themes of perception of existential questions, active listening and timing. The second theme dealt with the existential content of the conversations. The theme concern issues on life and death, but also everyday conversations related to existential issues, the summation of life and choices made in life. The third theme described the nurses' vulnerability which highlights how nurses are influenced in dialogue with the patients. The fourth theme is about factors that affect existential conversations with three sub-themes: lack of time, importance of the environment and support from the colleagues. Discussion: To meet patient needs of existential conversations requires nursing skills in listening and talking. The nurse must also take into account patients' willingness to talk about these topics, which required the nurse´s ability to understand and interpret the needs of the patient, which could be clues to spiritual or existential suffering. Travelbee show that there is a mutual establishment of the interpersonal relationship, but the nurse is responsible for establishing and maintaining the relationship between them. In the conversation active listening is an important skill which prepares opportunities for a more person-centered understanding of the patients' experiences. Timing is about the ability to capture the right moments when the patients want to talk.

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Andersson, Maria. "Sjuksköterskors erfarenheter av andliga och existentiella frågor i palliativ vård : En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:du-21290.

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Bakgrund: Andliga och existentiella frågor hamnar i allt större utsträckning hos sjukvårdspersonal. Det palliativa förhållningssättet betonar vikten av att ge en god omvårdnad vad gäller andliga och existentiella frågor. Sjuksköterskans roll är att genom goda relationer skapa en anpassad och balanserad omvårdnad för att öka välbefinnandet för patienten den sista tiden i livet. Syfte: Syftet med litteraturöversikten var att sammanställa hur andliga och existentiella frågor beskrivs i forskning utifrån sjuksköterskors erfarenheter av palliativ vård. Metod: En litteraturöversikt som sammanställer aktuell forskning inom det valda omvårdnadsområdet. Resultat: I resultatet framträdde att tid är det vanligaste hindret och utbildning är det som främjar givandet av andlig och existentiell omvårdnad. Att skapa relationer och kommunicera är viktiga aspekter inom vårdandets konst. Egenskaper som sjuksköterskan bör inneha för att underlätta givandet av andlig och existentiell omvårdnad är; en god självkännedom, empati, intuition och observationsförmåga. Slutsats: För att kunna ge en bättre andlig och existentiell omvårdnad behöver de yttre förutsättningarna ge tid för mötet mellan sjuksköterska och patient, vårdmiljön organiseras så detta möjliggörs, teamarbete tillämpas och utbildning ges.
Background: Spiritual and existential issues increasingly end up at healthcare personnel. The palliative approach emphasizes the importance of providing good care regarding existential and spiritual issues. The nurse's role is through good relationships create a customized and balanced care to improve the wellbeing of the patient, at the end of life. Aim: The aim of the literature review was to compile the spiritual and existential issues described in the research based on nurses' experiences of palliative care. Methods: A literature review that compiles current research in the chosen nursing field. Results: In the result time appeared as the most common obstacle and education promotes giving of spiritual and existential care. To establish a relationship and communicate is important aspects in the art of nursing. Characteristics that the nurse should possess in order to facilitate the giving of spiritual and existential care is; good self-knowledge, empathy, intuition and observation ability. Conclusion: To be able to ameliorate spiritual and existential care time is needed for the external conditions to enable the meeting between nurse and patient. The care environment should be organized so this is made possible, teamwork applied and education provided.

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Panchillo, Caroline, and Alyssa Yodkaew. "Sjuksköterskans upplevelse av omvårdnad för patienter med existentiell smärta vid vård i livets slutskede : En litteraturöversikt." Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4034.

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Background: Palliative care aims to alleviate the suffering and bring quality of life to patients who have an incurable disease diagnosis. Patients who are in need of palliative care can usually experience different dimensions of pain. Suffering in the form of existential pain can lead to strong emotions such as death anxiety and hopelessness. Several studies have shown that existential pain is not as noticed as other dimensions of pain and thus increased knowledge is needed about this form of pain. Aim: The aim of the study was to describe the nurse's experience of nursing for patients with existential pain in end-of-life care. Method: A literature review conducted with a qualitative approach. Ten articles were identified and analyzed using a thematic analysis. Result: Two themes and four subthemes were identified. Existential care with subthemes communication between nurse and patient and person-centered care. The second theme was emotional challenge with subthemes conveying hope and approach towards patients. Conclusion: The delivering of existential care in the case of existential pain can be considered challenging for the nurse where many aspects and dimensions must be taken into consideration, such as the nurses’ feelings of exhaustion and powerlessness.
Bakgrund: Palliativ vård har i syfte att lindra lidandet och förbättra livskvalitén hos patienter som har en obotlig sjukdomsdiagnos. Patienter som är i behov av palliativ vård kan oftast uppleva olika dimensioner av smärta. Lidande i form av existentiell smärta kan leda till starka känslor som dödsångest och hopplöshet. Flera studier har påvisat att den existentiella smärtan inte är lika uppmärksammad som övriga dimensioner av smärta och därmed behövs utökad kunskap kring denna form av smärta. Syfte: Syftet med studien var att beskriva sjuksköterskans upplevelse av omvårdnad för patienter med existentiell smärta vid vård i livets slutskede. Metod: En litteraturöversikt genomförd med kvalitativ ansats. Tio artiklar identifierades och analyserades med en tematisk analys. Resultat: Två teman och fyra subteman identifierades. Existentiell omvårdnad med subteman kommunikation mellan sjuksköterska och patient samt personcentrerad vård. Det andra temat var emotionell utmaning med subteman förmedla hopp och bemötande gentemot patienter. Slutsats: Förmedling av existentiell omvårdnad vid existentiell smärta kan anses vara utmanande för sjuksköterskan där fler aspekter och dimensioner bör beaktas, som exempelvis känslor av utmattning och maktlöshet hos sjuksköterskan.

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Andersson, Camilla. "Sjuksköterskors erfarenheter av att samtala kring existentiella frågor med patienter med svår hjärtsvikt." Thesis, Sophiahemmet Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1605.

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Milanesi, Pedro Vitor Barnabé. "Caminhos e possibilidades de ação do psicólogo junto aos agentes comunitários de saúde: uma compreensão fenomenológica." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/47/47131/tde-03102017-113806/.

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A presente pesquisa situa-se no âmbito das práticas em Saúde, mais especificamente no modo como a Estratégia Saúde da Família (ESF) organiza a Política Nacional de Atenção Básica em Saúde (PNAB); orienta-se pela questão: Como seria possível uma ação do psicólogo junto aos Agentes Comunitários de Saúde (ACSs)?; e pelo objetivo de compreender a supervisão como uma possibilidade de ação do psicólogo junto aos ACSs. Entendendo supervisão como prática mestiça e argilosa, que se molda às necessidades da ação. O sentido de supervisão foi sendo desvelado na experiência vivida no trabalho junto aos ACSs, nas entrevistas e reuniões gravadas e transcritas. Assim, a pesquisa desenvolveu-se como narrativa metafórica e alegórica organizada a partir da contação de histórias, tão comum e frequente no campo. Conduzindo-se sempre pelas histórias contadas e testemunhadas no decorrer da investigação, as reuniões, então batizadas pela equipe de reunião de contação de causo, deram a toada compreensivo-interpretativa da história da equipe narrada na pesquisa. Por esta via, a contação de história se mostrou como modo predominante de cuidado da equipe para com os munícipes e para consigo mesma, bem como abriram novas perspectivas de compreensão e ação. Finalmente, discute-se a relação entre contação de histórias e práticas em saúde na ESF; e como a noção gadameriana de conversação ilumina essa especificidade da supervisão nesse campo e, portanto, como possibilidade de ação do psicólogo junto ao ACS
The present research is within Health practice scope, specificaly within the way that Family Health Strategy (ESF) arrange the National Primary Health Care Policy (PNAB); the research guide itself by the question: How would be possible a psychologist action along Comunity Health Agents (ACSs)?; and by the aim of the understanding of supervision as a psychologist action along ACSs. Reading supervision as a hybred and cleyey practice, able to be shaped to action necessities. Supervision meaning was uncovered through experience during the work along ACSs, as well as recorded and transcript interviews and meetings. Thus, the research developed as a story telling organized metaphorical and allegorical narrative, as commom and usual in the countryside. The meetings carried itself by the story telled and testifyed during the investigation, witch were then called by the team as story telling meeting. Such meeting tuned the team´s history narrated on the research as comprehensiv-interpretativ. By this way, the story telling revealed itself as the team´s attention prevailing way towards citizens and towards itself. The story telling also opened new understanding and action perspectives. Lastly, the research discuss the relation between story telling and health practices within ESF; and how the gadamerian approach of the conversation enlights the supervision specificity on this field, therefore, as a psychologist action´s possibility along ACS

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Chohfi, Laiz Maria Silva. "Por entre fios e buracos: uma experiência para construção de uma rede de atenção a saúde no IPUSP." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/47/47131/tde-14082013-104609/.

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Esta pesquisa pretende problematizar a construção de redes de atenção na prática psicológica em instituições. Para tal, seu foco principal é investigar a possibilidade de construção de uma rede entre os serviços de atendimento do CEIP (Centro Escola do Instituto de Psicologia) da Universidade de São Paulo. A importância da construção de uma Rede de Atenção em saúde ficou evidente a partir do trabalho desenvolvido pelo LEFE, laboratório que suporta projetos de intervenção em modalidades de Aconselhamento Psicológico à luz da Fenomenologia Existencial. A ampliação destas modalidades oferece-se como um terreno fértil para a criação de propostas de prática psicológica que garantam um atendimento efetivo à comunidade. Ao mesmo tempo, traz à tona a dificuldade de encaminhamento de clientes que requeiram outros tipos de atendimento; desse modo, impõe-se a necessidade da formação de uma rede, envolvendo profissionais de saúde, educação e de outras áreas de conhecimento. Tendo como utensílios principais a Fenomenologia Existencial, como proposta por Martin Heidegger e Hannah Arendt e os escritos de Walter Benjamin acerca da narrativa, buscou-se conhecer, através de cartografia clínica, os serviços e laboratórios do CEIP/USP pela narrativa dos atores sociais que deles fazem parte. Foram realizadas entrevistas com docentes e técnicos, com posterior análise e devolutiva, buscando compreender como poderia ocorrer a construção de uma rede de atenção entre eles. Foram realizadas vinte e seis entrevistas com membros dos serviços/laboratórios do IPUSP. Algumas parcerias foram formalizadas, porém percebeu-se a impossibilidade de construção de uma rede unindo todos os serviços e laboratórios deste centro. Isso parece se dever à constituição da Psicologia como área de estudo, uma vez que ela própria é fragmentada em diferentes enfoques do mesmo objeto, favorecendo isolamento e especialização. Há ainda a necessidade de construção de um grupo articulado entre docentes e técnicos, para que um sentido de rede possa ser tecido a partir da necessidade de mudança. Nesse sentido, para além de tecer fios de rede a partir do LEFE, passou-se a criar situações/eventos em que essa demanda por uma rede pudesse se esclarecer. Alguns temas se apresentaram como possibilidades de demanda por esclarecimento que encaminhariam sentido a essa construção, como a preocupação com a extensão universitária e com a formação contextualizada dos alunos de graduação. Percebeu-se, a partir da rede que se construiu tendo o LEFE como centro, a importância da interdisciplinaridade para que uma rede possa se firmar, assim como a necessidade de que os fiadores e demais participantes estejam engajados por um objetivo compartilhado. Concluiu-se também que a participação do Serviço Social é imprescindível para que a rede se construa e se mantenha. Notou-se, ao longo do percurso de trabalho que, os alunos expostos a este modo de trabalhar construíam uma escuta diferenciada, que permitia ouvir para além da demanda explícita do cliente, fazendo com que atenção e cuidado clínicos pudessem se manifestar de outras formas. Por fim, questiona-se a pertinência de redes que são construídas a partir de diretrizes, uma vez que redes dependem de um ideal e movimento partilhados para se firmarem
This research intends to discuss the building of networks of attention in psychological practice in institutions. To this end, its main focus is to investigate the possibility of building a network among existing care services in CEIP (Clinical School Center of the Institute of Psychology), University of São Paulo. The importance of building a network of health care became evident with the work of LEFE, laboratory that supports intervention projects in various institutions in terms of Counseling Psychology modalities in light of Existential Phenomenology. The expansion of these modalities offers itself as a fertile ground for the creation of proposals for psychological practice that ensure effective service to communities encompassed by the services offered. At the same time, these new practices bring out the difficulty of routing clients requiring other types of care, thereby imposes the necessity of forming a network, involving health professionals education and other areas of knowledge, seeking encompass the demands arising. Having as main tools the Existential Phenomenology, as proposed by Martin Heidegger and Hannah Arendt and the writings of Walter Benjamin about the narrative, we sought to know, through clinic mapping, the services and laboratories at CEIP/USP by the narrative of the social actors who are part of them. Accordingly to this, interviews were conducted with professors and other employees, with subsequent analysis and feedback session, trying to understand how they saw the idea of building a network of care between them. Were performed twenty-six interviews with teachers and technicians from the services/laboratories at IPUSP. Some partnerships were formalized, but it was also realized that it was impossible to build a network linking all laboratories and services that belong to this center. This seems to be due to the formation of Psychology as a field of study, since it is itself fragmented into different perspectives of the same \"object\", favoring specialization and isolation. There is also the need to build a group articulated between professors and technicians, so that a sense of network can be woven from the need for change. Besides building the network from LEFE, situations/events were planned aiming that the demand for a network could be clarified. Some themes were presented as possibilities for demand for clarification adding meaning to this construction, such as concern for the university extension and the formation of contextualized undergraduates. It was noticed from the network that was constructed having LEFE as a center, the importance of interdisciplinarity that a network can take hold, as well as the need for all participants to be engaged in a shared goal. It was also concluded that the participation of Social Work is essential for the network to be built and maintained. It was noted along the working path that students exposed to this mode of working listened to the clients differently, allowing the appearance of other things than the explicit request of the client, so that clinical attention and care could manifest itself in other ways. Finally, the relevance of networks that are built from guidelines is questioned, since networks rely on a shared ideal and movement to take hold

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Bergström, Rebecka, and Rebecka Lithner. "Vid livets slutskede : Vårdpersonals erfarenhet av att vårda det andliga och existentiella." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178439.

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Bakgrund: Hur människor hanterar vetskapen att livet är på väg mot sitt slut kanskilja mycket. Gemensamt för många palliativa patienter är en andlig och existentielloro. Andlig vård kan öka både livskvalitet och välbefinnandet hos dessa patientersamt minska den ångest som många upplever inför den stundande döden. Genom attsprida kunskap inom andlig vård för vårdpersonal kan den palliativa vårdenförbättras. Syfte: Syftet med denna studie är att beskriva vårdpersonals erfarenheter av attstödja det andliga och existentiella välbefinnandet hos patienter i livets slutskede. Metod: En litteraturstudie baserad på 8 kvalitativa artiklar. Sökningarna gjordes idatabaserna Cinahl, PubMed och PsycInfo. Analysen av datan följde Fribergsfemstegsmodell. Resultat: Analysen ledde fram till tre teman och nio underteman. Teman var:‘Bidragande faktorer till god vård’, ‘Hindrande faktorer till god vård’ och‘Erfarenheter av att möta svåra symtom’. Konklusion: Som palliativ vårdpersonal bör man vara medveten om att verktygsåsom samtal, tystnad, delegering och särskilda vårdinterventioner kan förbättrapatientens andliga och existentiella välbefinnande. Flera deltagare efterfrågadeutförligare utbildning inom ämnet och detta är något som bör utredas vidare. Detfinns även behov av ytterligare forskning generellt inom andlig och existentiell vård,särskilt med kvantitativ design då sådan forskning är en bristvara.
Background: How people deal with the notion that life is coming to an end candiffer. But common for a lot of palliative patients is spiritual and existential distress.Spiritual care can increase both quality of life and wellbeing and decrease the level ofanxiety that plenty experience in front of the impending death. By spreadingknowledge on spiritual care, the palliative care could improve. Aim: The aim of this study is to describe healthcare professionals’ experiences ofsupporting the spiritual and existential well-being in end of life care. Methods: A literature study based on 8 qualitative articles. The database searcheswere made in Cinahl, PubMed and PsycInfo. The data analysis followed Friberg’s fivestep-model. Results: The analysis led to three themes and nine subthemes. The themes were:‘Contributory factors to good care’, ‘Obstructive factors to good care’ and ‘Experiencesof meeting difficult symptoms’. Conclusion: Palliative healthcare professionals should be aware that tools likeconversation, silence, delegation and care interventions can increase patientsspiritual and existential well-being. Many participants requested more education onthis subject and that should be investigated further. There is also a need foradditional research on spiritual and existential care, especially with a quantitativedesign.

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Holm, Lena. "Sjuksköterskor inom psykiatrisk vård och deras sätt att identifiera och ha ett stödjande bemötande av äldre patienter med livsleda." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5922.

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Bakgrund: Det har visat sig att äldre, i västvärlden, utgör den grupp som begår flest självmord. Hög ålder medför nedsatt reservkapacitet och minskat motstånd mot yttre påfrestningar. Många äldre drabbas av depression, vilket är den vanligaste behandlingsbara riskfaktorn för livsleda och suicid. Samtidigt upplevs ofta ångest. Orsaker till livsleda kan vara en separation från en livspartner, genomgång av en dramatisk livsfas eller somatisk sjukdom. Självmordsbenägna patenter, som kan sägas vara i en existentiell kris, kräver särskild vård vid inläggning. Vårdpersonal har upplevt det viktigt att bemöta patienter med livsleda men inte alltid tyckt att de har möjlighet på grund av tidsbrist, stress och för lite kunskap. Syfte: Att beskriva sjuksköterskors erfarenhet av att identifiera äldre patienter i psykiatrisk vård som känner livsleda och kanske inte längre vill leva och hur sjuksköterskor kan ha ett stödjande bemötande av dessa patienter och därmed främja deras psykiska hälsa. Metod: Fem semistrukturerade intervjuer gjordes med sjuksköterskor på en avdelning med inriktning att vårda äldre patienter med psykisk ohälsa. Resultat: Utifrån intervjuanalysen framkom två kategorier med vardera tre subkategorier. Kategorin Identifiering av patienter med livsleda hade subkategorierna Verbal - och icke verbal kommunikation, Åldrandets innebörd och Dödsönskan. Den andra kategorin, Stöd av patienter med livsleda hade subkategorier Acceptans, Bemötande och Vårdande miljö. Informanterna i studien uppfattade och bemötte patienternas livleda i sitt arbete och bemötte dem med psykiatrisk och somatisk vård. Genom stödsamtal, lyhördhet för de äldres behov och förutsättningar, uppmuntran till aktivering på de äldres villkor bemötte de på ett pedagogiskt vis de äldre patienterna i deras existentiella kris. Diskussion: Resultatet diskuterades i relation till resultat och litteratur. Det som framkommit i studien är att informanterna på valda avdelning på ett lyhört sätt adresserade de äldres problem och bemötte dem på ett pedagogiskt vis och med stor kunskap om de äldres problem och förutsättningar.
Background: It has been shown that elderly, in the western world, is the age group who commits the most suicides. An elderly person has a lower capacity and a lesser ability to come to terms with trying circumstances. The aging process influences psychological quickness, ability to adjust and sense of memory. Elderly are often subjected to depression, which is the most common treatable risk factor for weariness of life. Anguish is often experienced simultaneously. Reasons for weariness of life could be a separation from a partner or spouse, to go through a dramatic life phase or physical illness. Often an existential life crises is experienced and a feeling of standing on one’s own in life. Suicidal patients who experience a life crises demand special care when hospitalized. Nursing staff perceive it as important to treat patients who experience weariness of life but they do not always feel that they have the capacity to do so due to stress and lack of time and knowledge. Aim: To describe nurse ́s experiences of identifying and caring for elderly patients in psychiatric care who experience weariness of life and who might no longer want to live. Method: Five semi structured interviews were done with nurses on a ward specialized on psychiatric care of the elderly. Inductive content analysis has been used to analyze the interviews. Results: The analysis resulted in two categories: Identifying patients who experience weariness of life and Supporting patients who experience weariness of life. Three subcategories Verbal - and nonverbal communication, The signification of aging and Wishing to die are included in the category Identifying patients who experience weariness of life. Subcategories Acceptance, Caring and Environmental influence belong to the category Supporting patients who experience weariness of life. The informants in the study understood the elderly patient’s feeling of weariness of life and cared for them with psychiatric and somatic nursing. Through supporting conversation, a sensitive and empathic approach to the needs and conditions of the elderly, they encouraged them to become more active on their own terms. The informants treated the elderly with pedagogical sensitivity to support them in their existential crisis. Discussion: The results are discussed in relation to articles and literature and also in relation to the chosen theoretical basis of the study.

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Marklund, Elisabeth. "Musik i palliativ vård : en intervjustudie med vårdpersonal." Thesis, Kungl. Musikhögskolan, Institutionen för musik, pedagogik och samhälle, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kmh:diva-1319.

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Denna uppsats har som syfte att undersöka om musik används i palliativ vård i Sverige och hur det i så fall beskrivs, motiveras och dokumenteras. Det är en kvalitativ intervjustudie med hermeneutisk förståelseansats. Intervjuer har genomförts med fem personer med olika yrkesprofession inom palliativ vård (sjuksköterska, sjukgymnast, arbetsterapeut, kurator och överläkare). Kontakt med de intervjuade har upprättats genom ett upprop i ett nyhetsbrev som ges ut av Svenskt Palliativt Nätverk, SPN. I uppsatsen ges en teoretisk bakgrund om palliativ vård, kris, etik, död, existentiella frågor, musik, musikterapi samt musikterapi i palliativ vård. Resultatet visar att de intervjuade använder musik i sitt vårdarbete men ingen är professionell musiker eller utbildad musikterapeut. Musikanvändningen beskrivs av informanterna genom konkreta exempel från vårdsituationer och den motiveras dels utifrån personliga erfarenheter av musikupplevelse dels med allmänna reflektioner över musikens olika möjligheter till påverkan fysiskt, psykiskt och socialt i livets slutskede.
This thesis aims to examine whether music is used in palliative care in Sweden and how it is described and justified. It is a qualitative study with hermeneutic approach. The survey consists of interviews with five different professionals working in palliative care (nurse, physiotherapist, occupational therapist, counselor, physician). Contact with the interviewees is established by a proclamation of a newsletter published by Swedish Palliative Network, SPN. The thesis provides a theoretical background of palliative care, crisis, death, ethics, music, music therapy and music therapy in palliative care. The result demonstrates that music is used in care situations and is justified by concrete experiences of how music can affect people physically, mentally and socially in the final stages of life.

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Dissertations / Theses on the topic 'Existential suffering and existential care'

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