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Dissertations / Theses on the topic 'Nurses and nursing Death'
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Kalischuk, Ruth Grant, and University of Lethbridge Faculty of Education. "Nurses' perception of death education." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1992, 1992. http://hdl.handle.net/10133/49.
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The primary purpose of this study was to examine nurses including student nurses perceptions of death education in southern Alberta as one way of improving futrue nursing curricula. Five nurse subgroups were included, as follows: college and university students, hospital nurses, community nurses, and nurse educators. A questionnaire was developed and piloted prior to distribution to 450 nurses in six locations, including two urban and four rural sites, in southern Alberta. Completed, useable returns numbered 373 (83%). Descriptive statistics, ANOVA, and t-tests were used to analyze the data from scaled questionnaire items; content analysis was used to interpret written response items. Theoretical and conceptual frameworks were developed and utilized to guide the interpretation of findings. Generally, nurses perceived that existing death education remains inadequate as preparation for sound clinical nursing practice. Several statistically significant findings related to the provision of professional terminal care were reported amon the five nurse subgroups. Nurses identified concerns and deficits within existing nursing death educaiton and offered several
specific suggestions for improvement. The improvement of death education for nurses will most likely result in the delivery of safe, effective, quality nursing care practice to the dying person and family.xi, 160 leaves : ill., charts ; 28 cm.
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Niederriter, Joan E. "Student nurses' perception of death and dying." Cleveland, Ohio : Cleveland State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=csu1246756404.
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Thesis ( Ph.D.)--Cleveland State University, 2009.Abstract. Title from PDF t.p. (viewed on July 22, 2009). Includes bibliographical references (p. 146-160). Available online via the OhioLINK ETD Center and also available in print.
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Iranmanesh, Sedigheh. "Caring for dying and meeting death : the views of Iranian and Swedish nurses and student nurses." Doctoral thesis, Luleå : Luleå tekniska universitet/Hälsovetenskap/Omvårdnad, 2009. http://pure.ltu.se/ws/fbspretrieve/2440805.
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Di, Stefano Marianne. "Nurses' attitudes about perinatal death and their ability to facilitate a perinatal bereavement program /." Staten Island, N.Y. : [s.n.], 1994. http://library.wagner.edu/theses/nursing/1994/thesis_nur_1994_diste_nurse.pdf.
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Demitropoulos, Stacy M. "The extent of knowledge on the death and dying process as perceived by senior nursing students /." abstract and full text PDF (UNR users only), 2007. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1451073.
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Thesis (M.S.)--University of Nevada, Reno, 2007."December 2007." Includes bibliographical references (leaves 24-25). Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2008]. 1 microfilm reel ; 35 mm. Online version available on the World Wide Web.
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Chapman, Ysanne B. "The lived experience of nursing dying or dead people /." View thesis, 1994. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030617.120150/index.html.
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James, Veronica. "Care and work in nursing the dying : a participant study of a continuing care unit." Thesis, University of Aberdeen, 1986. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=215733.
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The hospices attempted to offer a way of dying with dignity which would counter the growing lobby for euthenasia legislation by taking account of 'total pain' (mental, social, spiritual, physical). Participation on an NHS/Macmillan Continuing Care Unit indicated that the nurses were committed to giving 'total patient care', but were conscious of their inability to fulfil their principles. They explained their care of the dying in terms of a tension between 'care' and 'work'. The practical outcome of the tension on the terminal care unit is analysed as 'carework'. This emergent nursing practice, where physical care tends to overshadow 'emotional care', is observed in the routines and rituals of the Unit, of which 'normal death' is one example. The two separate social frameworks of 'care' and 'work' reflect a gender division of labour in which 'caring' is commonly domestically based and carried out by women, and 'work' is in the public domain and dominated by men. Public service 'people work' requires that the two frameworks be amalgamated. The tension between 'care' and 'work' is described as a failure of accommodation between the two which is exacerbated by a science based model of illness. It is suggested that these effects combine in a pattern of resistance which opposes the full implementation of hospice movement aims.
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Turner, Roseanne Elizabeth. "Critical care nurses' experience of the sudden unexpected death of a patient : a phenomenological study." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/2964.
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Campbell, Nancy, and University of Lethbridge School of Health Sciences. "Transitions in death : the lived experience of critical care nurses." Thesis, Lethbridge, Alta. : University of Lethbridge, School of Health Sciences, 2008, 2008. http://hdl.handle.net/10133/653.
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Critical care nurses often face the ordeal of witnessing a patient's death in a tense and stressful environment. Anecdotal stories shared among nurses reveal that unusual experiences often occur at the time of or after a patient's death. This hermeneutic phenomenological study explored the meaning of these experiences for critical care nurses. Using Parse's research method, in-depth interviews were conducted with six critical care nurses who described their experiences at the time of a patient's death as well as during the post-death period. These experiences brought a sense of peace and comfort to each individual as well as reinforced their individual belief patterns about life after death. A distinctive sense of nursing knowing at the time of death was also identified. The findings of this study indicate that the experiences of the phenomenon of death by critical care nurses have a significant impact on each individual and that further research and understanding of this impact is needed.ix, 113 leaves ; 29 cm.
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Wall, Joshua B. "A Phenomenological Study of Lived Experiences of Transport Nurses Experiencing Patient Death." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6870.
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Experiencing a patient death can directly affect the well-being of health care professionals; however, this phenomenon and the effects of patients' deaths are not well understood in the transport setting. Transport nurses work in unique settings with complex patients and significant autonomy in determining the plan of care; therefore, the experiences of other health care professionals may not be applicable in this environment. The purpose of this qualitative study was to explore the lived experiences of transport nurses who have experienced patient death using Husserl's life-world and phenomenological philosophies as a theoretical framework. Semistructured interviews were completed with 8 transport nurses who had experienced a patient death in their care using video-conferencing and verbatim transcription of the interviews. Data analysis was manually coded and categorized into themes based on Moustaka's modification of the Van Kaam methods of analysis of phenomenological data. Key findings included 5 themes. Findings from this study indicate that patient death, particularly unexpected death, takes an emotional toll on transport nurses. Most transport nurses indicated that they did not have formal debriefing or support from the transport program following patient death. Transport nurses relied on their partners for feedback and support following patient death. Recommendations based on this research include promoting education regarding the psychosocial effects of death in the transport environment and formal debriefing following an unexpected death. Results from this study can be used to promote positive social change by improving the experiences of transport providers following a patient death, which may lead to improved retention and nurse satisfaction.
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Borozny, Margaret. "The experiences of intensive care unit nurses providing care to the brain dead patient." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28722.
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This study describes the meaning intensive care unit nurses attach to their care of the brain dead patient. A phenomenological methodology was used because of its intent to understand experience as it is lived. Because these patients constitute a unique class of dead patients which require intensive nursing care and because of the scarcity of information available on the subjective experience of nurses who provide this care, the study was considered to be essential to fillful a gap in our knowledge.
Data were collected through 28 interviews with 11 Caucasian female participants who work in the intensive care units of a tertiary and a quaternary care hospital within the greater Vancouver area. Their ages ranged from their early twenties to over forty years of age. They represented five religious demoninations with one participant having no religious affiliations. One nurse had cared for between two and five brain dead patients, four had provided care for six to ten brain dead patients, and six had cared for more than ten brain dead patients.
Throughout the participants' accounts dissonance was the pervasive and unifying theme. The dissonance was seen in the form of either personal or interpersonal discord. The former was seen in relation to five areas: the
participant's philosophy about nursing, traditional nursing care activities, the concept of brain death, organ retrieval and transplantation, and professional responsibilities in relation to meeting the nurse's own emotional needs. In contrast, the latter occurred between the nurse and families, physicians, the Pacific Organ Retrieval for Transplantation Team and nursing colleagues. Either form of dissonance results in personal distress and subsequent attempts to reduce the dissonance by distancing and/or designating another as the target of nursing care.Applied Science, Faculty of
Nursing, School of
Graduate
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Copp, Gina. "Facing impending death : the experiences of patients and their nurses in a hospice setting." Thesis, Oxford Brookes University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320565.
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Hopkinson, J. "Everyday death : an exploration of qualified diplomat nurses' experiences of caring for dying people in hospital." Thesis, University of Manchester, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.561424.
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Nguyen, Tracy Thuy. "Preventing Sudden Infant Death Syndrome: Assessment of Advanced Practice Nurses' Knowledge, Attitudes, and Current Practices." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/593629.
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Background: In the United States, sudden infant death syndrome (SIDS) is the leading cause of death in children less than one year old, and the third leading case of death in infants. In 1992, the American Academy of Pediatrics (AAP) recommended to place infants supine for sleep, and the SIDS rate declined by 50%. Despite these efforts, the SIDS rate has plateaued since 2001. With the growing number of advanced practices nurses (APN) providing care to pregnant women and infants, APNs are in a position to educate new parents on preventing SIDS using the 2011 AAP safe sleep recommendations. Yet, knowledge, attitudes, and current practices of APNs regarding SIDS risk reduction are unknown in the State of Arizona. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the attitudes, knowledge, and current practices of APNs regarding risk reduction strategies. Methods: This study was a descriptive quantitative cross-sectional survey design. Target study participants included APNs that provided care to pregnant women and/or infants up to 12 months old. The study was conducted in the State of Arizona through online surveys using the Qualtrics software. The study participants' knowledge, attitudes, and current practices were assessed using an adapted validated survey tool that included multiple choice items and responses using Likert scales. Results: Twenty-three APNs completed the survey. Knowledge about SIDs was average, with a mean score of 74% correct. Although most APNs felt it was important to educate parents about SIDS, only three-quarters of APNs provided verbal education to parents, and less than half of participants provided written information to parents. To decrease the SIDS rate, it is necessary for APNs to gain more knowledge about current safe sleep recommendations.
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Atala, Sarah R. "How Hospice Nurses' Beliefs About Death and Dying Frame Their Caregiving." Miami University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=miami1397755066.
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Taylor, Keith L. "A workshop for the emergency department nurses at Arkansas Children's Hospital on the sudden unexpected death of a child." Theological Research Exchange Network (TREN), 1992. http://www.tren.com.
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Collett, Joan M. "Oncology Nurses' Impact Scores for Obstacles and Supportive Behaviors at the End of Life." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/2673.
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Introduction: Oncology nurses provide end-of-life (EOL) care to their patients daily. Oncology nurses' perceptions regarding how to provide quality care to dying patients could be an important addition to the ongoing research on quality EOL care. The purpose of this study was to determine the impact of specific obstacle and supportive behaviors in EOL care as perceived by hospital-based oncology nurses. This study extended the work of Beckstrand, Moore, Callister, and Bond (2009).
Methods: A 69-item questionnaire adapted from previous studies (Beckstrand & Kirchhoff, 2005; Beckstrand, Smith, Heaston, & Bond, 2008) was sent to 1,000 nurses who were members of the Oncology Nursing Society (ONS) and who had provided EOL care to dying oncology patients. Three mailings of the questionnaire yielded 380 usable responses from 907 eligible respondents, which resulted in a 41.9% return rate. Oncology nurses were asked to rate obstacle and supportive items on both size and frequency of occurrence as they related to oncology patients in a hospital setting.
Results: Obstacle items which received the three highest perceived impact scores were: (1) dealing with anxious family members, (2) families not accepting what the physician is telling them about the patient's poor prognosis, and (3) being called away from the patient and family because of the need to help with a new admit or to help another nurse care for his/her patients. Supportive behavior items which received the three highest impact scores were: (1) allowing family members adequate time to be alone with the patient after he or she has died, (2) providing a peaceful, dignified bedside scene for family members once the patient has died, and (3) allowing families unlimited access to the dying patient even if it conflicts with nursing care at times.
Implications: Oncology nurses are dedicated to providing the best EOL care to their patients and patients' families. This study identified obstacle and supportive behavior items with the largest impact on providing quality EOL care.
Recommendations: Results of this research demonstrated the need for more EOL education and guidance in forming teams of nurses, social and palliative care workers, and physicians to support the giving of quality care. Nurses also reported the need for more time to support the dying patient and family.
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Weeks, John Luther. "A procedure to measure the effects of covert death anxiety on the physiological and affective responses of student nurses." W&M ScholarWorks, 1990. https://scholarworks.wm.edu/etd/1539618313.
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The purpose of this study was to develop and test a procedure to measure the effects of covert death anxiety on the physiological and affective responses of student nurses. The author also hoped to demonstrate the feasibility of the utilization of a personal computer as a tachistoscope for the purpose of presenting subliminal death stimuli; evaluate the use of heart rate change as a physiological measure and the State scale of the STAI as the affective measure of the momentary response to the death stimuli, with the Templer Death Anxiety Scale as the trait measure.;The subjects of the study were 44 student nurses enrolled in an associate degree program at J. Sargeant Reynolds Community College in Richmond, Virginia. The overall design of this study was a counterbalanced two-treatment random assignment contrast group experimental paradigm.;It was hypothesized that (1) there would be a significant difference at the.05 level between the response to death word stimuli presented subliminally versus supraliminally as measured by heart rate changes and the State Anxiety Scale; and (2) there would be a significant correlation at the.05 level between the Templer Death Anxiety Scale and the heart rate change for the presentation of death stimuli.;Although the results were not significant at the.05 level, there was a large difference in the means of the two treatment groups (p {dollar}>{dollar}.07) for heart rate change. The large difference in the means of the two groups suggests that a study utilizing more potent death stimuli such as personalized death imagery or personalized death picture symbols may produce significant results for the procedure employed in the present study.
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Fouché, Nicola Anne. "Intensive care nurses? experiences of death in the ICU and the implications for postgraduate nursing pedagogy: a Heideggerian phenomenological study." Doctoral thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13185.
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Includes bibliographical references.Intensive care nurses’ experiences of death in the ICU and the implications for a postgraduate nursing pedagogy: A Heideggerian phenomenological study.The study sought to understand the phenomenon of the experiences of ICU nurses dealing with the deaths of patients under their care who die in the ICU. Hedeggerian hermeneutic phenomenology was used as the philosophical underpinning of the study. Methodologically, van Manen’s (1990) six research stages in searching for the essence of a lived experience offered opportunities to inquire further about pedagogical issues. Information gathering was in the form of phenomenological conversations with a sample of ICU nurses and lived experience themes emerged during the unravelling of the ICU nurses’ narratives. Using Heidegger’s concept of the three modes of being: authenticity, inauthenticity and undifferentiatedness, five lived experience themes were recognised: 1. Care- authenticity ; 2. Suffering, Disenfranchisement and Cultural/religious unpreparedness-inauthenticity ; 3. Living with dying-undifferentiatedness Based on an analysis of the phenomenological conversations, motivation is made for the inclusion of death education into the current Postgraduate Critical Care Nursing curriculum to meet the need for improving, not only the professional nursing care for patients dying in the ICU, but also facilitating and supporting the self-care of the ICU student him/herself. Barnett and Coate’s (2005) concept of the ‘Engaged Curriculum in Higher Education’, utilising the schema of knowing, acting and being, was used as the educational framework within which to identify pedagogical offerings for introducing death education. Such pedagogical offerings would include the teaching and learning of the theories of death and dying; aspects of the dying process; cultural/spiritual/religious issues such as post-mortem care and bereavement self-care.The study contributes new knowledge about ICU nurses’ lived experiences of the deaths of patients under their care in the ICU resulting in the recognition of the need for the inclusion of death education into a Postgraduate Critical Care Nursing curriculum
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Moscatel, Sarah J. "End-of-life transition experiences of ICU nurses : mindful realization /." Connect to full text via ProQuest. IP filtered, 2005.
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Thesis (Ph.D. in Nursing) -- University of Colorado at Denver and Health Sciences Center, 2005.Typescript. Includes bibliographical references (leaves 139-146). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;
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Wilson, Lynda Armstrong. "Care During Death, Grief And Loss: The Effects Of A Workshop And Clinical Experience On Student Nurses' Attitudes And Actions." Scholarly Commons, 1986. https://scholarlycommons.pacific.edu/uop_etds/3320.
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Problem. Nurses, members of a society which tends to avoid and deny death, grief, and loss, are frequently in situations where they must interact with persons experiencing grief from death or loss. Often educational experiences have done little to prepare student nurses to cope in positive and supportive ways. Student nurses need to develop self-awareness of their attitudes and anxieties toward death, loss, and grief; modify negative attitudes; and develop a repertoire of interpersonal skills to support persons experiencing grief. Purpose. The purpose of this study was to determine if academic, and experiential learning could influence the clinical performance of student nurses and the degree of empathy and openness of the students' stated attitudes toward those experiencing or anticipating death, loss, or grief. Procedures. Attitudes of 42 nursing students were measured using the Questionnaire for Understanding the Dying Patient and His Family. A workshop was presented on attitude exploration, crisis theory, grief and loss, and communication skills. The workshop was followed by an immediate posttest using the same instrument. Selected students were given clinical assignments in a high risk maternity care center involving the care of families experiencing grief from loss or death. Eight weeks after the workshop, attitudes were measured for a third time. Clinical performance was evaluated by the student, the family, and the instructor. Findings. The level of significance was set at the .05. Significantly more positive scores were found on both the immediate and the delayed posttest than on the pretest. Evaluations by the student, the family, and the instructor were significantly more positive for the students with more open and empathetic attitudes than for students with less open and empathetic attitudes. Recommendations. Nursing education programs should include specific learning experiences which facilitate adaptation of student nurses in the modes of self-concept, role function, and interdependence as they learn to meet the holistic needs of individuals experiencing death, loss, and grief. Replication of this study using another age group or clinical setting would lend insight as to how attitudes and clinical behavior are influenced by age and by diagnosis.
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Johnson, Susan. "UNDERSTANDING NURSES’ EXPERIENCES OF PROVIDING END-OF-LIFE CARE IN THE UNITED STATES HOSPITAL SETTING." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/117.
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Nurses perform a vital role in the care of dying patients and their families. Hence, experiences of nurses are a meaningful source from which to advance holistic end-of-life care. In this study, a hermeneutic phenomenological perspective was used to explore the phenomenon of end-of-life nursing care. Details derived from a scientific exploration into the experiences of 13 registered nurses who provided care for patients and families at end-of-life in the inpatient hospital setting offer understandings regarding this important phenomenon. The hermeneutic phenomenological methods of Max van Manen guided data collection and analysis. Three main themes described the participants’ experience of nursing care at end-of-life: “Confronting Challenges,” “Coming to Understand End-of-Life Care,” and “Transforming the Understanding of End-of-Life Care into Nursing Practice.” Recommendations for nursing education, practice, and research were derived.
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Salvage, Ann. "Caring towards death : a phenomenological inquiry into the process of becoming and being a hospice nurse." Thesis, University of Roehampton, 2010. https://pure.roehampton.ac.uk/portal/en/studentthesis/caring-towards-death(28deba3a-8ee0-4d08-a2d8-bb91168bf4f0).html.
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White, Lacie. "'Of All Mindfulness Meditation, That on Death is Supreme': A Dialogical Narrative Analysis with Palliative Care Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/41119.
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“Mindfulness gets thrown around all the time, but what does it actually mean in practice?” I interpreted this question posed by a nurse in this inquiry, as a statement of curiosity and concern. As conceptualizations, practices, and programs of mindfulness continue to diversify, there is a call to understand mindfulness as a socially and culturally embedded practice. Some critiques suggest mindfulness is moving too far from its ethical orientation and becoming instrumentalized as a tool. Therefore, the pervasive presence of ‘mindfulness’ across work and educational settings renders the question what does mindfulness actually mean in practice? an important one for nursing as a discipline, and within palliative care nursing practice.
Mindfulness is proposed broadly here as an approach to meet therapeutic and relational aims for nurses within palliative care practice. What it means to be mindfully present and compassionate in the midst of suffering, strong emotion and profound uncertainty is rarely discussed. Grounded in conversations with nine palliative care nurses (their words italicized), I explored how mindfulness shapes relationally engaged ways of being while caring for people with terminal disease and existential distress. Using a contemplative dialogical narrative approach, I analyzed nurses’ stories as units of data to explore multilayered narratives with personal, social, and cultural storylines. Using an emergent and iterative design, I dialogued across various aspects of the research process enacting an integrative approach. Metaphorically, this dissertation is structured as a contemplative walk within a classical seven-circuit labyrinth; readers are invited to walk a circuitous path while following along as stories take the lead.
Seven turns in the labyrinth outline a path conveying key recursive narratives of mindfulness. Turning in various directions three guiding story threads are woven together to create the path: 1) palliative care nursing as mindfulness is an embodied ethic creating space(s) for creativity and ‘connection’ through the ‘big stuff’; 2) such ‘space’ can be generated and accessed through somatic practices of ‘self-awareness’ and ‘self-care’; and 3) spaces of caring are continuously transforming within the communities in which they are practiced. Nurses’ stories foreground ways organizational and educational systems support or constrain how mindfulness as an embodied ethic of care can be enacted. This study adds to the ongoing conversation of mindfulness and its value when practiced/understood as palliative care nursing. As the historical Buddha was quoted to have said “of all mindfulness meditation, that on death is supreme.”
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Bidii, Dempto Boniface. "An exploration into nephrology nurses' lived experiences of caring for dying patients with end stage kidney disease following withdrawal of dialysis." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31477.
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The aim of this study sets out to better understand nephrology nurses’ lived experiences of dying and deaths of patients with ESKD following withdrawal of dialysis. A qualitative research design using an interpretative phenomenological approach was used to explore the experiences of a purposive heterogeneous sample of eight nephrology nurses who were working in private dialysis units. Information was gathered by phenomenological conversations and feed-back sessions. Colaizzi’s phenomenological method was employed to formulate four main themes:
1. Emotional trauma
2. Detachment
3. Loss of altruistic values in nursing
4. being-with-death
For the participants in this study, emotional trauma was the most significant. The participants experienced a sense of powerlessness which caused emotions of hopelessness and anger and subsequently a sense of premature mourning and detachment. This state of hopelessness proved to be an obstacle in patient care, resulting in the altruistic values of nursing to be no longer applied. The participants’ ontological confrontation of being-with-death was evident, as they came to terms with the reality of their own death. Recommendations are offered to address the educational aspects of death and dying for nephrology nurses. This study endorses the need for further research into patients with ESKD ‘end-of-life’ which can influence how healthcare professionals should treat these patients during this phase.
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Ferawati, Yenni. "Factors associated with preferential place of death for patients with cancer receiving palliative care : a literature review." Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2282.
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Cancer is a disease caused by uncontrolled growth of abnormal cells. Cancer is often related to a need for palliative care. Palliative care is an approach and treatment provided to improve quality of life for patients with life threatening illness, such as cancer. Dying patients at the end of their life may lose their autonomy towards themselves especially related to their desires and preference. Patients’ preference towards place of death may be influenced by many factors. Patients with cancer require support from their family members as well as health care professionals, especially nurses, they are the one who frequently keep in touch with patients. Therefore, through the support given, patients’ might be able to express their desires. The purpose of this study was to describe factors associated with preferential place of death for cancer patients receiving palliative care. This study also described how patients’ autonomy affect patients’ decision making related to preferential place of death and how nurses provide support in patients decision making with regards of preferential place of death. A literature review of 17 scientific articles that met the inclusion criteria was carried out. The articles were collected using two electronic database searches: PubMed and CINAHL. Moreover, four of articles were identified through manual search. Majority of cancer patients preferred their home as their place of death. Demographic factors such as, gender, age, marital status, economic status, country of birth and place of residence were found to be the most influential factors regarding the preference of home as place of death. The wishes related to place of death of both patients and family caregivers were expected to be recorded in the first meeting. Nurses in providing support for patients with cancer should have to empower patients express their desires. In conclusion, this literature review showed that promoting autonomy and decision making are challenging for nurses. Nurses can help patients express their preferences or desires by providing decision making support. There are many factors that contribute to the decision of location of death. Therefore, it is important for nurses to empower patients’ autonomy and to respect their values in order to provide support for patients with cancer in making decision related to place of death
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Davidsson, Elin, Isabelle Svensson, and Madelene Söderblom. "Sjuksköterskors upplevelser av vård vid patienters dödsfall : En kvalitativ litteraturöversikt." Thesis, Jönköping University, HHJ, Avd. för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-52870.
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Background: Death can be viewed and understood through different perspectives and occurs in different ways after different trajectories. Death can occur in the hospital setting where the registered nurse has a leading role in the nursing of dying patients. It is the registered nurses’ responsibility that the given care has dignity and is respectful of the patient’s integrity. Registered nurses need an awareness of the feelings they may experience when patients die and apply different coping strategies in order to cope with the pressure that encounters with death can result in. Purpose: Was to describe registered nurses’ experiences of caring for patients who die in hospitals. Method: This literature review used scientific articles with qualitative method that were analysed in five steps according to Friberg (2017a) and was formed with an inductive approach. Result: After analysis of 12 scientific articles two main categories were presented: Emotional impact and The importance of personal and professional development with a total of five subcategories. Conclusion: Registered nurses experienced difficulties and challenges when caring for dying patients in the hospital setting and experienced emotional and professional effects as well as effects on their everyday life. Limitations within oneself and outer circumstances was perceived to limit the registered nurses from providing good care. Coping strategies could be applied in order to cope with these difficulties.Bakgrund: Döden kan ses och förstås genom olika perspektiv och inträffar på olika sätt efter varierande förlopp. Dödsfall kan inträffa på sjukhus där sjuksköterskor har en ledande roll i omvårdnaden av patienter som avlider. Sjuksköterskor ansvarar för att given omvårdnad sker med värdighet och att patienters integritet respekteras. Sjuksköterskor behöver vara uppmärksamma på de egna känslor som kan uppkomma vid patienters dödsfall och tillämpa olika copingstrategier för att kunna hantera den belastning som möten med döden kan innebära. Syfte: Var att beskriva sjuksköterskors upplevelser av att vårda patienter som avlider på sjukhus. Metod: I litteraturöversikten användes vetenskapliga artiklar av kvalitativ metod som analyserades i fem steg enligt Friberg (2017a) och utformades med ett induktivt förhållningssätt. Resultat: Efter analys av 12 vetenskapliga artiklar presenterades två huvudkategorier: Emotionell påverkan och Betydelsen av personlig och professionell utveckling med totalt fem subkategorier. Slutsats: Sjuksköterskor upplevde svårigheter och utmaningar kring att vårda patienter som avlider på sjukhus och upplevde känslomässig, vardaglig och professionell påverkan. Inre begränsningar och yttre omständigheter upplevdes hindra sjuksköterskor från att ge god vård till patienter som avlider. Sjuksköterskor kunde tillämpa olika copingstrategier för att kunna hantera de svåra situationerna.
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Walter, Diane, and Diane Walter. "Long-Term Care Nurses' Perceptions Of Factors That Influence Their End-Of-Life Discussions With Surrogate Decision Makers." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624288.
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Background: Long-term care nurses are in a pivotal position to be augmenting the quality of life for residents and improving the death and dying experience for residents, their family members and surrogate decision makers. Currently there is a paucity of literature that acknowledges the experiences of long-term care nurses and their involvement with end-of-life decision making and care.
Purpose: To describe long-term care nurses’ perceptions of factors that influence their communication with end-of-life surrogate decision makers and the kind of support they need to support this discussion.
Method: A descriptive study using mixed-methods convergent design was used to obtain responses from a sample of 30 long-term care nurses. An online survey included questions to obtain quantitative data and open-ended questions for short responses. Results from both sets of data were brought together and compared during the analysis phase.
Results: The findings of this study highlight the personal factors of the nurse, the characteristics of the surrogate decision maker, contextual factors, situational related inputs, and the support desired by long-term care nurses. Participants rated factors according to importance in their experiences of communicating with surrogate decision makers. Seven themes were inductively derived from the analysis: 1) selected or appointed as surrogate makes a difference, 2) strong trusting bond between nurse-resident and nurse-family, 3) being too close to see resident’s wishes, 4) interdisciplinary team agreement, 5) living will as a communication roadmap, 6) peaceful environment, and 7) the need to create emotional distance. Long-term care nurses also identified the types of support they seek or need to be effective in communicating with end-of-life care surrogate decision makers.
Conclusion: As the numbers of the older population continue to increase, the demand for nurses to develop expertise in caring for dying residents and communicating with them, their family members, and surrogate decision makers will increase. Understanding their experiences and providing support to long-term care nurses may strengthen their capacity to communicate about death and dying and their delivery of quality end-of-life care to residents.
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Kaufman, Isabel Esther. "Assessing Spirituality Among Hospice Patients: A Phenomenological Study of Hospice Nurses." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1518.
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The shift in health care and nursing philosophy and practice from a holistic approach to a highly technological, cure-oriented approach has been attributed to effective pharmaceuticals made to prolong life. Recently medical professionals have shifted their focus to a combination of spiritual healing and medicine. Hospice care in particular have taken a key interest in integrating spirituality within their health care. The problem is that due to the complications in defining spirituality and appropriate training and education of spirituality within nursing curriculum, assessing patients' spiritual distress may be difficult for many hospice nurses which may be at a loss when attempting to integrate spirituality within their practice. This study used a phenomenological approach to explore the infusion of spirituality in nursing practice and the hospice nurses perceptions of assessing spiritual distress needs of terminally ill patients. Frankl's existential theory and Kubler- Ross's stages of grief theory framed the study. Participants included 8 hospice nurses working in a Pacific Northwestern state. Face-to-face interviews were conducted to explore the essence of the experience of integrating spirituality as well as their views and concerns regarding assessment instruments used to assess spiritual distress. Data was analyzed for content themes. The study found that spiritual courses were merged into hospice nursing as a teaching unity making it difficult for hospice nurses in a Pacific Northwestern State to fully grasp the concept of spirituality. Further findings suggested that only a handful of schools had spiritual nursing as an independent course. The study may impact social change by informing the advancement of hospice nurses and hospice administrators in the practice of including spirituality within healthcare and integrating extensive existential support training within nurses' curriculum.
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Fares, Farah Cynthia, and Blenda Bauer. "Bemötandet av anhöriga vid dödsfall : En litteraturstudie ur sjuksköterskors perspektiv." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-52925.
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Background: Nurses have the task of treating relatives professionally in connection with death, this is a complicated task and an individual experience. This means that no treatment is uniform. Purpose: Describe nurses' experiences of treating relatives in death situation in different care environments. Method: A systematic literature study with descriptive synthesis of 11 qualitative articles. Results: Through analysis, two themes were identified which is Restrictions in the treatment and Strategies in the treatment. The theme restrictions in the treatment have three sub-themes Lack knowledge, Feeling inadequate and Unmanageable emotions. The second theme Strategies in the treatment have tree themes Creating relationships, Communicating with relatives and the importance of the reflection. The first theme highlights negative experiences that caused nurses to feel limited. The second theme highlights nurses' positive experiences of using different strategies in the treatment that helped to be able to handle the situation. Conclusion: Based on this, conclusions are drawn that by initiating relationships, improving communication, and reflecting, nurses can develop, manage their emotions, and feel support, which leads to the nurses being able to have a better treatment. Nurses can overcome problems that arise in the treatment using different strategies.Bakgrund: Sjuksköterskor har i uppgift att bemöta anhöriga professionellt i samband med döden, detta är en komplicerad uppgift eftersom döden är en individuell upplevelse. Detta leder till att inget bemötande är enhetligt. Syfte: Att beskriva sjuksköterskors upplevelser av att bemöta anhöriga i samband med döden i olika vårdmiljöer. Metod: En litteraturstudie med beskrivande syntes av 11 kvalitativa artiklar. Resultat: Genom analys identifierandes två teman Begränsningar i bemötandet och Behov av strategier i bemötandet. Temat Begränsningar i bemötandet innehåller tre subteman Att sakna kunskap, Att känna sig otillräcklig och Att inte kunna hantera sina känslor. Det andra temat behov av strategier i bemötandet innehåller tre subteman Att skapa relationer, Att kommunicera med anhöriga och Att reflektera i profession. Första temat belyser negativa upplevelser som orsakade att sjuksköterskor kände sig begränsade. Andra temat belyser sjuksköterskors positiva upplevelser av användning av olika strategier i bemötandet som hjälpte att kunna hantera situation. Slutsats: Utifrån detta dras slutsatser om att genom att inleda relationer, förbättra kommunikationen och reflektera kan sjuksköterskor utvecklas, hantera sina känslor och känna stöd vilket leder till att sjuksköterskorna kan tillgå ett bättre bemötande. Sjuksköterskor kan övervinna problem som uppstår i bemötandet genom användningen av olika strategier.
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Bergqvist, Ida, and Karolin Melander. "Att vårda patienter i livets slutskede : En litteraturstudie om den oerfarna sjuksköterskans upplevelse." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-13648.
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Flertalet sjuksköterskor upplever svårigheter i att vårda döende patienter. Olika känslor uppkommer och varierar beroende på tidigare erfarenhet inom området. För att patienten ska dö med värdighet krävs det att livskvaliteten upprätthålls ända fram till dödstillfället. Problem i omvårdnaden synliggörs när sjuksköterskan upplever att egen erfarenhet, kunskap och förståelse inte är tillräcklig. Det kan resultera i kommunikationssvårigheter, osäkerhet och en otillräcklig helhetssyn av patienten. Syftet med studien är att undersöka hur sjuksköterskor utan erfarenhet inom palliativ vård upplever vårdandet av patienter i livets slutskede. Metoden som användes var allmän litteraturbaserad metod. Nio vårdvetenskapliga studier ingår i resultatet och tre teman kunde urskiljas: Erfarenhet av döden i vårdande kontext, kommunikation och sjuksköterskans upplevelse av döden. Ur dessa teman framkom sju subteman: att bli känslomässigt påverkad, erfarenhet av vårdande i livets slut, att kommunicera med patient och anhöriga, att kommunicera med kollegor, när kommunikationen är en utmaning, den goda döden, den dåliga döden. Resultatet påvisar vikten av kommunikation, erfarenhet, ärlighet och öppenhet i vårdandet av patienten i livets slutskede. Utifrån resultatet diskuteras utvalda upplevelser som vårdandet i livets slutskede medför. Detta gäller sjuksköterskans känslor, erfarenhet, förmåga att kommunicera samt sjuksköterskestudenter och handledares perspektiv. Genom reflektion kan ökad förståelse och därmed ökad kunskap uppnås. Sammantaget är det många faktorer som behövs för att vårdandet i livets slutskede ska vara av god kvalitet.
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Höglund, Alexandra, and Tina Bronzwinge. "Sorgereaktioner efter dödsfall med fokus på sjuksköterskans stöd : En litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-104311.
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Bakgrund: Att förlora en familjemedlem leder till sorg. Enligt litteraturen räknas sorgen som en akut stress- eller krisreaktion vilken ses som en normal process, men den har förmåga att utvecklas patogent. Egentlig depression och ökad suicidrisk är konsekvenser av felaktigt bemötande och ofullständig sorgebearbetning. För att undvika dessa konsekvenser behöver de sörjande individerna upptäckas och bemötas på ett lämpligt sätt. Syfte: Beskriva sorgereaktioner hos individer efter en familjemedlems bortgång med fokus på behovet av stöd från sjuksköterskan. Metod: En litteraturstudie genomfördes för att sammanställa relevant och aktuell forskning. Fem kvalitativa forskningsartiklar, två tvärsnittsstudier samt en artikel med mixad metod inkluderades i resultatet och analyserades via integrerad analys. Resultat: Analysen resulterade i tre kategorier: Sjuksköterskor och sorgeservice, Att förstå sorgens påverkan samt Bemötande av sorg. Det framkommer även att sjuksköterskor behöver öka sin förståelse för sorgens uttryck och kunskap om bemötandet av sörjande individer. Sorgeservice beskrevs som ensamt, osynligt arbete och förståelse från organisationen saknades. Slutsats: Flertalet sjuksköterskor upplever rädsla och osäkerhet vid första mötet med sörjande individer. Sjukvården brister i bemötandet och gemensamma riktlinjer gällande bemötande samt stöd vid sorg saknas. Författarna ser ett behov av tillägg i universitetens sjuksköterskeutbildning gällande en fördjupande kurs i bemötande av sörjande individer.
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Kegel, Claudia. "Balinese nurse's experience of patient death : Viewed in the light of their cultural background." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5364.
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Background: Nursing is a profession in which one will face death in different circumstances,and how the nurse will be affected by the death of their patient may vary with the nurses’ cultural and religious background. Bali-Hinduism is the most practised religion on Bali in Indonesia, permeating the inhabitants’ day-to-day life. Aim: The purpose of this study was to explore Balinese nurses’ experiences of the death of a patient in their care, in the light of their cultural surroundings and background. Method: Semi-structured interviews analysed with qualitative content analysis. The material was organized in themes and subthemes. The participants were one male and three female nurses from a private hospital in Denpasar, Indonesia. Results: The results showed that the Balinese nurses were leaning rather heavily on their religious beliefs in their daily work, and that their cultural situations greatly affect their way of coping with patients’ deaths. Three major themes emerged during the analysis: cultural and religious aspects, emotional reactions to patients’ deaths, and factors that aid coping. Discussion: Many of the ideas the nurses expressed could be further understood when learning more about Balinese culture and Bali-Hinduism, for example the notion that the physical health of a person is closely related to the will and intention of that person. Similar to Parse’s view of the human being, the Balinese perceive the human being as a versatile and complex being, connected to and affected by various aspects such as background, culture, surroundings, religious context, education, family and other human beings. The results were discussed in comparison to recent research on the subject and to Parse’s theory of humanbecoming.Bakgrund: Att arbeta som sjuksköterska innebär att möta döden i olika situationer, och hur sjuksköterskan reagerar på sin patients bortgång varierar med sjuksköterskans kulturella och religiösa bakgrund. Denna studie fokuserar på den balinesiska sjuksköterskans upplevelser och undersöker vad för slags copingstrategier hon använder. Bali-Hinduism är den mest utbredda religionen på Bali i Indonesien, och genomsyrar invånarnas vardag. Syfte: Studiens syfte var att undersöka balinesiska sjuksköterskors upplevelser av patienters död, i ljuset av deras kulturella omgivning och bakgrund. Metod: Semistrukturerade intervjuer som analyserades med kvalitativ innehållsanalys. Resultaten diskuterades i jämförelse med aktuell forskning och Parses teori om humanbecoming. Resultat: Resultatet visar att balinesiska sjuksköterskor förlitar sig på religionen i hög grad i det dagliga arbetet, och att deras kulturella sammanhang kraftigt påverkar deras sätt att handskas med patienters död. Tre teman framträdde under analysen: kulturella och religiösa aspekter, sjuksköterskan och döden och faktorer som stödjer coping. Diskussion: Många av de tankar som de balinesiska sjuksköterskorna uttryckte kunde förstås djupare vid inhämtning av mer kunskap om den balinesiska kulturen och Bali-Hinduism, exempelvis föreställningen att en persons fysiska hälsa är nära sammankopplad med hennes vilja och intention. I likhet med Parses syn på människan, ser balineserna människan som en föränderlig och komplex varelse som är ansluten till och påverkas av olika faktorer såsom bakgrund, kultur, omgivning, religiös kontext, utbildning, familj och andra människor.
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Berglind, Lina, and Linnea Skillhammar. "Jag ser dig : Sjuksköterskors upplevelser av att bemöta anhöriga till döende patienter." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-52621.
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Background: Nurses are responsible for creating a trustworthy relationship and good communication with patients as well as relatives. Swedish universities provide limited education regarding palliative care for students in the nursing program and relatives experience several deficits in nurses treatment. Relatives wish to be seen and recieve emotional support by the nurses. Aim: To describe nurses experiences of meeting relatives of dying patients Method: Systematic literature review with qualitative approach and descriptive synthesis according to Evans’ (2002) description of the analysis method. Results: The nurses experienced deficiency in their communication with relatives. The majority of challenges and difficulties described were rooted in lack of time and lack of experience and education according to the nurses. Meeting with relatives also became a challenge as the nurses had to play the role as intermediary between the patients and their families. Furthermore, the nurses became emotionally involved with the patients which led to difficulties in maintaining professionality. Conclusion: The education provided for nursing students in the current situation is insufficient in comparison with the requirements the nurses experience in the workplace. This affects not only the nurses but the relatives as well as they may be overlooked. Relatives need more of the nurses’ time to feel seen and a change in the nursing program is needed for future nurses to be prepared for the profession.Bakgrund: Sjuksköterskor ansvarar i sitt arbete för att skapa förtroendefulla relationer och god kommunikation med patient såväl som anhöriga. Svenska lärosäten tillhandahåller begränsad utbildning inom palliativ vård för studenter på sjuksköterskeprogrammet och anhöriga upplever flertalet brister i sjuksköterskors bemötande. Anhöriga vill bli sedda och stöttade i sina känslor av sjuksköterskor. Syfte: Att beskriva sjuksköterskors upplevelser av att bemöta anhöriga till döende patienter. Metod: Systematisk litteraturstudie med kvalitativ ansats och beskrivande syntes enligt Evans (2002) beskrivning av analysmetoden. Resultat: Sjuksköterskorna upplevde brister i sin kommunikation med anhöriga. Flertalet av de utmaningar och svårigheter som beskrevs grundade sig i tidsbrist och brist på erfarenhet och utbildning enligt sjuksköterskorna. Bemötande av anhöriga blev även en utmaning då sjuksköterskorna fick agera mellanhand mellan anhöriga och patienten. Dessutom blev sjuksköterskorna emotionellt involverade med de anhöriga vilket ledde till svårigheter att upprätthålla sin professionella yrkesroll. Slutsats: Utbildningen som tillhandahålls för sjuksköterskestudenter är i dagsläget otillräcklig i jämförelse med de krav som sjuksköterskor upplever på arbetsplatsen. Detta påverkar inte enbart sjuksköterskorna utan även anhöriga som kan bli förbisedda. Anhöriga behöver få mer av sjuksköterskornas tid för att upplevas sedda och det behövs en förändring i sjuksköterskeutbildningen för att framtida sjuksköterskor ska komma förberedda ut i yrket.
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Eliasson, Carina, and Daniela Loderini. "Specialistsjuksköterskors upplevelser av att vårda barn i livets slutskede inom barnintensivvård." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-9992.
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Bakgrund: Specialistsjuksköterskans uppgifter på en barnintensivvårdsavdelning (BIVA) är att vårda barn och det innefattar även att vårda barn i livets slutskede. Av de barn som vårdas på en barnintensivavdelning avlider cirka två procent. Att vårda barn och familjen i en situation där fortsatt vård och överlevnad för barnet är utsiktslöst är en tung och ansvarsfull uppgift. Syfte: Studiens syfte var att belysa specialistsjuksköterskors upplevelser av att ha vårdat ett barn vid livets slutskede på en BIVA. Metod: Som datasamlingsmetod användes semistrukturerade intervjuer med sju specialistutbildade sjuksköterskor. Intervjuerna genomfördes med hjälp av en intervjuguide bestående av en huvudfråga och därefter följdfrågor. Data bearbetades utifrån kvalitativ innehållsanalys med en beskrivande ansats. Resultat: Resultatet presenteras i tre kategorier och tio subkategorier. De tre kategorierna var följande: Att känna sig trygg och erfaren i att vårda ett döende barn, familjen i fokus samt upplevelsen av stöd och strategier i det komplexa vårdandet. Diskussion: Trots att upplevelsen av att vårda barn i livets slut är en tung och känslomässig uppgift ansåg samtliga informanter det som en ansvarsfull och positiv uppgift där de kunde göra föräldrarnas sista stund med sina barn till ett fint och ljust minne.One of the caring tasks that specialist nurses, working in the (PICU) perform, and have to face in the daily profession is to care for children who are facing the end of life in Sweden. Approximately two percent of all the children being cared for in the PICU dies. To care for children and their families when further treatment is futile is a heavy surrounding life and death. The goal of this study was to investigate the experiences of specialist nurses caring for children at the end of life. Qualitative content analyze were used as a method. Seven semi-structured interviews, with a descriptive approach, were transcribed to condensed meanings. Finally, the meaning was coded into ten subcategories within three main categories. Conclusion of this study indicated that pediatric intensive care nurses indicated their work heavy emotionally. The nurses play a vital role to the family´s final time whit their children. It is in the hands of the nurses to support and make the final time as valuable and beautiful as possible for the family.
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Ohrmhierta, Alexandra, and Linn Kedja. "Intensivvårdssjuksköterskors resonemang och föreställningar om donation efter cirkulationsstillestånd." Thesis, Luleå tekniska universitet, Omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-74411.
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Bakgrund: Över hela världen råder det brist på organ. 1 januari 2019 stod 807 personer på väntelistan för att få ett nytt organ i Sverige. Efterfrågan på organ är större än tillgången. Efterfrågan skulle kunna tillmötesgå bättre om DCD (eng. Donation after Circulatory Death) kan implementeras som ett komplement till DBD (eng. Donation after Brain Death). Det har pågått ett pilotprojekt på sex olika sjukhus i Sverige.Måletmed projektet var att utreda om DCD i framtiden kan vara ett komplement till den idag etablerade donationsprocessen DBD vilket leder till att sjukvården kan möta allmänhetens donationsvilja samt öka antalet organ för transplantation. Då DCD inte är nationellt implementerat och genom att intensivvårdssjuksköterskor har ansvaret för att vårda potentiella organdonatorer är det viktigt med forskning som belyser intensivvårdssjuksköterskorsresonemang och föreställningar kring DCD.Syfte:Syftet var att beskriva intensivvårdssjuksköterskors resonemang och föreställningar om donation vid kontrollerad DCD.Metod:Kvalitativ intervjustudie med ändamålsenligt urval genomfördes. Data analyserades med kvalitativ innehållsanalys.Resultat:Analysen resulterade i fyra kategorier; Att påbörja något nytt inom området donation, Att erhålla kunskap minskar farhågor och oro, Att införa donation efter cirkulationsstillestånd ger möjlighet att möta en hög donationsvilja och att informera och ge tröst till anhöriga.Slutsats: Denna studie visar att engagemanget är stort hos intensivvårdssjuksköterskor och att tilltron tillett införande av DCD är hög. Genom att införa DCD som ett komplement till DBD så skulle fler donationer kunna genomföras och på sikt kunna matcha efterfrågan på organ. Mer forskning samt utbildning behövs för att öka kunskapen utifrån de krav som kommer att ställas på intensivvårdssjuksköterskor vid en eventuell implementering av DCD.
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Lichtenstein, Siri, and Carl Pethrus. "Sjuksköterskans erfarenheter av att möta närstående i samband med dödsfall inom akutsjukvård : En litteraturöversikt med fokus på plötslig död." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6925.
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Sammanfattning Bakgrund: Inom akutsjukvård behandlas och vårdas kritiskt sjuka eller skadade patienter till följd av trauma eller sjukdom. Sannolikt kommer de i sällskap av närstående som kan vara oroliga och rädda. Om patienten dessutom plötsligt avlider kan situation bli traumatisk för närstående och resultera i bestående men. Omhändertagande av närstående i dessa situationer är därför av stor vikt och ligger inom sjuksköterskans kompetensområde. Genom att belysa sjuksköterskans erfarenheter av dessa möten syftar vi till att få en djupare förståelse och öka kunskapen inom omhändertagandet av närstående i samband med plötsliga dödsfall. Syfte: Syftet var att belysa sjuksköterskors erfarenheter av att möta närstående i samband med dödsfall inom akutsjukvård, med särskilt fokus på plötslig död. Metod: Elva vetenskapliga artiklar har analyserats i enlighet med Fribergs (2017) metod och sammanställts i en litteraturöversikt. De använda databaserna var CINAHL Complete, Medline with Full Text samt PubMed. Både kvalitativa och kvantitativa artiklar inkluderades i resultatet. Resultat: Denna litteraturöversikt resulterade i fyra huvudteman: sjuksköterskans upplevelser och uppfattning av dödsfall. Arbetsrelaterade faktorer med underteman utbildning, erfarenhet och miljöns påverkan. Närvaro av närstående med underteman vid återupplivningsförsök och hos döende patienter Sjuksköterskans roll i mötet med närstående med underteman sjuksköterskans kommunikativa roll och sjuksköterskans praktiska roll. Diskussion: I metoddiskussionen diskuterades styrkor och svagheter med litteraturöversikten. Styrkorna låg i författarnas gemensamma arbete att hitta relevanta vetenskapliga artiklar samt att vidare minska risken för språkliga feltolkningar då artiklarna var skrivna på engelska. I resultatdiskussionen diskuterade författarna den emotionella påverkan sjuksköterskor kan uppleva samt sjuksköterskans roll i samband med plötsliga dödsfall. Vidare diskuterades hur närstående kunde påverkas av bristen på avskildhet inom akutsjukvården och hur det kunde relateras till Roys adaptionsmodell. Resultatet diskuterades även mot bakgrunden samt annan forskning. Nyckelord: Sjuksköterskans erfarenheter, närstående, akutsjukvård, plötslig död.Abstract Background: In emergency medical care critically sick or injured patients are being cared and treated for following trauma or disease. They are likely accompanied by their family members who can be frightened and scared. If the patient also suddenly dies the situation can be traumatic for the family members and result in lasting marks. The care of family members in these situations is there for important and this lies within the nurses’ area of competence. By illustrating nurses’ experiences of these encounters we aim to receive a deeper understanding and knowledge in caring for family members in conjunction with sudden death. Aim: The aim was to illustrate nurses’ experiences of encountering with family members in conjunction with death in emergency medical care, with a particular focus on sudden death. Method: Eleven scientific articles were analyzed in accordance with Fribergs (2017) method and complied in a literature review. The databases CINAHL Complete, Medline with Full Text and PubMed were used. Both quantitative and qualitative articles were included in the result. Results: This literature review resulted in four main themes: Nurses experiences and perception of death. Work related factors with subthemes education, experience and environmental impact. Presence of family members with subthemes during resuscitation attempts and with dying patients. Nurses role while encountering with family members with subthemes nurses communicative role and nurses practical role. Discussion: In the method discussion the authors discussed strengths and weaknesses with the literature review. The strengths were a joint effort to find relevant scientific articles and to further reduce the likelihood of linguistic misinterpretations when the articles were written in English. In the outcome discussion, the authors discussed the emotional impact nurses may experience as well as the nurse's role in the event of sudden deaths. Furthermore, it was discussed how family members could be affected by the lack of privacy in emergency medical care and how it could be related to Roys adaptation model. The result was also discussed against the background and other research. Keywords: Nurses experiences, family members, emergency medical care, sudden death.
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Jonasson, Jenny, and Linnéa Karlsson. "Sjuksköterskans upplevelse av att vårda patienter i livets slutskede på sjukhus : en litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-4566.
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Bakgrund: Palliativ vård betyder lindrande vård där döden ses som en normal och naturlig process. Det innebär att varken påskynda eller skjuta upp döden för patienten, samt att ge en god omvårdnad utifrån ett helhetsperspektiv. Omvårdnaden av patienter i livets slutskede på sjukhus kan vara påfrestande för sjuksköterskor. Syfte: Syftet med studien var att beskriva sjuksköterskors upplevelser av att vårda patienter i livets slutskede på sjukhus. Metod: Metoden som användes var en litteraturöversikt där tretton artiklar analyserades. Resultat: Resul-taten presenteras utifrån fyra kategorier; faktorer som bidrar till en god palliativ vård, faktorer som påverkar sjuksköterskan negativt, kommunikationen ett viktigt verktyg och när dödsfallet är ett faktum samt tretton underkategorier. Sjuksköterskor upplevde att när de bidragit till en värdig död hade de lyckats i sin omvårdnad. Delar av den palliativa vården kan upplevas som berikande för sjuksköterskor, men den innebär också stora påfrestningar. Påfrestningarna an-sågs kunna minskas med hjälp av mer tid, samt kunskap och utbildning inom palliativ vård. Konklusion: Sammanfattningsvis visade denna studie att sjuksköterskor har en viktig uppgift i samband med att vårda patienter livets slutskede, samt att många faktorer spelar in för att sjuksköterskor ska känna att de ger en god palliativ vård till patienter i livets slutskede.Background: Palliative care means relieving care where death is seen as a normal and natural process. It means that either hurry up or postpone death for the patient, and to provide good health care from a holistic perspective. Nursing care of patients dying in hospital can be stressful for nurses. Purpose: The purpose with the study was to describe nurses experiences of the caring for dying patients in hospital. Method: The used method was an systematic lit-erature summary were thirteen articles has been analyzed. Result: The result is presented on the basis of four main category: factors that contribute to a good palliative care, factors that affect nurses negatively, communication a major instrument and when death is a fact, together with thirteen subcategories. Nurses felt that when they contribute to a dignified death, they had succeded in their care. Parts of the palliative care feels rewarding for the nurses, but it also involve great strains. The strain was considered to be reduced by using more time, knowledge and training in palliative care. Conclusion: The study concludes that nurses has an important role in the care for dying patients, and many factors is involved when they provide a good palliative care.
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Carvalho, Francisca Patricia Barreto de. "A morte a concep??o de estudantes de enfermagem." Universidade Federal do Rio Grande do Norte, 2009. http://repositorio.ufrn.br:8080/jspui/handle/123456789/14674.
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Previous issue date: 2009-10-23Understanding the meaning of death for student nurses is the subject of this research. The motivation for the meeting place of my difficulties as a person and especially as a teacher in the face of nursing students in dealing with death on a day-to-day hospital during the undergraduate course. Death became known that this evil looms before men and destabilizing, causing often irreversible mental disorders when faced with family loss. Therefore, it is appropriate to study it the possibility of making us reflect on our way of living life and dealing with human beings from the perspective of finitude. Aimed to understand the meaning of death for nursing students. For this purpose, it was based on the following guiding question: What is the meaning of death for you as a nursing student? From this perspective, the study was developed within a qualitative dimension of the phenomenological approach. To perform ten students were interviewed during the month of July 2009. Emerged from these interviews a variety of feelings such as fear, anxiety, insecurity, failure, sadness, as the sensory experience of each. To understand the meaning units that emerged from the empirical data which constitute the essence of this research were fundamental studies dealing with Heidegger about the death in a phenomenological perspective, as well as authors Bicudo, D'Assun??o, Dastur, Morin, Boff, K?bler-Ross, Boemer, among others. From the understanding of the phenomenon, we can say that death produces mixed feelings in these students that lead to selfprotection, understood, often as a departure from the other, at the approach of death. However, it proved to be sensitive and receptive to the approach of death in other dimensions, beyond the highly technical aspects, pointing to a paradigm shift that has the yeast's own willingness to change. In addition, the research highlights the weaknesses in the education of nurses regarding the understanding of the whole human death and the need to overcome them.
Compreender o significado da morte para o estudante de enfermagem constitui o objeto desta pesquisa. A motiva??o para sua realiza??o decorreu de minhas dificuldades como pessoa e, particularmente, como docente, diante de estudantes de enfermagem, em lidar com a morte no diaa- dia do hospital, durante o curso de gradua??o. A morte se tornou este mal desconhecido que se agiganta diante dos homens e os desestabiliza, causando, muitas vezes, transtornos mentais irrevers?veis quando se deparam com perdas familiares. Por isso mesmo, justifica-se estud?-la pela possibilidade de nos fazer refletir sobre o nosso modo de levar a vida e de tratar os seres humanos na perspectiva da finitude. Teve como objetivo compreender o significado da morte para estudantes de enfermagem. Com esse prop?sito, pautou-se na seguinte pergunta norteadora: Qual o significado da morte para voc? como estudante de enfermagem? Nessa perspectiva, o estudo desenvolveu-se dentro de uma dimens?o qualitativa de abordagem fenomenol?gica. Para sua realiza??o foram entrevistados dez estudantes durante m?s de julho de 2009. Emergiram destas entrevistas uma diversidade de sentimentos como medo, ang?stia, inseguran?a, fracasso, tristeza, conforme a experi?ncia sens?vel de cada um. Para compreender as unidades de significado que emergiram do material emp?rico e que constituem a ess?ncia da presente investiga??o, foram fundamentais os estudos de Heidegger que tratam acerca da morte em uma perspectiva fenomenol?gica, al?m de autores como Bicudo, D Assun??o, Dastur, Morin, Boff, K?bler-Ross, Boemer, dentre outros. A partir da compreens?o do fen?meno estudado, podemos afirmar que a morte produz nestes estudantes sentimentos conflitantes que os conduzem ? auto-prote??o, esta compreendida, muitas vezes, como um afastamento do outro, diante da proximidade da morte. No entanto, mostraram-se sens?veis e receptivos ? abordagem da morte dentro de outras dimens?es, para al?m dos aspectos eminentemente t?cnicos, apontando para uma mudan?a de paradigmas que tem como fermento a pr?pria vontade de mudar. Al?m disso, a pesquisa evidencia as fragilidades na forma??o do enfermeiro no que concerne ? compreens?o do ser humano em sua totalidade e finitude e a necessidade de super?-las.
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Andersson, Erika, and Eriksson Alexandra Dabija. "Donationsprocessen; Främjande och utmanande faktorer från intensivvårdssjuksköterskans perspektiv : En intervjustudie." Thesis, Luleå tekniska universitet, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-65429.
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Bakgrund: Omkring 90 000 personer avlider i Sverige varje år varav cirka 200–270 personer kan vara potentiella organdonationer. Det är betydelsefullt att intensivvårdssjuksköterskan känner sig väl förtrogen med rutiner kring identifiering av en potentiell donator och riktlinjer kring monitorering och behandlingsmål för organdonatorn. Syfte: Syftet med studien var att beskriva intensivvårdssjuksköterskors upplevelser av donationsprocessen utifrån två frågeställningar; vilka var de främjande respektive utmanande faktorerna i samband med donationsprocessen? Metod: En kvalitativ intervjustudie med ett ändamålsenligt urval genomfördes. Inklusionskriterierna var specialistsjuksköterska inom intensivvård med erfarenhet av donationsprocessen. En semistrukturerad intervjuguide användes och data analyserades enligt kvalitativ manifest innehållsanalys. Resultat: Sexkategorier framkom; Behov av utbildning och praktisk träning, att frågan om donation av någon anledning inte ställs, en sällan förekommande process som är resurskrävande och annorlunda, en positiv inställning och en uttalad vilja, betydelsen av stöd och information, intensivvårdsmiljö är rätt miljö. Slutsats: Studien visade att intensivvårdssjuksköterskor upplevde ett flertal utmanande och främjande faktorer under donationsprocessen. Det finns behov av fler studier inom området. En interventionsstudie före och efter specifik utbildning med både teoretisk och praktisk undervisning behöver utföras för att studera hur och i vilken grad utbildning påverkar donationsprocessen. Det finns en brist på studier som berör varför frågan om donation inte ställs och även detta behöver studeras vidare.
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Segersäll, Amanda, and Åsa Söderström. "Sjuksköterskan och döden : En kvalitativ litteraturbaserad studie, om sjuksköterskors erfarenheter av att vårda i livets slutskede." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-14090.
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Background: Nurses continuously meets and cares for dying patients, which can be perceived as both rewarding and stressful. To manage death and dying patients adequately, nurses need to reflect on what death means and her/his own perception of death and dying. Research showed that many nurses felt that they had a lack of knowledge and practical skills regarding end of life care. Objective: The purpose of this study was to illuminate nurses’ experiences of caring for patients in end-of-life care. Method: A literature-based study was used, based on analysis of qualitative data. Thirteen articles were analysed according to Friberg´s five-step model. The analysis resulted in four themes and eight subthemes. Results: Four main themes emerged from the analysis: 1) Deficient environment and organization 2) Deficient knowledge and practical skills 3) Support is an important factor 4) Response to end-of-life care. Conslusion: Education and training in end-of-life care was important. This should be implemented more, both in nursing education and in clinical practice. Support from management and colleagues was highly valued by nurses and should occur to a greater extent, as a way of preventing negative effects, such as burnout, and as a way of improving the care of dying patients and their relatives.
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Håkansson, Cecilia, and Malin Lindberg. "Bemötande vid plötslig död : Sjuksköterskans och närståendes upplevelser." Thesis, Kristianstad University College, School of Health and Society, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6255.
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Bakgrund: I rollen som sjuksköterska är det oundvikligt att inte stöta på dödsfall och därigenom sörjande närstående. Om döden har varit plötslig innebär det ofta att den har varit traumatisk. Detta kan medföra att de närstående är i behov av råd och stöd från sjuksköterskan. Syftet: Var att beskriva hur närstående upplevde bemötande från sjuksköterskan vid plötslig död, samt hur sjuksköterskan upplevde sitt eget bemötande gentemot de närstående i dessa situationer. Metod: Studien genomfördes som en allmän litteraturstudie och baserades på vetenskapliga artiklar. Resultat: Resultatet visade att närstående till personer som har dött en plötslig död önskar erhålla information rörande hela händelseförloppet samt hur de ska gå vidare efter dödsfallet och att sjuksköterskor gärna vill tillgodose dessa behov. Närstående upplevde stödet från sjuksköterskan som viktigt, vilket även sjuksköterskan gjorde. De flesta sjuksköterskor upplevde att de inte hade tillräcklig utbildning för att tillgodose närståendes behov. Diskussion: Ett centralt begrepp i patient-sjuksköterskedomänen är ömsesidighet mellan sjuksköterskan och patienten. Det betyder att sjuksköterskan bör kunna känna empati för de närstående och situationen de befinner sig i. Slutsats: Sjuksköterskor behöver mer utbildning inom området för att kunna möta närståendes behov i samband med en persons plötsliga död.
Background: As a nurse it’s unavoidable to not come across death and mourning relatives. Sudden death often means that it has been traumatic. This means that the relatives are in need of advice and support from the nurse. Aim: was to describe how relatives experienced bereavement care from the nurse at sudden death, and how the nurse experienced her own bereavement care in these situations. Method: The study carried out as a general literature review and is based on scientific articles. Result: The result showed that relatives to a person who have died suddenly, wishes to get information concerning the whole event and how to move on after the death. The nurses are eager to satisfy these needs. Relatives experienced the support from the nurse as important and the nurse shared this opinion. Most nurses felt that they did not have the education needed to satisfy the relative’s needs. Discussion: A central concept in patient-nurse domain is reciprocity. This means that the nurse should be able to feel empathy for the relatives and the situation they are in. Conclusion: The nurses need more education in the area to meet the relative’s needs in relation with a person’s sudden death.
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Karlsson, Caroline, and Åsa Morin. "När döden skiljer oss åt : sjuksköterskans behov av stöd i samband med patienters död : en litteraturstudie." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-164.
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Bakgrund: Omvårdnad av döende och avlidna patienter sker inom flera av sjukvårdens områden. I mötet med denna patientgrupp konfronteras sjuksköterskan med sin egen syn på döden. Enligt litteraturen känner sjuksköterskan ofta sorg när en patient hon vårdat avlider. Sorgereaktionerna varierar och grundar sig i individens förhållningssätt till livet. Psykiskt påfrestande situationer kan bearbetas med hjälp av sjuksköterskans inre förmåga samt genom stöd från andra. Syfte: Beskriva sjuksköterskans behov av stöd i samband med patienters död samt vad detta stöd kan innefatta. Metod: Litteraturstudie med kvalitativ innehållsanalys av tio artiklar. Resultat och diskussion: Fyra kategorier identifierades; Yttre stöd, Inre stöd, Professionen samt Relationer. Sammanfattningsvis hade sjuksköterskorna behov av känslomässig bearbetning i form av inre stöd samt yttre stöd bl.a. i form av samtal och stöd från kollegor. Sjuksköterskornas upplevelse av vårdsituationen påverkades av deras syn på döden samt deras möjlighet att utveckla en god relation till patienter och anhöriga. Slutsatser: Sjuksköterskan har behov av stöd i samband med patienters död. Flera faktorer bidrog till detta stöd och det visade sig att det kollegiala stödet var det mest framträdande. Resultaten indikerar på att sjukvården borde se över sina riktlinjer för att kunna tillgodose sjuksköterskornas behov av stöd.Background: Nursing care of the dying and deceased patients takes place within several different areas of healthcare. In the meeting with this group of patients the nurse is confronted with her own view of death. Grief reactions vary between nurses and are based in the individual's approach to life. Mentally stressful situations can be processed with the help of nurse internal capacity but also through the support of others. Objective: Describe the nurses' need of support in relation to patients' death and what this support might include. Method: A literature review with qualitative content analysis of ten articles. Results and discussion: Four categories emerged: External support, Internal support, The profession and Relationships. The nurses who cared for dying and deceased patients were in need of emotional processing in the form of internal-support but also external support in form of conversation and support from colleagues. Nurses' experience of care affected their own views on death and their ability to develop a good relationship with patients and relatives. Conclusions: Nurses are in need of assistance in connection with the patient's death. There are several factors that contribute to this support and it was found that collegial support was the most prominent factor. Finally there is a need for health services to develop guidelines to meet nurses' needs for assistance in the care of the dying and deceased patients.
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Gissberg, Penny, and Linnea Johansson. "Sjuksköterskans sorgebearbetning : Faktorer som påverkar sjuksköterskans upplevelse av sorgebearbetning." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-43285.
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Over 90,000 people die each year in Sweden, many of whom were in need of healthcare. Nurses are considered lacking education in grief management after the loss of a patient. The Swedish Healthcare System advocates continuity and that a relationship is created with the patient. In correlation with the death of a patient, the nurse may experience feelings of apathy, guilt and grief. The aim was to highlightfactors that affect the nurses’ experiences of managing grief following a patient’sdeath. The study was conducted as a general literature study with an inductive approach. The nurses’ grieving process was affected whether the cause of death wasexpected or unexpected. Furthermore, the relationship between nurse and patient could benefit the quality of the care but at the cost of making the grieving process more difficult. Nurses preferred informal support in managing the grief, and debriefing should be advocated. Grief is a human response in the loss of a relationship, and it is of importance that the nurse allows herself to grieve when a patient passes away. Finally, a lack of education regarding grief management wasnoted in the connection to a patient’s death, which is required for the nurse to maintain her own personal health and deliver high quality care.I Sverige dör 90,000 människor varje år, en stor del av människorna var i behov av sjukvård. Sjuksköterskor anses sakna utbildning inom sorgehantering efter förlust av en patient. Den svenska sjukvården förespråkar kontinuitet och en relation skapas med patienten. I samband med en patients död kan sjuksköterskan uppleva känslor som apati, skuldkänslor och sorg. Syftet var att belysa faktorer som påverkar sjuksköterskors upplevelser av sorgebearbetning efter en patients död. Litteraturstudien genomfördes som en allmän litteraturstudie med induktiv ansats. Sjuksköterskornas sorgearbete påverkades av om dödsfallet var plötsligt eller väntat. Relationen mellan sjuksköterskan och patienten kunde gynna kvalitén på vården men gjorde även sorgeprocessen svårare. Sjuksköterskorna föredrog informellt stöd vid hantering av sorgen, och debriefing borde förespråkas. Sorg är en mänsklig reaktion vid förlust av en relation och det är av vikt att sjuksköterskan tillåter sig själv att sörja när en patient dör. Slutligen noterades en brist i utbildning kring sorgebearbetning i samband med patientens bortgång vilket krävs för att sjuksköterskan ska bibehålla den egna hälsan och ge vård av god kvalité.
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Nyström, Jonna, and Emelinda Åkerström. "Sjuksköterskors upplevelser i samband med dödsfall inom slutenvården – En litteraturöversikt." Thesis, Högskolan Dalarna, Institutionen för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-37037.
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Bakgrund: Att hantera dödsfall är en central uppgift i yrket som legitimerad sjuksköterska. Sjuksköterskor kommer i sitt yrke möta både förväntade och oväntade dödsfall och det krävs att sjuksköterskor utvecklar yrkeskompetens för att kunna hantera de emotionella upplevelserna i samband med dödsfall. Sjuksköterskeutbildningen bör förbereda sjuksköterskor inför att möta döende och avlidna personer och vilka uppgifter sjuksköterskor har kring dödsfall, dock uttrycks en brist i utbildningen.Syfte: Syftet med denna litteraturöversikt var att beskriva sjuksköterskors upplevelser i samband med dödsfall inom slutenvården.Metod: Litteraturöversikten är baserad på 16 vetenskapliga artiklar, både kvalitativa och kvantitativa, som är publicerade mellan 2010 och 2020 och hämtade från databaserna CINAHL, PsycINFO och PubMed.Resultat: Resultatet visar att sjuksköterskor påverkas av dödsfall både personligt och yrkesmässigt, det beskrivs även att stöd efter dessa upplevelser är viktigt för att hantera upplevda känslor. Vidare visar resultatet att sjuksköterskor inte alltid är förberedda på vilket ansvar de har vid dödsfall i förhållande till anhöriga. Skillnader framkommer i upplevelser av förväntade och oväntade dödfall, där sjuksköterskor upplever oväntade dödsfall som svårare att hantera.Slutsats: Sjuksköterskor påverkas både personligt och yrkesmässigt och de flesta sjuksköterskor känner någon form av sorg när en patient avlider. Anhörigas reaktioner kan påverka hur sjuksköterskan upplever dödsfallet. Att få stöd är en viktig del i att hantera dessa situationer. Upplevelser av dödsfall beskrivs även som utvecklande för sjuksköterskor.Background: Dealing with death is a central task in the profession as a registered nurse. In their profession, nurses will face both expected and unexpected deaths, and it is required that nurses develop professional competence in order to be able to handle the emotional experiences in connections with deaths. The nursing education should prepare nurses to meet dying and deceased people and what information nurses have about deaths, however, a shortcoming is expressed in the education.Aim: The aim of this literature overview was to describe nurses' experiences in connection with deaths in inpatient care.Method: The literature review is based on 16 scientific articles both qualitative and quantitative that were published between 2010 and 2020 and retrieved from the databases CINAHL, PsycINFO and PubMed.Results: The results show that nurses are affected by deaths both personally and professionally, it is also described that support after these experiences is important for dealing with perceived emotions. Furthermore, the results show that nurses are not always prepared for the responsibility they have in the event of death in relation to relatives. Differences emerge in experiences of expected and unexpected deaths, where nurses experience unexpected deaths as more difficult to deal with.Conclusion: Nurses are affected both personally and professionally and most nurses feel some form of grief when a patient die. Relatives' reactions can affect how the nurse experiences the death. Getting support is an important part of dealing with these situations. Experiences of death are also described as developing for nurses.
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Hellström, Alexandra. "Sjuksköterskors förhållningssätt till samtal om döden med äldre : En intervjustudie." Thesis, University of Skövde, School of Life Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-109.
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Syftet med studien var att få ökad kunskap om sjuksköterskors förhållningssätt till samtal om döden med äldre och vilka kommunikationssätt de använder. Studien genomfördes genom intervjuer med fyra legitimerade sjuksköterskor. En intervjustudie och innehållsanalys användes, det resulterade i två huvudteman. Huvudtema ett: förhållningssätt, med subtema god lyssnare, tid och miljön och subtemat sjuksköterskors egen syn på döden. Huvudtema två: kommunikationssätten, med subtemat verbal och icke-verbal kommunikation. Tiden var en viktig faktor, att kunna ge av sin tid för samtal med den äldre, men oftast på vårdavdelningen var det ont om tid och detta gjorde att sjuksköterskorna kände av stress. En annan faktor var att lyssna, sjuksköterskorna behövde vara goda lyssnare, även om de inte alltid hade svaren och sjuksköterskornas egen syn på döden var öppen. Deras egna känslor om döden påverkade inte omvårdnad av den äldre. Kommunikationssättet som dominerade var det verbala och de icke-verbala, som beröring användes endast när de trodde att den äldre behövde det. Slutsatsen var att sjuksköterskorna inte använde undanflykter för att samtala om döden, istället var det dagens stressade sjukhusmiljö som gjorde att tiden till samtal med äldre om döden inte räckte till. Sjuksköterskorna verkade inte reflektera att de använder sig av den icke-verbala kommunikationen samtidigt som den verbala kommunikationen.
The purpose of this study was to gain knowledge about nurse’s attitudes to conversations about death with elderly´s and which communication ways they use. The study was carried out by interviews with four legitimated nurse´s. An interview study and substance analyze where used, it resulted in two headthemes. Headtheme one: attitude, with subthemes good listener, time and environment and the nurse´s own view on death. Headtheme two: communication ways, with the subtheme verbal and non-verbal communication. The time were an important factor, being able to give time for conversations with the elderly, but often on the ward there was lack of time and that made the nurse´s feel stress. Another factor was to listen, the nurse´s had to be good listener, even if they didn’t always have the answers and nurse´s own view of death were to be open. There own feelings about death didn’t influence with the nursing care of the elderly. The communication that dominated where the verbal and the non-verbal, like touch where only used when they thought the elderly needed it. Conklusion is that nurse´s don´t use excuses to conversate about death, instead it´s the stressful hospital envoirment that made the time not enough to conversate with elderly´s about death. The nurse´s seemed not to reflect that they use the non-verbal communication at the same time as the verbal communication.
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Andersson, Junia, and Sanne Loso. "Föräldrars upplevelser av en intrauterin fosterdöd : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7217.
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Bakgrund: En intrauterin fosterdöd (IUFD) innebär att förlora ett barn i en graviditet efter gestationsvecka 22. Att förlora ett barn ingår sällan i framtidsbilden och påverkar individer på olika sätt. Oftast finns ingen förklaring till varför en IUFD inträffar men riskfaktorer som övervikt hos modern, rökning, missbildning hos barnet och fel på placentan kan leda till att barn plötsligt dör. Förekomsten av IUFD är oftast högre i låg- och medelinkomstländer. Sjuksköterskor finner det ofta svårt att möta föräldrar som har förlorat ett barn. Syfte: Syftet var att belysa föräldrars upplevelser av en intrauterin fosterdöd. Metod: Metoden utgick från en litteraturöversikt enligt Friberg (2017). Databaser som användes var CINAHL Complete, psycINFO och Academic Search Complete. Tio vetenskapliga artiklar analyserades där endast kvalitativa data inkluderades i resultatet. Resultat: Analysen resulterade i två huvudteman: Föräldrars känslomässiga reaktioner med underteman Känslor och tankar, Relationen till varandra efter förlusten och Minnet av det döda barnet. Betydelsen av stöd och hjälp med underteman Existentiella aspekter och trosuppfattningens betydelse och Föräldrars upplevelser av sjukvården. Diskussion: I metoddiskussionen diskuteras litteraturöversiktens svagheter och styrkor. I resultatdiskussionen diskuteras olika ämnen utifrån sjuksköterskans perspektiv med fokus på kunskap angående omvårdnad för sörjande föräldrar och utbildning i vård vid sorg.Background: An intrauterine fetal death (IUFD) means losing a child in pregnancy after gestation week 22. Losing a child is rarely included in the image of the future and will affect individuals in different ways. There is usually no explanation to why an IUFD occurs but risk factors such as overweight with the mother, smoking, malformation of the child and placenta failure can cause a sudden death of a child. The prevalence of IUFD is usually higher in low- and middle- income countries. Nurses often find it hard to meet parents who have lost a child. Aim: The aim was to highlight parents experiences of an intrauterine fetal death. Method: The method was based on a literature review in accordance to Friberg (2017). The databases that were used was CINAHL Complete, psycINFO and Academic Search Complete. Ten scientific articles were analysed where only qualitative data were included in the result. Results: Two main themes were discovered: Parents emotional responses with subthemes Feelings and thoughts, The relationship with each other after the loss and The memory of the dead child. The importance of support and assistance with subthemes Existential aspects and the beliefs significance and Parents perspectives of healthcare. Discussion: The method discussion brought up weaknesses and strengths. The outcome discussion discussed different subjects out of the nurse perspective with focus on the knowledge of care for bereaved parents and education of nursing care in grief.
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Liljedal, Torgny, and Anders Roos. "Sjuksköterskors hantering av sin egen sorg i samband med patienters dödsfall : Litteraturöversikt." Thesis, Högskolan Dalarna, Institutionen för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-36835.
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Bakgrund: Sjuksköterskan är huvudansvarig för det patientnära omvårdnadsarbetetdär döden ibland är en oundviklig del av arbetet. Forskning visar att sjuksköterskankan uppleva sorg vid patienters dödsfall och denna behöver bearbetas. Behovet avsorghantering är större där sjuksköterskan byggt upp en relation med patient elleranhöriga och behovet är mindre om dödsfallen är förväntade. Obehandlad sorg kanleda till ohälsa hos sjuksköterskan fast det är oklart hur sorgen hanteras. Syfte: Attbeskriva hur sjuksköterskor hanterar sin egen sorg vid patienters dödsfall. Metod:Litteraturöversikt Resultat: I resultatet identifierades tre huvudteman: Hantera sorggenom distansering, hantera sorg med ritualer och hantera sorg i samtal. Dessahuvudteman beskriver sjuksköterskans hantering av egen sorg genom sju subteman:Genom att fokusera på arbetet, genom avståndstagande, genom tro, genomhandlingar, med kollegor, med närstående och med humor. Slutsats: Grunden i attlindra egen sorg för sjuksköterskan är samtalet med kollegor som måste gesutrymme till av arbetsgivaren och sjuksköterskan själv. Förutom samtalet användersjuksköterskan sig av olika ritualer som lindrar egen sorg där ritualerna grundar sigi praktisk handling och behöver nödvändigtvis inte ha ett ursprung i tro eller religion.Distansering är ytterligare ett sätt för sjuksköterskan att hantera sin egen sorg.Sjuksköterskan hanterar egen sorg i en process där samtal, ritualer och distanseringlöper parallellt med varandra.Background: The nurse has a main responsibility for leading the patient-centerednursing care, where death is an inevitable part of the work. Research shows that thenurse can experience grief when patients die and the grief must be processed. Theneed to process the grief is stronger if the nurse has built up a relationship with thepatient meanwhile the grief is weaker if the patient's death was expected. Nursesthat carry around grief that goes unprocessed can develop a diminishing health.Aim: To describe nurses’ coping of their own grief in connection with patients’death. Method: literature review. Result: In the result we could identify three maincategories: Coping with distance, coping with rituals and coping with conversation.The main categories are describing the nurses’ coping of their own grief with sevensubcategories: By focusing on the work, by distancing, with faith, with actions, withcolleges, with related parties and by using humor. Conclusion: The basics forcoping one’s own grief for the nurse is the conversation with colleges that must begiven space by the employer and the nurse herself. In addition to the conversation,the nurse uses various rituals that alleviate her own grief where the rituals are basedon practical action and do not necessarily have to have an origin in faith or religion.Distancing is another way for the nurse to cope with her own grief. The nurse copeswith her own grief in a process where conversations, rituals and distancing run inparallel with each other.
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Karolina, Delkiewicz, and Lithén Ann. "Sjuksköterskors upplevelse av mötet med närstående vid plötsligt dödsfall : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7856.
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Bakgrund:Ett plötsligt dödsfall beror ofta på sjukdom, olycka, mord eller självmord. År 2017 uppskattar man att cirka 10 360 människor miste livet tidigare än förväntat. När en människa plötsligt avlider kommer det oftast som en chock för de närstående. Det har visat sig att sorgeprocessen för de närstående kan påverkas vid plötsliga dödsfall då de inte varit förberedda på dödsfallet. Även bemötandet de får direkt efter dödsfallet har stor betydelse. Sjuksköterskor har ofta bristfällig utbildning i hur det närstående ska omhändertas vid plötsliga dödsfall och studier har visat att de närstående haft både bra och dåliga upplevelser kring bemötandet. Syfte:Syftet med denna litteraturöversikt var att undersöka sjuksköterskors upplevelse av mötet med närstående vid plötsligt dödsfall. Metod:En litteraturöversikt baserad på elva vetenskapliga artiklar, nio kvalitativa och två kvantitativa artiklar. Resultat:I resultatet framkom att sjuksköterskorna upplevde att de hade ett ansvar för patientens närstående trots att det många gånger upplevdes vara en svår situation och där etiska problem kan uppstå. Majoriteten av sjuksköterskorna upplevde även att de hade bristande kunskap och utbildning i hur närstående ska omhändertas. Även miljön och bristen på resurser gjorde det ofta svårt att kommunicera med de närstående. Diskussion:Sjuksköterskan upplever plötsligt dödsfall som en krävande situation i sin yrkesroll och ställs inför många olika etiska aspekter och känslor. Att dessutom möta närstående i sorg vid plötslig död är ännu en yttre påfrestning i sjuksköterskans roll. För att sjuksköterskan ska känna sig säker i sin roll är kunskap om bemötande i sorgeprocessen en viktig del i professionen. I resultatdiskussionen tillämpades Joyce Travelbee´s omvårdnadsteori.Background:A sudden death is often due to illness, accident, murder or suicide. In 2017, it is estimated that approximately 10 360 people lost their lives earlier than expected. When a person suddenly dies, it usually comes as a shock to the relatives. It has been found that the grieving process for those close to the family can be affected by sudden deaths when they have not been prepared for the death. The kind of clinical encounter they receive immediately after the death is also of great importance. Nurses often have inadequate training in how the relatives should be dealt with in the event of sudden death and studies have shown that the relatives have had both good and bad experiences regarding the clinical encounter. Aim:The purpose of this literature review was to investigate nurses' experience of meeting with relatives in the event of a sudden death. Method:A literature review based on eleven scientific articles, nine qualitative and two quantitative articles. Results:The results revealed that the nurses felt that they had a responsibility for the patient's relatives, despite the fact that many times it was perceived to be a difficult situation and where ethical problems could arise. The majority of the nurses also felt that they lacked knowledge and training in how to deal with relatives. The environment and the lack of resources also often made it difficult to communicate with the relatives. Discussion:The nurse experiences sudden death as a demanding situation in her professional role and is faced with many different ethical aspects and feelings.In addition, meeting relatives in mourning in the event of sudden death is yet another external strain in the nurse's role. In order for the nurse to feel secure in her role, knowledge about attending the grief process is an important part of the profession. In the results discussion, Joyce Travelbee's nursing theory was applied.
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Ernberg, Anna-Clara, and Hanna Nybeson. "Växa med uppgiften : Nyexaminerade sjuksköterskors upplevelser av att möta patienter i livets slutskede och deras anhöriga. En intervjustudie." Thesis, Röda Korsets Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-241.
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Bakgrund: Sjuksköterskan kan möta patienter i livets slutskede samt deras anhöriga i olika vårdsammanhang inom sjukvården. Upplevelsen av dessa möten varierar beroende på sjuksköterskans förvärvade erfarenhet som sjuksköterska, personlighet, livserfarenhet och stöd från omgivningen. Nyexaminerade sjuksköterskor saknar den erfarenhet som gör att hon/han kan se sina reaktioner och handlingar i ett större perspektiv. Ofta upplevs den första tiden som sjuksköterska som tuff och utmanande. Syfte: Syftet med denna studie är att beskriva nyligen examinerade sjuksköterskors upplevelser av att möta patienter i livets slutskede och deras närstående. Metod: Intervjustudie med kvalitativ innehållsanalys. Resultat: Två kategorier identifierades; Mötet och Växa med uppgiften. Sammanfattningsvis var sjuksköterskornas upplevelser varierande beroende på situationen och den egna förmågan att hantera situationen. Sjuksköterskorna upplevde en osäkerhet som blev mindre i och med ökad erfarenhet. Även stöd från mer erfarna kollegor var av avgörande betydelse för hur sjuksköterskorna upplevde mötet. Slutsatser: Det är av stor betydelse vilket stöd den nyexaminerade sjuksköterskan får och resultatet indikerar att stödet till nyexaminerade sjuksköterskor behöver förbättras och förstärkas inom sjukvården.Background: A nurse can meet dying patients and their relatives in many different health care contexts within the health care system. The experience of these meetings depends on the nurse’s acquired experience as a nurse, the personality, life experience and support from family and friends. Newly graduated nurses do not have the experience needed to see his/her reactions and actions in an extended perspective. The experience during the first period as a nurse is often seen as tough and challenging. Aim: The aim of this study is to describe newly graduated nurses’ experiences of meeting patients at the end of life, and their relatives. Method: Interview study with a qualitative content analysis. Result: Two categories were identified; The meeting and The growing with the task. The nurses experiences depended on the nurses own ability to handle the situation. The nurses experienced an uncertainty that was reduced with more experience. Support from more experienced colleagues was of critical significance for how the nurses experienced the meeting. Conclusions: The support newly graduated nurses obtain is very important, and the result indicates that support to newly graduated nurses within the health care system, needs to improve.