Sjuksköterskors erfarenheter av att vårda patienter i livets slutskede i hemmet : En litteraturbaserad studie

Sammanfattning: Background: Every year in Sweden, approximately 90,000 people die. Some die due to trauma or terminal illness, while others die from natural causes. When patients are in a terminal condition, they can receive support and nursing care from nurses in their own homes. Patients' homes provide a safe environment for both the patient and their family, and many individuals express a desire to spend their final days at home. Previous research indicates that there is a significant amount of data available regarding nurses' experiences in providing end-of-life care in hospitals, but there is comparatively less data and research concerning nurses' care for patients in their own homes. Aim: The aim of this study was to describe nurses´ experiences of caring for patients in end-of-life care at home. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding of nurses´ experiences. Results: Three main themes were discovered; Competence and teamwork makes a difference, need to dare to get close and assets and limitations of work while working in the patient's home. Nurses experienced many emotions, challenges and obstacles when working with patients in end-of-life care in their home. Collaboration was important with both physicians and with the family care providers to enable good care for the patients. Conclusion: When nurses worked closely with the patients in their home, they felt emotionally affected and the experience overall was both positive and negative. This study showed that nurses in home care need experience and self-confidence to give good and safe care for the patients in end-of-life care.