Sjuksköterskors upplevelse av att möta närstående efter plötsligt dödsfall inom akutsjukvård. : en litteraturöversikt

Sammanfattning: ABSTRACT Every year approximately 90,500 people die in Sweden, about 19 000 of these die suddenly. A large portion dies in the hospital and many times the death comes unexpected. It is the health professionals task to find and support the relatives. Nurses working with emergency care, almost daily come in contact with relatives who have lost a loved one and they are expected to manage the related parties grief in a professional manner. Some of the people have undergone a preparation time, while others may experience a more unexpected and sudden death of their relatives. The aim of this literature overview was to examine nurses' experiences to meet and take care of the relatives after a sudden death in emergency care. The method has been implemented as a literature review with descriptive design that is to say that the result is based on an already published research, which the author has compiled into an elaborated text in the results section. The literature review is based on fourteen scientific articles. Articles were searched in approved scientific databases and all the articles included was of good quality according to the guidelines from Sophiahemmets quality control and all the included articles were relevant to the literature review purpose. The result is based on three main categories that were developed during the data analysis. The main categories were the nurse's perspective, factors influencing the meeting with the relatives and the effect of care relationship when meeting with the relatives. The nurse's obvious task was to support and see and meet the needs of the related parties. To do so required a good care relationship. The articles gave examples of what the nurses were considered to be part of and the difficulty in the meeting with the relatives who have suddenly lost a loved one. Articles highlights the nurses own feelings and experiences, but also the organization behind the nurses, both the good and bad sides. The nurses also noticed a deficiency in their education and that they lacked the knowledge and guidance of activities in the area. The discussion shows that in situations where relatives lose their loved one suddenly and unexpectedly, often perceived as a difficulty by nurses. In some cases nurses are experiencing emotional difficulties and discomfort that causes that they feel that they are not enough for the family and their needs and expectations. Which means that the nurses are unsure whether they satisfy the related enough in these situations. From previous studies it is seen that nurses' experiences is that the training and knowledge of the subject is, and inadequate grounds. In order to prevent their negative thought patterns and their uncertainty in the care of relatives who unexpectedly lost a loved one, it will need more knowledge and theoretical knowledge given space in practice. Conclusion of the literature is that emergency nurse would strengthen their working profession in the care of relatives who have suddenly lost a loved one through more knowledge and then with both theoretical and practical teaching, better structure and clearer guidelines. Keywords: Sudden death, relatives, emergency care, nurse and experiences.