Hur genomförs omvårdnaden i livets slutskede på en akutkirurgisk vårdavdelning? : En intervjustudie
Sammanfattning: Background: The purpose of end-of-life care is to relieve suffering and optimize quality of life. Important tasks for healthcare professionals are symptom alleviation and facilitate well-being. It is common for patients, who are treated palliative, to die within the surgical wards. The environment can be stressful and it is not always optimal for these patients to be cared for there. Aim: The aim was to describe how end-of-life care was delivered for patients in surgical wards, according to the nurses, with specific focus on the fundamentals of care. Method: Semi-structured interviews with 12 registered nurses in two surgical wards. The interviews were analysed using a qualitative content analysis. Result: The analysis resulted in three categories: The nursing needs of patients at the end-of-life, The organization's negative impact on patient care and Adapted care based on the patient and relative’s needs. The results showed that organizational factors such as lack of time and resources, but also lack of knowledge among the healthcare professionals, could lead to difficulties to fulfill both the physical and psychosocial needs of the patient. When a person-centered care was used the needs of the patients were easier to fulfill and the nursing care functioned in a better way. Conclusion: Person-centered care is an important part of end-of-life care. The healthcare professionals at surgical wards care for this patient-group in a dedicated way, and nursing around them usually operate well, except when there is a lack of time and more acute situations must be prioritized. There is a need to increase the knowledge of palliative care among the healthcare professionals.
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