Behov av kunskap

: Sjuksköterskors erfarenheter av att vårda neurologiskt sjuka äldre patienter i ett palliativt skede på slutenvårdsavdelning

Abstract

Background Palliative care has been developed from caring for the dying patients with cancer, to care for the patient with serious illness of all ages. The nurse has to consider the patient's physical, mental, social and existential needs, and show respect for the patient's autonomy, integrity and dignity. For the patient with neurological disease who is in the palliative stage of life, the nurse's competence and knowledge in neurology and palliative care are important. Aim The purpose of the study was to explore nurses' experiences of caring for patients aged 65 and older with neurological disease in need of palliative care in a neurological inpatient ward. Method Qualitative interview study with an inductive approach with eight nurses at a neurological clinic, based on semi-structured questions. Data were analyzed using conventional content analysis. Results Palliative care was equated with end-of-life care in inpatient care. Although the informants were aware that the patient had a neurological illness which meant that life expectancy was shortened, and palliative needs existed. The importance of the conversation to be able to see the person behind the disease and relieve suffering. The informants describe the lack of knowledge to be able to provide good palliative care. Conclusion Knowledge and competence form the basis for good evidence-based palliative care, as well as the importance of good team collaboration. The importance of personcentered conversation in order to alleviate suffering was a central find.The importance of relatives for the patient's safety, but also as part of being able to make care individual for the patient.

Date of Award	2022-Jun
Original language	Swedish
Supervisor	Helena Larsson (Supervisor) & Staffan Karlsson (Examiner)