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Communication about existential issues with patients close to death-nurses' reflections on content, process and meaning
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- Strang, Susann, 1953 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Box457, SE-405 30 Gothenburg, Sweden
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- Henoch, Ingela, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Box457, SE-405 30 Gothenburg, Sweden
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- Danielson, Ella, 1942 (författare)
- Mittuniversitetet,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Avdelningen för omvårdnad,Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Box457, SE-405 30 Gothenburg, Sweden,Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden / Department of Health Sciences, Mid Sweden University, Östersund, Sweden
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- (creator_code:org_t)
- 2013-12-09
- 2014
- Engelska.
- Ingår i: Psycho-Oncology. - : Wiley. - 1057-9249 .- 1099-1611. ; 23:5, s. 562-568
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- ObjectiveEncountering dying patients with implicit existential questions requires the nurses to have positive and comfortable attitude to talking about existential issues. This paper describes the nurses' reflections on existential issues in their communication with patients close to death. MethodsNurses (n=98) were recruited from a hospital, hospices and homecare teams. Each nurse participated in five group reflection sessions that were recorded, transcribed and analysed using qualitative content analysis. ResultsThree domains and nine themes emerged. The content domain of the existential conversation covered living, dying and relationships. The process domain dealt with using conversation techniques to open up conversations, being present and confirming. The third domain was about the meaning of existential conversation for nurses. The group reflections revealed a distinct awareness of the value of sensitivity and supportive conversations. ConclusionThis study supports the assertion that experience of talking about existential issues and supporting environment make nurses comfortable when counselling patients close to death. It was obvious from this study that having the courage to be present and confirming, having time and not trying to solve' every existential problem were the most important factors in conversations with the patients close to death. Copyright (c) 2013 John Wiley & Sons, Ltd.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- communication
- counselling
- nurse
- existential
- end-of-life care
- hospice
- PALLIATIVE CARE
- SPIRITUAL CARE
- HEART-FAILURE
- OF-LIFE
- PREFERENCES
- INFORMATION
- ILLNESS
- communication
- Medical sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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