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Svåra besked : Sjuksköterskans erfarenheter
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Difficult news: The nurses experience (English)
Abstract [sv]

Bakgrund: Svåra besked lämnas dagligen inom vården och definieras som svår eller ledsam information som drastiskt förändrar en persons uppfattning om livet och framtiden negativt. Sjuksköterskans yrkesroll i överlämnandet av ett svårt besked är att vara närvarande för läkare, patient och anhöriga. Majoriteten av den forskning som är gjord riktar sig till läkare och mindre till sjuksköterskor. Syfte: Syftet var att belysa sjuksköterskans erfarenheter i samband med att svåra besked delges till patienten. Metod: Studien genomfördes som en allmän litteraturstudie. Resultat: I litteraturstudiens resultat framkom fem kategorier: Vikten av att anpassa information, Vikten av att använda sin professionalitet, Vikten av att bibehålla en god relation, Meningsskiljaktighet i teamet och Kunskapsbrist. Sjuksköterskan gav information och stöd samt skapade en relation med patient och anhöriga. Meningsskiljaktighet mellan läkare och sjuksköterska angående undvikande av svåra besked identifierades samtidigt som det i motsats identifierades att läkare och sjuksköterska delade samma värderingar angående hög sanningsenlighet till patient. Det framkom även att utbildning och övning saknades och efterlyses. Konklusion: Forskning och utbildning kring sjuksköterskans involvering i svåra besked anses bristfällig och litteraturstudiens resultat visar att fortsatt forskning behövs för att kunna ge evidensbaserad omvårdnad.

Abstract [en]

Background: In healthcare difficult news are given on a daily basis and is defined as any difficult or sad information that drastically changes a persons perceptions about his or her life and future in a negative way. The nurses role in delivering difficult news is to be present for physicians, patients and relatives. The majority of the previous research focuses more on physicians than nurses. Aim: The aim was to illuminate the nurses experience when difficult news is delivered to the patient. Method: The study was conducted as a literature study. Results: In the literature study´s result five categories emerged: The importance of adjusting information, The importance of using one’s professionalism, The importance of maintaining a good relationship, Disagreement in the team and Lack of knowledge. The nurse gave information and support and established a relationship with the patient and relatives. Disagreement between physicians and nurses regarding evasion of difficult news was identified while in the contrary physicians and nurses shared the same values regarding truthfulness to the patient. It also emerged that education and practise was missing and requested. Conclusion: Research and education about the nurses involvement in delivering bad news is considered being inadequate and the results of the literature study shows that continued research is required in order to give care based on scientific evidence. 

Place, publisher, year, edition, pages
2019. , p. 14
Keywords [en]
Difficult news, Experience, Nursing, Nurse
Keywords [sv]
Erfarenhet, Omvårdnad, Sjuksköterska, Svåra besked
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-40464OAI: oai:DiVA.org:hh-40464DiVA, id: diva2:1346731
Subject / course
Nursing
Educational program
Nursing Programme, 180 credits
Supervisors
Examiners
Available from: 2019-08-29 Created: 2019-08-28 Last updated: 2019-08-29Bibliographically approved

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