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Om hjärtat slutar slå: Patienters och anhörigas delaktighet i beslutet om ej-HLR
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
If the heart stops beating : Patients’ and relatives’ participation in the decision do-not-resuscitate (English)
Abstract [sv]

Sjuksköterskor har en nära relation till patienter och anhöriga och bör efter bästa förmåga möjliggöra deras delaktighet i vården. Trots att riktlinjer om hjärt-lungräddning (HLR) menar att beslutskompetenta patienter ska vara delaktiga i beslutet om ej-HLR, fungerar det inte alltid så i praktiken. I och med detta kan sjuksköterskor få svårt att hantera situationer som uppstår kring beslutet om ej-HLR. Syftet var att belysa patienters respektive anhörigas delaktighet i beslutet om ej-HLR. Studien genomfördes som en litteraturstudie och 15 vetenskapliga artiklar analyserades. Studiens resultat visar att patienters och anhörigas delaktighet i beslutet om ej-HLR påverkas av olika faktorer så som patienters livskvalité, information om sjukdom, prognos och HLR. Anhöriga vill och får ofta möjlighet att delta i ett beslut om ej-HLR. Anhörigas möjlighet till delaktighet beror främst på patienters beslutskompetens och det är läkare som möjliggör patienters och anhörigas delaktighet i beslutet om ej-HLR. Sjuksköterskors samarbete med läkare i diskussionen om ej-HLR kan underlätta beslutsprocessen för samtliga parter. För att patienters och anhörigas delaktighet ska främjas bör riktlinjerna för beslut angående HLR ses över och möjligen uppdateras.

Abstract [en]

The nurse has a close relationship with patients and families and should promote the potential of their involvement in care. The medical practice differs from guidelines for cardiopulmonary resuscitation (CPR) which suggests that patients should be involved in the decision making about the do-not-resuscitate (DNR) order. Nurses may find it difficult to deal with situations that arise over the decision about DNR. The aim was to illuminate patients' and relatives' participation in the decision making concerning the DNR order. The study was conducted as a literature study and 15 scientific articles were analyzed. The results show that involvement of patient and next-of-kin in the decision not to resuscitate can be affected by various factors. Factors that could affect patient participation were patients’ quality of life, knowledge about disease, prognosis and CPR. Family members often want and often get the opportunity to participate in the decision making concerning DNR. Relatives' ability to participate depends primarily on patients' ability to participate in the decision making. Doctors enable patients and families participation in the decision not for resuscitation. Nurses’ collaboration with doctors in the discussion about the DNR order can facilitate decision making for all parties. The guidelines for decision about CPR should be reviewed and possibly updated in order to improve patients' and relatives' participation.

Place, publisher, year, edition, pages
2011. , p. 15
Keywords [en]
Cardiopulmonary resuscitation, decision making, do-not-resuscitate orders, family, patient
Keywords [sv]
Anhöriga, beslutsfattande, ej-HLR, HLR, patient
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-14227OAI: oai:DiVA.org:hh-14227DiVA, id: diva2:392421
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-01-28 Created: 2011-01-27 Last updated: 2011-01-28Bibliographically approved

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