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Communication about existential issues with patients close to death-nurses' reflections on content, process and meaning

Artikel i vetenskaplig tidskrift
Författare Susann Strang
Ingela Henoch
Ella Danielson
M. Browall
C. Melin-Johansson
Publicerad i Psycho-Oncology
Volym 23
Nummer/häfte 5
Sidor 562-568
ISSN 1057-9249
Publiceringsår 2014
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 562-568
Språk en
Länkar dx.doi.org/10.1002/pon.3456
Ämnesord communication, counselling, nurse, existential, end-of-life care, hospice, PALLIATIVE CARE, SPIRITUAL CARE, HEART-FAILURE, OF-LIFE, PREFERENCES, INFORMATION, ILLNESS
Ämneskategorier Omvårdnad, Palliativ medicin

Sammanfattning

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.

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