Doctorate of Health Sciences / Abstract The aim of this study was to understand the meaning of caring as experienced by Arab Muslim nurses within the context of Arab culture. A qualitative approach using ethnographic methodology based on the approaches of Geertz (1973), Fitzgerald (1997) and Davies (1999) was used to develop a description that embeds the phenomena of the nurses’ meaning of caring within the cultural context. Good and Good’s (1981) meaning–centred approach was used to interpret the nurse’s explanatory models of health, illness and healing that inform the caring experience. This study conveys the cultural worlds of Arab Muslim nurses from Saudi Arabia, Lebanon, Jordan and Egypt while caring for Arab Muslim patients in Saudi Arabia. Data were collected over a four year period (2004-2007). Arab Muslim nurses have a religiously informed explanatory model where health is spiritual, physical and psycho-social well-being. Spirituality is central to the belief system where spiritual needs take priority over physical needs as a distinctive care pattern. The professional health belief system blends into the nurses’ cultural and religious belief system, forming a culturally distinct explanatory health beliefs system. This finding suggests that in non-Western health contexts, professional models are not dominant but incorporated into nurses’ indigenous worldviews in a way that makes sense within the culture. Caring is based on shared meanings between nurse and patient. Caring is an act of spiritualty and an action by the nurse to facilitate his or her own spirituality and that of the patient. In turn, the nurse receives reward from Allah for caring actions. A distinct ethical framework based on principles of Islamic bio-ethics guides the nurses in their caring. This research provides the missing link between Western professional nursing systems and Arab Muslim nurses’ caring models and contributes to the development of a caring model that is relevant to, and reflective of, Arab cultural and Islamic religious values. This caring model can provide direction for nurse education and the provision of care to Muslim patients, whether in Arab cultures, Islamic societies or with immigrant Muslim populations. In addition, it provides the basis for an Islamic nursing identity and a beginning point for improving the moral status and image of nursing in the Middle East.

<p>BAKGRUND: KOL är en sjukdom som drabbar allt fler personer världen över och anses bli den tredje vanligaste dödsorsaken i världen år 2020. Det finns inget botemedel mot KOL men genom omfattande omvårdnad kan patienten och anhöriga uppleva välbefinnande trots sjukdomen. Andningssvårigheterna påverkar patientens vardagliga liv och livskvalitet negativt både psykiskt och fysiskt. SYFTE: Syftet med denna studie var att belysa hur sjuksköterskor kan underlätta vid andningssvårigheter för patienter med sjukdomen KOL med utgångspunkt från både patienters önskemål och sjuksköterskors erfarenheter. METOD: Studien var en litteraturöversikt baserad på redan vetenskapligt framforskat datamaterial. Datamaterialet inom ämnet som format resultatet begränsades till nio vetenskapliga artiklar, både av kvalitativ- och kvantitativ karaktär. RESULTAT: Det framstår tre teman; kontinuerligt utbyte av kunskaper, spara på patientens krafter samt ge stöd och trygghet. Kontinuerligt utbyte av kunskaper innebär det kunskapsutbyte som sker mellan patienter och sjuksköterskor i omvårdnaden. Det andra temat beskriver hur patienters andning påverkas genom planering av vardagen och det sista temat visar på de psykiska aspekterna. DISKUSSION: Denna studie visar på vikten av en god relation mellan sjuksköterskor och patienter för att omvårdnaden ska bli av bästa kvalitet. Med en god relation skapas trygghet och tillförlitlighet vilket är det viktigaste för patienter med KOL.</p> / <p>BACKGROUND: COPD is a disease that increasingly affects more patients around the world; by 2020 is it is projected to be the third most common cause of death. There is no cure against COPD. Moreover, difficulty breathing affects the patient’s quality of life physically and mentally. However, with extensive care patients and their relatives can experience wellbeing in spite of the illness. PURPOSE: The aim of this study is to illustrate how nurses can ease the suffering of patients with COPD with a starting point from the patient’s wishes and the nurse’s experience. METHOD: The study was a literature review based on existing researched data material based on nine scientific articles of qualitative and quantitative nature.</p><p>RESULT: Three themes emerged: the continuously exchange of knowledge; saving the patients strength; and give security and support. The continuously exchange of knowledge refers to knowledge exchange between nurse and patient during the caring process. The second theme describes how the patient’s breathing is affected by the planning of everyday life. The last theme illustrates the mental aspects. CONCLUSION: This study shows a good relationship between patient and nurse is important to create security and support which are the most important things for patients suffering from COPD.</p>

<p>Stroke är en av våra stora folksjukdomar som drabbar cirka 30 000 människor varje år.Strokedrabbade patienter kommer i kontakt med hälso- och sjukvården och sjuksköterskanhar en central roll i omvårdnaden. Därför är det viktigt att sjuksköterskan har kunskap ompatienters upplevelse av att drabbas av stroke. Syftet med denna studie är att beskrivapatienters upplevelse av stroke. Metoden som använts är en litteraturstudie där trettonkvalitativa artiklar analyserats. Tre olika huvudteman framkom ur analysen: upplevelse avförändringar efter stroke, Strategier för att hantera den nya situationen och upplevelse avmötet med sjukvården. Temat upplevelse av förändringar efter stroke har delats in i treolika underteman. Dessa är upplevelse av fysiska och kognitiva förändringar ochupplevelse av sociala förändringar samt upplevelse av emotionella förändringar. Resultatetvisar att patienterna är i behov av stöd och uppmuntran för att hantera de förändringar somuppstår efter stroke. Därför är det viktigt att sjuksköterskan erbjuder patienterna ett adekvatstöd.</p> / <p>Stroke is one of our biggest national diseases which affects about 30 000 people everyyear. People victim of stroke gets in contact with the health and hospital care and at thispoint the nurse has a very central role regarding the nursing care. It is therefore importantthat the nurse has knowledge of patients’ experience of suffering stroke. The aim is todescribe patients’ experience of stroke. The method used is a literature review in whichthirteen qualitative articles analyzed. Three major themes emerged from the analysis: theexperience of changes after stroke, strategies to handle the new situation and theexperience of meeting with the health care. The theme of the experience changes afterstroke has been divided into three different sub-themes. These are experiences of physicalchanges and experience of social changes and the experience of emotional changes. Theresult shows that the patients are in need of encouragement and assistance to be able tomanage the changes that occur after stroke. It is therefore important that the nurse offerspatients an adequate support.</p>

<p>När döden lurar runt hörnet ställs det särskilt stora krav pånärstående och omvårdnadspersonal. Omvårdnadspersonal skaarbeta i team för att bedöma närståendes behov som inkluderarstöd i deras sorgearbete. Närstående strävar efter att hantera,begripa och kunna se en mening i den palliativa vården. De har ettbehov av att känna delaktighet och få en känsla av sammanhang.Syftet med studien är att belysa närståendes upplevelser i palliativvård. Med hjälp av vetenskapliga artiklar gjordes enlitteraturöversikt. Utifrån resultatet har följande teman framkommit:delaktighet, stöd, närståendes upplevelser av känslor ochkulturella skillnader. När omvårdnadspersonalen inte hade tidkunde de närstående uppleva att de inte fick den information somde var i behov av, vilket kunde leda till missnöje hos denärstående. Individuellt stöd bör ges till närstående eftersom derasbehov skiljer sig från de döendes. Genom utbildning skaomvårdnadspersonalen bättre informera om närståendes behov ochpå så sätt tillgodose närståendes önskan.</p> / <p>When death is near, the demand is high on the next of kin’s andthe nursingstaff. The nursingstaffs need to work in team in order tojudge the needs of the next of kin’s and support them in their grief.The next of kin’s strive to handle, understand and to find ameaning in the palliative care. They need to get involved and toget a sense of constancy. The aim of this study is to illustrate theexperience that the next of kin’s have towards patients in thepalliative care. With scientific studies we made a literaturesummary, to get insight in next of kin’s experience. From theresults the following teams concluded: involvement, support,information, next of kin’s experience of feelings, differences ofcultures. The result also shows when nursingstaff were busy anddidn’t have time; next of kin’s often experienced that they didn’tget the information they needed. The lack of information can leadto dissatisfaction. When the next of kin’s get the support they needfrom the nursingstaff they can be more supportive to their dyingloved ones. More effort should be put on educating thenursingstaff in the needs of the next of kin’s, to meet theirdemands on the palliative care.</p>

Este estudo teve como objetivos: analisar o conceito de Espiritualidade a partir da Teoria do Cuidado Transpessoal proposta por Jean Watson e Discutir as relações entre Experiências da Consciência (Espirituais), nos campos de interação denominados pela teorista de Momento Presente, Campo Fenomenológico e Ocasião Real de Cuidado. Método: foi utilizado a Análise de Clarificação de Conceito, proposto por Wilson. As seguintes etapas foram seguidas: 1. Isolar as questões de conceito; 2. Encontrar as respostas certas; 3. Casos Modelo; 4. Casos Contrários; 5. Casos Relacionados; 6. Casos de Difícil Diagnóstico; 7. Casos Inventados; 8. O Contexto Social; 9. Anseios Basilares; 10. Resultados Práticos e 11. Resultados na Linguagem. As questões norteadoras para análise foram: a) Qual a natureza da Espiritualidade no Cuidado Transpessoal? e b) Espiritualidade se difere de Materialidade nas relações de cuidado, uma vez que a primeira exigiria diferentes níveis de interação para que uma dimensão mais sutil pudesse ser acessada?. Resultados: na Teoria do Cuidado Humano a Espiritualidade é concebida como o Mundo do Espírito, experienciado através de um campo fenomenológico de interação entre dois Seres caracterizado pela ocorrência de Experiências da Consciência (ou espirituais). Na Teoria do Cuidado Humano os antecedentes para Espiritualidade foram: Alma/Espírito, caracterizado por: Imortalidade, Imaterialidade, Essência, Auto Conhecimento, Consciencia e Energia Criativa; Individualidade, configurada por Alma/Espirito e Transcendencia física, mental e emocional e, por fim, Experiências da Consciência, indicada por: Intuição, Experiencia Espiritual/Sobrenatural/Metafísica/Mística. Os atributos encontrados para acessar à dimensão espiritual foram os dez Clinical Caritas Process. Também verificou-se que o Processo Interacional Paciente-Profissional é direcionado a partir da triade: Mente-Corpo-Espirito onde os resultados esperados estão relacionados à ocorrência de Ocasião Real de Cuidado, percebida pela Conexão a partir das Histórias de Vida, Dilatação da Percepção do Campo Fenomênico, Rupturas na relação espaço-tempo, culminando na Transpessoalidade e Processo de Cuidado Humano, evidenciado pelo Contato Profundo com o Outro e Consigo, Uso de Linguagem Pertinente para Descrever a Experiencia Vivida e, por fim, Sistematização do Plano de Cuidados a Partir dos Dados Obtidos da Experiência. / This study aimed to analyze the concept of spirituality from Human Caring Theory by Jean Watson and Discuss the relationship between Experiences of Consciousness (Spiritual), in the interaction field called by theorist of \'Present Moment, \'Phenomenological Field\' and \'Actual Caring Occasion. Method: Wilsons concept clarification was used. The following steps were followed: 1. Isolate questions of concept 2. Find the right answers; 3.Model Case 4. Contrary Cases 5. Related Cases 6. Borderline 7. Invented Cases 8. Social Context 9. Underlying anxiety 10. Practical Results and 11. Results in language. The guiding questions for analysis were: a) What is the nature of Spirituality in Caring? b) Spirituality differs from materiality in relations of care, since the first would require different levels of interaction for a more subtle dimension could be accessed\'. Methodological steps performed this study concluded that: the Theory of Human Caring Spirituality is conceived as the World of Spirit, experienced through a phenomenological field of interaction between two beings characterized by the occurrence of experiences of consciousness (or spirit). In Human Care Theory were the background for Spirituality: Soul/Spirit, characterized by: Immortality, Immateriality, Essence, Self Knowledge, Consciousness, and Creative Energy, Individuality, set by Soul /Spirit and Transcendence physical, mental and emotional, and finally, Experiences of Consciousness, indicated by: Intuition, Experience Spiritual/ Supernatural / Metaphysical / Mystical. The attributes found to access the spiritual dimension were the ten Clinical Caritas Process. It was observed that the Patient Process-Interactional Professional is directed from the triad: Mind-Body-Spirit where the outcomes are related to the occurrence of Care Real Deal, the perceived connection from Life Stories, dilatation of Perception Field phenomenal, breaks in the space-time, culminating in transpersonal Process and Human Care, evidenced by the Deep Contact with the Other and I can, Use of Language Relevant to describe the experience and, finally, Systematization Plan of Care Data Obtained from Experience

Bakgrund: Sjuksköterskors välbefinnande på arbetsplatsen är av stor betydelse för både patientsäkerheten såväl som för sjuksköterskors retention i vården, där deras motivation för att vårda utgör en central roll. Syfte: Syftet är att beskriva sjuksköterskors upplevelser av att finna motivation till att vårda. Metod: Den valda metoden är en beskrivande litteraturstudie med ett underlag om elva vetenskapliga artiklar. Resultat: Resultatet omfattar två teman med två subteman vardera, vilka samtliga uppmärksammar upplevelser därigenom sjuksköterskor finner motivation till att vårda. Temat Betydelsen av meningsfullhet innefattar sjuksköterskors upplevelser av att få hjälpa patienter genom vårdandet samt upplevelser av att själva få något tillbaka av detta. Temat Betydelsen av en fungerande arbetsgrupp belyser sjuksköterskors behov av stöd från kollegor, samt vikten av att ständigt utvecklas professionellt och som person genom sitt vårdande. Slutsats: Sjuksköterskorna upplevde att de fann motivation till att vårda av att få vara till hjälp för en annan människa, samt genom att få något meningsfullt tillbaka av den givna vården. Sjuksköterskorna betonade vidare vikten av att få stöd från kollegor samt möjligheten att få utvecklas för att bibehålla sin motivation i vårdandet. Implementering av dessa motiverande aspekter för att vårda kan således bidra till ett förbättrat välbefinnande samt retention bland sjuksköterskor. / Background: Nurses wellbeing in the workplace is paramount for both patient security as well as for nurse retention, in which their motivation to nurse plays an important part for them to keep nursing. Aim: The aim of the study was to describe nurses’ experiences of finding motivations to nurse. Method: A descriptive literature review based on eleven articles in caring science. Result: The result contains two themes in which there are two subthemes each. The themes as well as the subthemes aim to describe experiences that help nurses find motivation to nurse. The theme Importance of meaningfulness describes nurses’ experiences of being able to help patients and receiving something back through their nursing. The theme Importance of a functioning working team describes the nurses need for social support from their colleagues, and their strive for constant development as a person as well in the nursing profession in order to be motivated to keep nursing. Conclusion: Nurses find motivation to nurse by being able to help another person and receiving something meaningful through their care. Furthermore, nurses stressed the need for receiving support from their colleagues as well as having opportunity for personal and professional development to keep their motivation to nurse. Implementation of these motivational aspects in nursing care can therefore contribute to nurse’s wellbeing as well as for their retention in the nursing profession.

Bakgrund: Caring (vårdande vård) är kärnan inom nursing (omvårdnad) och det sker i mötet mellan sjuksköterska och patient. Det bygger på en intim, personlig relation som på många sätt påminner och en vänskapsrelation dock skiljer sig denna relation från en autentisk vänskap då det ingår i sjuksköterskans ansvar att sörja för patienten. Att sörja för patienten på ett caring sätt och samtidigt upprätthålla en professionell distans är svårt och sjuksköterskor kan bli för engagerade med exempelvis utbrändhet som följd. Hur detta ska undvikas utan att förlora caring är dock inte utrett. Balansakten mellan närhet och distans är således komplicerad. Syfte: Att beskriva hur sjuksköterskan hanterar balansakten mellan närhet och distans i vårdandet. Metod: En allmän litteraturöversikt med kvalitativ ansats där tio vetenskapliga artiklar analyserats med inspiration från innehållsanalys. Resultat: Tre teman framkom med tillhörande underteman; Inre förutsättningar; att bygga på kunskap, att välja sin egen väg och att acceptera situationen, Gränssättningar; att skydda självet och att skifta mellan roller och Yttre förutsättningar; att ha tillgång till support, att ha tid att vårda, att ta hänsyn till kontext och att patienten bestämmer nivån. Slutsats: God balans är inte något statiskt där ett tillvägagångssätt gäller för alla. Sjuksköterskor lär sig, genom erfarenhet och självkännedom, var gränsen för det personliga engagemanget går för just dem. Sjuksköterskan som är villig inför och förberedd på den emotionella investeringen arbetet innefattar är mer benägen att klara av det. Klinisk betydelse: Studien bidrar till ökad förståelse för sjuksköterskans balansakt mellan närhet och distans samt påvisar vikten av effektiv handledning då autentisk vårdande vård oundvikligt är en emotionell investering för sjuksköterskan. / Background: Caring is the essence of nursing and it occurs in the encounter between nurse and patient. It is built on an intimate, friendship like relationship but it differs from an authentic friendship in as much as it is the nurse’s assignment to care for the patient. To truly care for the patient and at the same time uphold a professional distance is difficult and nurses can become over-involved that can lead to burn outs. How to avoid over-involvement, without losing caring, is not as yet undisputed. The act of balancing between closeness and distance is thus complicated. Aim: To describe how nurses deal with the act of balancing between closeness and distance in caring. Method: A qualitative literary review of ten scientific articles analyzed with inspiration from content analysis. Findings: Three themes emerged with associated sub themes; Internal conditions; to build on knowledge, to choose your own path and to accept the situation, Setting limits; to protect the self and to switch between roles and External conditions; to have access to support, to have the time to care, to have regard for context and that the patient determines the level. Conclusion: Good balance is not something static where one truth serves all. Nurses learn, through experience and self-knowledge where to draw their personal line regarding emotional involvement. The nurse who is willing and prepared for the emotional investment that comes with the job is more likely to endure it. Clinical meaning: This study increases understanding of the act of balancing between closeness and distance that the nurse exercises in her or his work and underlines the need for effective tutoring as authentic caring is unavoidably an emotional investment for the nurse.

De multiples auteurs de la discipline infirmière réclament la valeur inestimable de la relation de caring et de ses bienfaits pour la clientèle nécessitant des soins et services de réadaptation. En dépit de cette importance, la recherche concernant les bienfaits thérapeutiques de la relation de caring pour la clientèle de réadaptation demeure encore un domaine peu exploité. Actuellement, aucune étude scientifique québécoise, canadienne ou internationale, issue de la discipline infirmière, ne porte sur la compréhension de l’expérience d’« être avec » la personne soignée dans un contexte de réadaptation, aspect qui s’avère central à la relation de caring selon Watson. Au cœur même de la philosophie du Human Caring de Watson, la présente étude vise à explorer, par des entrevues qualitatives auprès de 17 infirmières oeuvrant en contexte de réadaptation, la signification de l’expérience d « être avec » la personne soignée, de même que leur perception de la contribution de cette expérience à la réadaptation de la personne soignée. Cinquante et une entrevues, c’est-à-dire trois entrevues réalisées pour chaque participant de recherche, ont été analysées à l’aide de la méthode phénoménologique intitulée « Relational Caring Inquiry » développée par Cara (1997). Le processus de recrutement des participants a impliqué la direction des soins infirmiers des deux centres de réadaptation ciblés par l’étude. Une attention particulière a été mise afin de favoriser une diversité de participants (par exemple : genre, niveau éducationnel, quart de travail, unité de soins). Le processus d’analyse des données a permis la découverte de cinq eidos-thèmes. Parmi ces eidos-thèmes, quatre se rapportent à la signification de l’expérience d’«être avec» la personne soignée (première question de recherche), à savoir : (a) l’importance des valeurs humanistes au centre du soin, (b) l’investissement de l’infirmière et de la personne soignée, (c) les dimensions réciproque et relationnelle du soin et, finalement, (d) l’expérience de soin irremplaçable d’une complexité contextuelle. De façon plus détaillée, le premier eidos-thème dévoile les fondements humanistes à la base de l’expérience d’« être avec » la personne soignée. Le deuxième manifeste l’implication substantielle de l’infirmière et de la personne soignée. Le troisième eidos-thème met en lumière la réciprocité et la dimension relationnelle comme étant des éléments centraux à l’expérience d’« être avec » la personne soignée. Le quatrième eidos-thème documente les natures fondamentale et complexe de cette expérience de soin unique, de même que les conditions contextuelles qui la facilitent et la contraignent. Le cinquième et dernier eidos-thème ayant émergé de la présente étude, « rehaussement de l’harmonie corps-âme-esprit chez la personne soignée et l’infirmière », illustre la perception des participantes quant à la contribution thérapeutique de l’expérience d’« être avec » la personne soignée à la réadaptation de cette dernière (deuxième question de recherche). Cette contribution se situe en termes de répondre aux besoins du patient, d’optimiser les progrès de réadaptation de la personne soignée, de promouvoir le niveau de bien-être de la personne soignée et de l’infirmière et, finalement, de hausser la croissance intérieure des personnes engagées dans cette expérience de soin extraordinaire. La reconnaissance des cinq eidos-thèmes a favorisé l’émergence de l’essence universelle du phénomène à l’étude qui s’intitule « la rencontre humaine profonde, thérapeutique et transformatrice ». La présente étude contribue de façon novatrice au développement des connaissances, notamment en permettant une meilleure compréhension de ce que signifie l’expérience d’« être avec » la personne soignée, pour des infirmières en réadaptation et en proposant une multitude de résultats probants pouvant servir de guide à la promulgation de soins infirmiers en contexte de réadaptation. En déterminant la signification ontologique de cette expérience de soin, la présente étude permet de préciser la place du phénomène d’« être avec » la personne soignée au centre de la théorie du caring. Ces résultats qui découlent de la deuxième question de recherche participent au développement initial d’un corpus de connaissances. Ces résultats probants serviront de guide au renouvellement de la pratique infirmière en contexte de réadaptation. De plus, en identifiant les bienfaits de cette expérience de soin, la présente étude reconnaît l’élément au cœur de la relation transpersonnelle de caring, qui contribue à rehausser l’harmonie corps-âme-esprit chez la personne soignée et l’infirmière. En plus de la clinique, des recommandations au niveau de la formation et de la recherche en sciences infirmières découlent de la présente étude. / Several nursing authors acknowledge the essential value of the caring relationship and its benefits for the rehabilitation clientele. In spite of this importance, the therapeutic benefits of the caring relationship for this clientele remain an unexamined area. Currently, no Quebec, Canadian or international scientific nursing study is concerned with understanding the experience to « be with » the person being cared for in a rehabilitation context, which is central to the caring relationship according to Watson. Inspired by Watson’s Human Caring philosophy, this study aims to investigate, by qualitative interviews with seventeen rehabilitation nurses, the meaning of the experience to « be with » the person being cared for, as well as their perception of the contribution of this experience to the person’s rehabilitation. Fifty one interviews, therefore three interviews for every research participant, were analyzed using the « phenomenological » method entitled « Relational Caring Inquiry » developed by Cara (1997). The process of participant recruitment involved the nursing management team of both rehabilitation centres targeted by the study. A variety of participants was favoured (e.g.: gender, educational level, shift worked, and patient care unit). The process of data analysis allowed the discovery of five eidos-themes. Among these eidos-themes, four refer to the meaning of the experience to « be with » the person cared for (first research question), namely: (a) the importance of humanistic values at the core of the care, (b) the investment of the nurse and the person cared for, (c) the reciprocal and relational care dimensions and finally, (d) the irreplaceable care experience of contextual complexity. In more detail, the first eidos-theme reveals the humanistic basis of the experience to « be with » the cared person. The second expresses the substantial implication of the nurse and the person cared for. The third eidos-theme clarifies the reciprocity and relational dimension as being central elements of the experience to « be with » the person cared for. The fourth eidos-theme documents fundamental and complex origins of this unique care experience, as well as the contextual conditions which facilitate and impede it. The fifth and last eidos-theme emerging from this study, « strengthening the mind-body-spirit harmony of the person cared for and the nurse », illustrates the participants’ perception regarding the therapeutic contribution of the experience to « be with » the person cared (second research question). This contribution meets the patient’s needs, optimizes the rehabilitation progress of the person cared for, promotes the level of well being of the person cared for and the nurse and finally, raises the inner growth of the people engaged in this extraordinary care experience. The recognition of these five eidos-themes supports the emergence of the universal essence of the phenomenon being studied which is entitled « the profound, therapeutic, and transformative human relationship ». The present study contributes, in an innovative way, to knowledge development, in particular by allowing a better understanding of the meaning of rehabilitation nurses’ experience to « be with » the patient, and advancing evidence-based results to be used as a guide for the development of nursing care in the context of rehabilitation. By determining the ontological meaning of this care experience, the present study makes it possible to specify the place of the phenomenon to « be with » the patient as being central to the caring theory. The results arising from the second research question contribute to the development of a body of knowledge. These evidence-based results will be used to guide the renewal of nursing practice in the context of rehabilitation. Moreover, by identifying the benefits of this care experience, the present study recognizes the element at the heart of transpersonal caring relationship, which contributes to mind-body-spirit harmony for both, the person cared for and the nurse. This study also proposes recommendations for education and research in nursing sciences.

<p><strong>Bakgrund: </strong>Alzheimers sjukdom förändrar minnet hos den drabbade, detta innebär att de blir beroende av vårdande. Närstående vill oftast inte lämna dem, utan blir deras naturliga vårdare i hemmet. Detta upplevs vara en trygghet för den drabbade, då minnesstörning oftast förvärras av att flytta hemifrån. Oavsett om det handlar om naturlig vård eller professionell vård är den vårdande relationen viktigt då den lindrar lidandet. <strong>Problem: </strong>Människor drabbade av Alzheimers har svårt att uttrycka sig verbalt, något som kan förhindra att den vårdande relationen uppstår. Detta skulle kunna bidra till att deras lidande inte lindras. <strong>Syfte: </strong>Är att belysa hur den vårdande relationen gestaltas i drama, då anhörig är naturlig vårdare till en människa drabbad av Alzheimers sjukdom. <strong>Metod: </strong>En latent innehållsanalys användes för att analysera filmen ”En sång för Martin”. <strong>Resultat: </strong>I resultatet presenteras fyra teman, ”Som att spela ett spel”, ”Jag vill bara hjälpa dig”, ”Ensam fastän vi är två” och ”De heligaste löftena”, för att belysa syftet. <strong>Slutsats: </strong>Båda parter kan i den vårdande relationen växa tillsammans och finna en väg ut ur lidandet. Utan den vårdande relationens närvaro blev de ensamma i sin smärta, rädsla och oro. </p> / <p><strong>Background: </strong>Alzheimer´s disease changes the memory of the sufferer, this means that they become dependent of caring. Relatives do not often want to leave them, but rather become their natural caregivers in their home. This is experienced as security for the sufferer, because moving often disturbs a memory disorder. Regardless of whether it is natural care or professional care the caring relationship is important because it relieves suffering. <strong>Problem:</strong> Human beings affected by Alzheimer's, has difficulty expressing them verbally, which may prevent a caring relationship. This could contribute that their suffering will not alleviate. <strong>Aim: </strong>To illuminate how the caring relationship shapes in drama, when a relative becomes a natural caregiver to a person suffering from Alzheimer's disease. <strong>Method: </strong>A latent content analysis was used for analyzing the movie “En sång för Martin”. <strong>Results: </strong>The results are presented in four themes, “Like playing a game”, “I just want to help you”, “Solo though we are two” and “The most sacred promises”, to illuminate the aim. <strong>Conclusion: </strong>Both parts can in the caring relationships grow together and find a way out of suffering. Without the caring relationship presence they were left alone in their pain, fear and anxiety.</p>

Bakgrund: Alzheimers sjukdom förändrar minnet hos den drabbade, detta innebär att de blir beroende av vårdande. Närstående vill oftast inte lämna dem, utan blir deras naturliga vårdare i hemmet. Detta upplevs vara en trygghet för den drabbade, då minnesstörning oftast förvärras av att flytta hemifrån. Oavsett om det handlar om naturlig vård eller professionell vård är den vårdande relationen viktigt då den lindrar lidandet. Problem: Människor drabbade av Alzheimers har svårt att uttrycka sig verbalt, något som kan förhindra att den vårdande relationen uppstår. Detta skulle kunna bidra till att deras lidande inte lindras. Syfte: Är att belysa hur den vårdande relationen gestaltas i drama, då anhörig är naturlig vårdare till en människa drabbad av Alzheimers sjukdom. Metod: En latent innehållsanalys användes för att analysera filmen ”En sång för Martin”. Resultat: I resultatet presenteras fyra teman, ”Som att spela ett spel”, ”Jag vill bara hjälpa dig”, ”Ensam fastän vi är två” och ”De heligaste löftena”, för att belysa syftet. Slutsats: Båda parter kan i den vårdande relationen växa tillsammans och finna en väg ut ur lidandet. Utan den vårdande relationens närvaro blev de ensamma i sin smärta, rädsla och oro. / Background: Alzheimer´s disease changes the memory of the sufferer, this means that they become dependent of caring. Relatives do not often want to leave them, but rather become their natural caregivers in their home. This is experienced as security for the sufferer, because moving often disturbs a memory disorder. Regardless of whether it is natural care or professional care the caring relationship is important because it relieves suffering. Problem: Human beings affected by Alzheimer's, has difficulty expressing them verbally, which may prevent a caring relationship. This could contribute that their suffering will not alleviate. Aim: To illuminate how the caring relationship shapes in drama, when a relative becomes a natural caregiver to a person suffering from Alzheimer's disease. Method: A latent content analysis was used for analyzing the movie “En sång för Martin”. Results: The results are presented in four themes, “Like playing a game”, “I just want to help you”, “Solo though we are two” and “The most sacred promises”, to illuminate the aim. Conclusion: Both parts can in the caring relationships grow together and find a way out of suffering. Without the caring relationship presence they were left alone in their pain, fear and anxiety.