No description available.

No description available.

Bakgrund: Palliativ vård ges till patienter i livets slutskede när det inte finns något ytterligare botemedel för personens sjukdom. Vårdformen innebär att patientens livskvalitet och välbefinnande sätts främst. Omvårdnad av patienter med palliativt vårdbehov behöver vara personcentrerad och fokuserad på både fysiska och existentiella behov. I sjukhusmiljö riskerar patienter vid livets slutskede att deras sjukdom kommer före den andliga vården och att stödet de får från sjuksköterskor inte kan möta deras behov. Syfte: Syftet är att beskriva erfarenheter av hur patienter med behov av palliativ vård upplever stöd från sjuksköterskor när de vårdas på sjukhus. Metod: Litteraturöversikt baserad på 13 vetenskapliga artiklar. Data analyserades systematisk för att sammanställa resultat. Resultat: Utifrån dataanalysen identifierades tre huvudkategorier: symptomlindring, vikten av delaktighet och vårdens organisation. Dessa innefattar underkategorier och beskriver patienter med palliativt vårdbehovs erfarenheter av stöd från sjuksköterskor på sjukhus. Slutsats: Patienter med palliativt vårdbehov upplevde det stöd de får från sjuksköterskor på sjukhus som negativ påverkad av tidsbrist. Omvårdnad av dessa patienter visade sig inte vara tillräckligt personcentrerad. Patienter påpekar brister i den existentiella vården på sjukhusavdelningar och otillräckligt engagemang hos sjuksköterskor. Patienter betonade att de ändå uppskattade sjuksköterskans roll i deras vård på sjukhus men önskade att de hade mer tid för att vara närvarande och ge mer utrymme för patienters egna uttryckta önskningar / Background: Palliative care is given to patients at the end of life when there is no further cure for the person's illness and means that the patient's quality of life and wellbeing are putting first. Care of palliative patients’ needs to be person-centred and focused on both physical and existential needs. In a hospital environment, patients at the end-of life risk that their illness comes before spiritual care and that the support they receive from registered nurses (RN) will not meet their needs. Aim: The aim is to describe experiences of how patients in need of palliative care experience support from RNs when they are cared for in hospital. Method: Literature review based on 13 scientific articles. Data were systematically analyzed to compile results. Results: Based on the data analysis, three main categories were identified: symptom relief, the importance of participation and organization of care. These include subcategories and describe palliative care patients' experiences of support from RNs in hospitals. Conclusions: Palliative patients experienced the support they receive from RNs in hospitals as negatively affected by the lack of time. End-of-life care was found to be insufficiently person-centered. Patients point out shortcomings in the existential care in hospital wards and insufficient commitment of RNs. Patients emphasized that they still appreciated the RN`s role in their care in hospital but wished they had more time to be present and give more space for patients' self-expression.

At Resuscitation Units and Intensive Care Units nurses face the issue of dying and death every day. Very often they are in contact with the dying and their immediate family and they are expected to have professional approach and provide comprehensive care. Stress that the nurses experience in these situations results into mental, emotional and physical exhaustion, and can be manifested by psychosomatic problems. Preparation of nurses to these situations and support of their management is therefore a key factor for the management of this demanding profession. The theoretical part of the thesis contains a description of the current state of the issue, characterizes resuscitation and intensive care, and deals with the issue of death and dying in Resuscitation Units nad Intensive Care Units, managing situations associated with death and the support of nurses in these situations. The work has four goals. The first objective is to determine what method of preparation of nurses is in practice ensured in Resuscitation Units and Intensive Care Units for the performance of high-quality nursing care for dying patients. Another objective is to determine whether and how the nurses are prepared and trained in the field of management of situations connected with the death of a patient in Resuscitation Units and Intensive Care Units. The third objective is, whether there is and what is the form of assistance to nurses in RU and ICU provided by the team and the management of the Department in case of deaths of patients, and the fourth objective is to determine what form and manner of support nurses expect and require. Research part of the thesis was carried out by quantitative investigation using an anonymous questionnaire. Respondents were answering 38 questions, 13 questions were closed, 21 half open and 4 were open. The support is most frequently understood as a psychological support, good teamwork, communication, supervision and representation where necessary. Management is expected primarily to provide support through education, ensuring supervision, corresponding financial support and professional psychological assistance where necessary. On the basis of this work?s results a proposal for the course for paramedical professions working in RS and ICU called ?Course of the Strategy of Difficult Situations Management in the Care for the Dying and Their Close Family in Intensive and Urgent Care?, was made.