<p>Att bemöta patienter efter en traumatisk händelse kräver goda kunskaper både medicinskt och psykologiskt. Här krävs kunskap i vilka normala processer som pågår samt vilka patologiska tillstånd som kan uppkomma för att kunna ge ett adekvat omhändertagande. Syftet med studien var att belysa patienters upplevelse av sjuksköterskors bemötande i det akuta omhändertagandet. Studien utfördes som en litteraturstudie där 13 artiklar analyserades. Resultatet visade att patienter uppfattar teknisk kompetens som det viktigaste i det initiala omhändertagandet. I ett något senare skede upplevdes ett mer informellt, mer personligt bemötande med mer fokus på de psykiska behoven som viktigt. Känslan av att ha tappat kontrollen, rädsla för vad som komma skall, att bli lämnad ensam beskrevs genomgående av patienterna. De tyckte det var viktigt att få känna sig delaktiga, att sjuksköterskan fanns där för patienten, att de tillgavs information samt att de blev sedda som en individ med egna behov. Forskningen om detta ämne är sedan tidigare begränsad så mer forskning inom detta område behövs. Även forskning angående hur sjuksköterskan upplever att hon själv bemöter patienter och varför hon gör så, hade varit intressant att undersöka och förhoppningsvis bidragit till ökad kvalitet av omvårdnaden i det akuta mötet.</p> / <p>Meeting patients after a traumatic event requires a good knowledge both medically and psychologically. This requires knowledge of the normal processes going and what pathological condition that may arise in order to provide proper care. The aim of our study was to illuminate patients 'experiences of nurses' responses in the acute care. The study was carried out based on a literature study in which 13 articles were analyzed. The results showed that patients perceived technical competence as the most important in the initial management. In a slightly later stage experienced a more informal, more personal approach with more focus on the mental health needs as important. Feeling of having lost control, fear of what is to come, to be left alone was described consistently by patients. They thought it was important to feel involved, that the nurse was there for the patient, that they were given information and that they were seen as an individual with individual needs. Research on this topic is limited so more research in this area is needed. Also research how the nurse feels that she responds to patients and why she does it would have been interesting to investigate and hopefully contributed to increasing the quality of nursing care in the emergency meeting.</p>

Att bemöta patienter efter en traumatisk händelse kräver goda kunskaper både medicinskt och psykologiskt. Här krävs kunskap i vilka normala processer som pågår samt vilka patologiska tillstånd som kan uppkomma för att kunna ge ett adekvat omhändertagande. Syftet med studien var att belysa patienters upplevelse av sjuksköterskors bemötande i det akuta omhändertagandet. Studien utfördes som en litteraturstudie där 13 artiklar analyserades. Resultatet visade att patienter uppfattar teknisk kompetens som det viktigaste i det initiala omhändertagandet. I ett något senare skede upplevdes ett mer informellt, mer personligt bemötande med mer fokus på de psykiska behoven som viktigt. Känslan av att ha tappat kontrollen, rädsla för vad som komma skall, att bli lämnad ensam beskrevs genomgående av patienterna. De tyckte det var viktigt att få känna sig delaktiga, att sjuksköterskan fanns där för patienten, att de tillgavs information samt att de blev sedda som en individ med egna behov. Forskningen om detta ämne är sedan tidigare begränsad så mer forskning inom detta område behövs. Även forskning angående hur sjuksköterskan upplever att hon själv bemöter patienter och varför hon gör så, hade varit intressant att undersöka och förhoppningsvis bidragit till ökad kvalitet av omvårdnaden i det akuta mötet. / Meeting patients after a traumatic event requires a good knowledge both medically and psychologically. This requires knowledge of the normal processes going and what pathological condition that may arise in order to provide proper care. The aim of our study was to illuminate patients 'experiences of nurses' responses in the acute care. The study was carried out based on a literature study in which 13 articles were analyzed. The results showed that patients perceived technical competence as the most important in the initial management. In a slightly later stage experienced a more informal, more personal approach with more focus on the mental health needs as important. Feeling of having lost control, fear of what is to come, to be left alone was described consistently by patients. They thought it was important to feel involved, that the nurse was there for the patient, that they were given information and that they were seen as an individual with individual needs. Research on this topic is limited so more research in this area is needed. Also research how the nurse feels that she responds to patients and why she does it would have been interesting to investigate and hopefully contributed to increasing the quality of nursing care in the emergency meeting.

<p>Elderly patients experiences of palliative care – a rewire</p><p>The purpose of this paper was to study elderly patient’s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004). Results in this studies show that the communication between patients, physicians and nurses need to improve. The elderly patients demands better, straighter and clearer information from the nurses and physicians, especially about their condition. The elderly demands more emotional and spiritual support from the health care and people with chronic diseases like COPD and CHF seems to bee less satisfied with palliative care then those with cancer. The reason for this can bee that, this group of patients is less likely to not being offered palliative care at all, much because it is harder for the physicians to set a proper medical prognosis.</p><p>Keywords: palliative care, elderly, patient- satisfaction</p>

Elderly patients experiences of palliative care – a rewire The purpose of this paper was to study elderly patient’s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004). Results in this studies show that the communication between patients, physicians and nurses need to improve. The elderly patients demands better, straighter and clearer information from the nurses and physicians, especially about their condition. The elderly demands more emotional and spiritual support from the health care and people with chronic diseases like COPD and CHF seems to bee less satisfied with palliative care then those with cancer. The reason for this can bee that, this group of patients is less likely to not being offered palliative care at all, much because it is harder for the physicians to set a proper medical prognosis. Keywords: palliative care, elderly, patient- satisfaction

Dagligen söker många patienter sig till akutmottagning, dessa patienter är oftast oroliga och ångestfyllda. Syftet med litteraturstudien var att beskriva kritiska aspekter av bemötande bl a gällande information, trygghet och bekräftelse hos patienter som söker på en akutmottagning. Granskning och bearbetning av 13 vetenskapliga artiklar genomfördes för att besvara syftet. Resultat av denna studie visar att många gånger brister det i informationen angående väntetider. Många känner sig otrygga och känner att de inte blir bekräftade som människa. Delaktighet i sin vård ansågs vara viktigt för känslan av bekräftelse. Resultatet av denna studie är att sjuksköterskan kan med enkla åtgärder såsom ta sig tid till att informera, ge trygghet och bekräftelse till patienten kan det leda till en ökad tillfredsställelse hos patienter som söker på akutmottagning. / Daily many patients seek an emergency department; these patients are often worried and anxious.The aim of this literature review was to describe critical aspects of reception among other things, current information, security and confirmations to patients at an emergency department. To answer the aim 13 scientific articles were analyzed and scrutinized. The results showed that information about the estimated waiting time were absent in several cases. Furthermore, it also demonstrated that many patients felt unsafe since they meant they were not being confirmed as individuals. To be given the possibility to be involved in their own care was considered important and created a sense of confirmation. The results of this study showed that nurses in the emergency department may provide security and confirmation to the patient by applying simple manners, such as give information and take their time to inform and involve patients in their own care. These arrangements may lead to increased satisfaction among patients seeking an emergency department.