Document Detail


Co-creating possibilities for patients in palliative care to reach vital goals - a multiple case study of home-care nursing encounters.
MedLine Citation:
PMID:  23336338     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BERGDAHL E, BENZEIN E, TERNESTEDT B-M, ELMBERGER E and ANDERSHED B. Nursing Inquiry 2013 00: 000-000 Co-creating possibilities for patients in palliative care to reach vital goals - a multiple case study of home-care nursing encounters The patient's home is a common setting for palliative care. This means that we need to understand current palliative care philosophy and how its goals can be realized in home-care nursing encounters (HCNEs) between the nurse, patient and patient's relatives. The existing research on this topic describes both a negative and a positive perspective. There has, however, been a reliance on interview and descriptive methods in this context. The aim of this study was to explore planned HCNEs in palliative care. The design was a multiple case study based on observations. The analysis includes a descriptive and an explanation building phase. The results show that planned palliative HCNEs can be described as a process of co-creating possibilities for the patient to reach vital goals through shared knowledge in a warm and caring atmosphere, based on good caring relations. However, in some HCNEs, co-creation did not occur: Wishes and needs were discouraged or made impossible and vital goals were not reached for the patients or their relatives. Further research is needed to understand why. The co-creative process presented in this article can be seen as a concretization of the palliative care ideal of working with a person-centered approach.
Authors:
Elisabeth Bergdahl; Eva Benzein; Britt-Marie Ternestedt; Eva Elmberger; Birgitta Andershed
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-22
Journal Detail:
Title:  Nursing inquiry     Volume:  -     ISSN:  1440-1800     ISO Abbreviation:  Nurs Inq     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505881     Medline TA:  Nurs Inq     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 Blackwell Publishing Ltd.
Affiliation:
FOU nu, Research and Development Centre, Jakobsbergs sjukhus, Järfälla, Sweden Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden School of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden Department of Nursing, Gjøvik University College, Gjøvik, Norway Stockholms Sjukhem Foundation, Research and Development Department, Stockhom, Sweden.
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