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Sjuksköterskestudenters uppfattning av möten med palliativa patienter och handledning samt stöd i detta
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Sjuksköterskestudenter kommer i kontakt med palliativa och cancerpatienter flertalet gånger under sin kliniska utbildning. Detta påverkar studenterna olika känslomässigt. För att hantera dessa nya upplevelser tilldelas studenter en handledare som skall ge stöd, undervisa och guida dem under den kliniska utbildningen.

Syfte: Syftet med studien var att undersöka sjuksköterskestudenter uppfattning av mötet med palliativa patienter samt erhållen handledning i samband med dessa möten.

Metod: Metoden till denna kvalitativa studie var två semistrukturerade fokusgruppsintervjuer med ett bekvämlighetsurval av studenter som haft klinisk utbildning på hematolog, onkolog eller palliativ avdelning.

Resultat:Vård av palliativa patienter eller patienter med cancer uppfattades som en sorglig, svår, obekväm men lärorik upplevelse. Känslorna uppstod då respondenterna ansåg att utbildning och förberedelser inför möten med dessa patienter var otillräcklig. Dock framkom det att känslan av attvara obekväm försvann med tiden och gav respondenterna redskap inför framtida yrket. Skillnaden på vård av palliativa patienter och icke palliativa var något som uppfattades olika. En del ansåg att det inte var någon skillnad, det var relationen till de olika patienterna som styrde vården och respondentens känslor. De flesta ansåg att patienter de själva kunde relatera till, främst yngre palliativa patienter, var de som berörde mest. Den otillräckliga handledningen uppfattades bero på arbetsbelastade handledare, det som saknades var reflektion med handledarna.

Slutsats: Vård av palliativa patienter upplevs olika av respondenter, det kan innebära svårigheter, känslor av sorg och behov av stöd från handledare. De existentiella frågorna och kontakten med närstående lämnar studenter med redskap och erfarenhet inför framtida yrket som sjuksköterska. 

Abstract [en]

Background: Nurse student’s encounters palliative and cancer care during their clinical training. The students are confronted with a new situation that affects them and leads to a range of emotional responses. A mentor helps the students to handle these new experiences and guides the students during their clinical training.

Aim: The aim of the study was to study nursing students perception of caring for palliative cancer patients and how they perceived the mentoring during these encounters.

Method: The method of this qualitative study was a semi-structured group interview with convenience sample of participants including nursing students that had clinical education where they cared for cancer patients or palliative patients.

Result: Caring for palliative patients left the students with feelings of sadness and discomfort. They felt that the situations were difficult but yet instructive. These feelings occurred because of deficient education and preparations. However the feelings of discomfort and unfamiliarity disappeared with time and were described to be a great experience for the future profession. The participants felt different about caring for palliative patients. Some of the students felt that there was no difference in caring for dying patients; it was rather the feeling towards and the relationship with the patients that controlled the patient’s care. Most of the participants felt that they had strongest feelings for the patients they could relate to, mostly the younger patients. The insufficient mentorship that the students encountered was likely described to be because of the lack of time and stress amongst the mentors. The participants felt the need of reflection with their mentors, but when they didn't have the time the students turned to their fellow classmates.

Conclusion: Caring for palliative patients are for nursing students a hard and emotional experience witch leaves them in need of support from their mentors. 

Place, publisher, year, edition, pages
2013. , 27 p.
Keyword [en]
nursing students, perception, palliative care, mentorship
Keyword [sv]
Sjuksköterskestudenter, uppfattning, palliativ vård, handledning.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-216872OAI: oai:DiVA.org:uu-216872DiVA: diva2:691195
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2014-01-29 Created: 2014-01-27 Last updated: 2014-01-29Bibliographically approved

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