Sygepleje og palliativ indsats - Hvilken betydning tillagde basis sygeplejersker procedurer og
kliniske retningslinjer i den palliative indsats?
Sammanfattning
Nursing in palliative care is undergoing great changes in Denmark. The purpose of this study
was to examine the nurses’ perception and experience with clinical procedures and guidelines
regarding basic palliative care, including what role such guidelines might play for the quality. Six
qualitative, semi-structured interviews with nurses were conducted in order to capture the actions and
attitudes towards palliative care. The analysis consisted of a systematic text condensation seeking
to highlight and elaborate on key points derived from the interviews. Four main themes were
identified: Procedures, clinical guidelines; The nurses’ experiences and professional evaluation; The
values of the nurses; and Cooperation and Communication. The study showed that the nurses attach
particular values to palliative care, comprising caring, respect, presence, empathy and support to
ensure hope, dignity and integrity of the patient and the relatives. Additionally, they attach great
importance to the ability to keep a sense of perspective and to anticipate, prevent, perform,
coordinate and lead the nursing. On the contrary, the procedures and clinical guidelines for palliative
care were generally not applied. The informants found that they either did not know them or need
them. The study contributes information about the nurses’ perception of their professional identity,
including their understanding of palliative nursing and the values they connect to it.