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Tyrrell, M., Religa, D., Fossum, B., Hedman, R., Skovdahl, K. & Hillerås, P. (2020). Embarking on a memory assessment voices of older persons living with memory impairment. Dementia
Öppna denna publikation i ny flik eller fönster >>Embarking on a memory assessment voices of older persons living with memory impairment
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2020 (Engelska)Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Aim

To describe older persons who had commenced a memory assessment, experiences of living with memory impairment and related symptoms.

Background

Persons with subjective memory impairment are two times more likely to develop dementia over the years than their peers. Older persons seldom seek help from primary health care clinics solely for subjective memory impairment. Of those who seek help, it can take up to 35 months from the person experiencing initial symptoms to referral to a memory clinic. Further research is needed regarding how older persons live with memory impairment with related symptoms before they receive a memory diagnosis.

Method

A qualitative study with 23 participants who had commenced a memory assessment in primary care. Semi-structured interviews were held. During the interviews, the Neuropsychiatric Inventory was completed and discussed with the participants. Interview data were analysed using Interpretive Description.

Results

The results are presented under four themes: Conflicting views about the situation, Unveiling the presence of neuropsychiatric symptoms, Compensating with external and internal strategies to recall and Worrying about self and future. Persons with memory impairment were encouraged by family members or others to seek a memory assessment. Few persons were self-referred as memory impairment was often seen as a part of aging. Polarised viewpoints existed within the families regarding the impact of memory impairment on daily life. The presence of neuropsychiatric symptoms appeared unexplored in the participants seeking a memory assessment. In this study, the majority of participants experienced neuropsychiatric symptoms at the time of contact for a memory assessment.

Conclusions

Memory problems experienced were often viewed by the person as being part of an aging process. The presence of neuropsychiatric symptoms was not acknowledged as being connected to memory impairment. Contextualising ‘memory impairment’ as a part of a ‘cognitive process’ may help the person in identifying the presence of neuropsychiatric symptoms.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2020
Nyckelord
experiences, interviews, memory impairment, neuropsychiatric symptoms, primary care
Nationell ämneskategori
Omvårdnad Geriatrik
Identifikatorer
urn:nbn:se:rkh:diva-3347 (URN)10.1177/1471301220910637 (DOI)32188280 (PubMedID)
Forskningsfinansiär
Vetenskapsrådet, 2012–2291
Tillgänglig från: 2020-03-26 Skapad: 2020-03-26 Senast uppdaterad: 2020-04-15Bibliografiskt granskad
Tyrrell, M., Fossum, B., Skovdahl, K., Religa, D. & Hillerås, P. (2019). Living with a well-known stranger: Voices of family members to older persons with frontotemporal dementia. International Journal of Older People Nursing, Article ID e12264.
Öppna denna publikation i ny flik eller fönster >>Living with a well-known stranger: Voices of family members to older persons with frontotemporal dementia
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2019 (Engelska)Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, artikel-id e12264Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Aim To describe family members' experiences of living with persons with neuropsychiatric symptoms (NPS) related to frontotemporal dementia (FTD). Background The majority of persons with dementia during the disease trajectory develop NPS. Persons with FTD are likely to develop greater levels of NPS than persons with other types of dementias. Research-based knowledge regarding family members' experiences of living with persons with FTD and NPS is limited. Methods Nine family members of persons with FTD were interviewed. Interviews commenced with completion of the Neuropsychiatric Inventory (NPI). Upon completion of the NPI, questions were posed from an interview guide where study participants provided in-depth information about NPS identified. Interview data were analysed using qualitative content analysis. Results Interviewed family members highlighted that persons with FTD had developed between four and eight co-existing NPS. Irritability and disinhibition were the most common NPS, with variations in severity, frequency and distress. From the interview data, two themes emerged: Living with a well-known stranger and Coping and overstepping social norms. Conclusions Living with a well-known stranger depicted a new co-existence with a loved one with changes in personality and behaviour, which were not inherent to the person or predictable any more. The presence of NPS can threaten the safety of the person with FTD and their family in real world and on social media. Support offered should focus on the person's physical and psychological needs, not on a diagnosis. Implications for practice From a health care perspective it is important to see the person with FTD and their family as unique individuals with specific needs.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2019
Nyckelord
content analysis, dementia, family
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-3054 (URN)10.1111/opn.12264 (DOI)31577392 (PubMedID)
Tillgänglig från: 2019-11-04 Skapad: 2019-11-04 Senast uppdaterad: 2019-11-04Bibliografiskt granskad
Tyrrell, M., Hillerås, P., Skovdahl, K., Fossum, B. & Religa, D. (2019). Voices of spouses living with partners with neuropsychiatric symptoms related to dementia. Dementia, 18(3), 903-919
Öppna denna publikation i ny flik eller fönster >>Voices of spouses living with partners with neuropsychiatric symptoms related to dementia
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2019 (Engelska)Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 18, nr 3, s. 903-919Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Persons with dementia, who reside in their own homes, are often cared for by family members. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory also known as neuropsychiatric symptoms. Quality of life for both the person with neuropsychiatric symptoms and their careers are affected, increasing suffering and risk for hospitalisation and admission to long-term residential care. Family careers to persons with dementia have identified behavioural changes as more distressing than cognitive impairment leading to increased burden of care and admissions to residential care. Knowledge gaps exist regarding how family careers living with persons with dementia experience neuropsychiatric symptoms in a community setting. The aim was to describe spouses' experiences of living with partners who have developed neuropsychiatric symptoms related to dementia in a community setting. Semi-structured interviews were carried out with 14 spouses of partners with dementia. The interviews included completion of the neuropsychiatric inventory. Interview data were analysed using a content analysis approach. The results showed that spouses identified in the neuropsychiatric inventory that partners with dementia had on average five to eight co-existing symptoms. Frequency, severity and distress varied. From the narrative data, the theme living on the edge lacking support and time for self, emerged. The findings of this study suggest that support offered to persons with dementia and their spouses should have a person-centred approach meeting individual needs. Safety and welfare of persons with dementia and their spouses residing in their own homes may be jeopardised in the presence of neuropsychiatric symptoms. A greater awareness is required in the community regarding the well-being of these persons.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019
Nyckelord
Community, Dementia, Neuropsychiatric symptoms, Spouses’/partners’ experiences
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2474 (URN)10.1177/1471301217693867 (DOI)28385034 (PubMedID)
Tillgänglig från: 2017-04-26 Skapad: 2017-11-06 Senast uppdaterad: 2020-02-21Bibliografiskt granskad
Eriksson, J., Gellerstedt, L., Hillerås, P. & Craftman, Å. G. (2018). Registered nurses' perceptions of safe care in overcrowded emergency departments. Journal of Clinical Nursing, 27(5-6), e1061-e1067
Öppna denna publikation i ny flik eller fönster >>Registered nurses' perceptions of safe care in overcrowded emergency departments
2018 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 5-6, s. e1061-e1067Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS AND OBJECTIVE: To explore registered nurses' perceptions of safe practice in care for patients with an extended length of stay in the emergency department.

BACKGROUND: Extended length of stay and overcrowding in emergency departments are described internationally as one of the most comprehensive challenges of modern emergency care. An emergency department is not designed, equipped or staffed to provide care for prolonged periods of time. This context, combined with a high workload, poses a risk to patient safety, with additional medical errors and an increased number of adverse events. From this perspective, it is important to extend our knowledge and to describe registered nurses' experiences of safe practice.

DESIGN: A qualitative, inductive and descriptive study.

METHODS: Qualitative interview study carried out in five emergency departments. Data were analysed using a qualitative content analysis with a latent approach.

RESULTS: Patient safety meets obstacles in the clinical environment involving experiencing deficiencies regarding patient safety in the clinical setting and the impact of working procedures and routines. Moreover, nurses are challenged in their professional responsibilities involving balancing essential nursing care and actual workload; it is common to experience emotional reactions based on feelings of loss of control.

CONCLUSIONS: From the nurses' perspective, a prolonged stay in the emergency department may lead to negative consequences for both patient safety and care as well as registered nurses' psychosocial experiences. An extended length of stay significantly reduces the level of nursing and caring that registered nurses can perform in the emergency department. This article is protected by copyright. All rights reserved.

Nyckelord
Adult Nursing, Emergency Care, Emergency Department, Patient Safety, Qualitative Research and Interview
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2483 (URN)10.1111/jocn.14143 (DOI)29076280 (PubMedID)
Tillgänglig från: 2017-11-06 Skapad: 2017-11-06 Senast uppdaterad: 2018-04-26Bibliografiskt granskad
Tyrrell, M., Hillerås, P., Skovdahl, K., Fossum, B. & Religa, D. (2017). Voices Of Spouses To Partners With Neuropsychiatric Symptoms Related To Dementia. In: Abstract Book: Together towards a new era. Paper presented at 32nd International Conference of Alzheimer's Disease International, Kyoto, 26-29 april, 2017 (pp. 568-568).
Öppna denna publikation i ny flik eller fönster >>Voices Of Spouses To Partners With Neuropsychiatric Symptoms Related To Dementia
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2017 (Engelska)Ingår i: Abstract Book: Together towards a new era, 2017, s. 568-568Konferensbidrag, Muntlig presentation med publicerat abstract (Övrigt vetenskapligt)
Abstract [en]

Introduction: The presence of a family career is said to have a protective effect in dementia care, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory. These symptoms are called neuropsychiatric symptoms (NPS). Little is known regarding family members` experiences of living with persons with NPS related to dementia, in a community setting.

Objectives: To describe spouses’ experiences of living with partners who have neuropsychiatric symptoms related to dementia.

Results

Methods: Semi-structured interviews with 14 spouses of partners with dementia. The interviews were based on the NPI (Neuropsychiatric Inventory,Cummings, et al. 1994). The interview data was analysed using content analysis

Table:

Results: Spouses identified that partners with dementia had on average five to eight co-existing NPS . Frequency, severity and distress varied. The neuropsychiatric symptoms highlighted were within three of four possible symptom domains; Behaviour, Psychosis and Mood. From the narrative data five main categories emerged; Support needs, Understanding the impact dementia has on their partner, Being prepared for sudden unpredictable events, Feeling vulnerable and facing domestic violence and Feelings of social isolation. The theme; Living on the edge lacking support and time for self, evolved.

Conclusion: A large proportion of persons with dementia reside in their own homes in the community. Support offered to persons with dementia and their families should have a person-centered approach meeting individual needs. Safety and welfare of persons` with dementia and their partners residing in their own homes may be jeopardized in the presence of neuropsychiatric symptoms. A greater awareness is required in the community of the welfare and wellbeing of these persons.

References: Cummings, J.L., Mega, M., Gray, K.,Rosenberg-Thompson, S., Carusi, D.A. & Gornbein, J. (1994) The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. See comment in PubMed Commons belowNeurology. Dec;44(12):2308-14

Holtzer, R., Tang, M.X., Devanand, D. P., Albert, S. M., Wegesin, D.J., Marder, K., Bell, K., Albert, M., Brandt, J. & Stern, Y. (2003). Psychopathological features in Alzheimer´s disease: course and relationship with cognitive status. Journal American Geriatric Society. 51(7):953-60

Fauth E, B, & Gibbons A. (2014). Which behavioral and psychological symptoms of dementia are the most problematic? Variability by prevalence, intensity, distress ratings, and associations with carer depressive symptoms. Int J Geriatr Psychiatry; 29: 263–71.

Moore, K., Ozanne, E., Ames, D., & Dow, B., (2013). How do family carers respond to behavioural and psychological symptoms of dementia? International Psychogeriatrics.25:5 743-753.

Disclosure of Interest: None Declared

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2716 (URN)
Konferens
32nd International Conference of Alzheimer's Disease International, Kyoto, 26-29 april, 2017
Tillgänglig från: 2018-10-10 Skapad: 2018-10-10 Senast uppdaterad: 2018-10-10Bibliografiskt granskad
Grundberg, Å., Hansson, A., Hillerås, P. & Religa, D. (2016). District nurses' perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity. Journal of Clinical Nursing, 25(17-18), 2590-2599
Öppna denna publikation i ny flik eller fönster >>District nurses' perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity
2016 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, nr 17-18, s. 2590-2599Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS AND OBJECTIVES:

To describe district nurses' perspectives on detecting mental health problems and promoting mental health among homebound older people with multimorbidity.

BACKGROUND:

Mental health problems among older people with multiple chronic conditions, that is, multimorbidity, are challenging issues. These patients' homes often serve as arenas in which district nurses can promote health. Mental health promotion must be studied in greater depth within primary care because older people with multimorbidity are particularly prone to developing poor mental health, which can go undetected and untreated.

DESIGN:

A descriptive, qualitative study using semi-structured interviews and content analysis.

METHODS:

Twenty-five district nurses completed individual or focus group interviews. Data were analysed using qualitative content analysis.

RESULTS:

Most district nurses stated that detecting mental health problems and promoting mental health were important tasks but that they typically focused on more practical home health care tasks. The findings revealed that district nurses focused on assessment, collaboration and social support as means of detecting mental health problems and promoting mental health.

CONCLUSIONS:

The district nurses described various factors and actions that appeared to be important prerequisites for their involvement in primary mental health care. Nevertheless, there were no established goals for mental health promotion, and district nurses often seemed to depend on their collaboration with other actors. Our findings indicated that district nurses cannot bear the primary responsibility for the early detection of mental health problems and early interventions to promote mental health within this population.

RELEVANCE TO CLINICAL PRACTICE:

The findings of this study indicated that workforce training and collaboration between different care providers are important elements in the future development of this field. Early detection and early treatment of mental health-related issues should also be stated as explicit objectives in the provision of care to community-dwelling older people with multimorbidity.

Nyckelord
Sweden; Ageing; District nurse; Mental health; Mental health promotion; Municipal care
Nationell ämneskategori
Gerontologi, medicinsk/hälsovetenskaplig inriktning
Identifikatorer
urn:nbn:se:rkh:diva-2475 (URN)10.1111/jocn.13302 (DOI)27273609 (PubMedID)
Tillgänglig från: 2017-11-06 Skapad: 2017-11-06 Senast uppdaterad: 2018-01-13Bibliografiskt granskad
Grundberg, Å., Hansson, A., Religa, D. & Hillerås, P. (2016). Home care assistants' perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity. Journal of Multidisciplinary Healthcare, 9, 83-95
Öppna denna publikation i ny flik eller fönster >>Home care assistants' perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity
2016 (Engelska)Ingår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 9, s. 83-95Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Elderly people with multiple chronic conditions, or multimorbidity, are at risk of developing poor mental health. These seniors often remain in their homes with support from home care assistants (HCAs). Mental health promotion by HCAs needs to be studied further because they may be among the first to observe changes in clients’ mental health status.

Aim: To describe HCAs’ perspectives on detecting mental health problems and promoting mental health among homebound seniors with multimorbidity.

Methods: We applied a descriptive qualitative study design using semi-structured interviews. Content analyses were performed on five focus group interviews conducted in 2014 with 26 HCAs.

Results: Most HCAs stated that they were experienced in caring for clients with mental health problems such as anxiety, depression, sleep problems, and high alcohol consumption. The HCAs mentioned as causes, or risk factors, multiple chronic conditions, feelings of loneliness, and social isolation. The findings reveal that continuity of care and seniors’ own thoughts and perceptions were essential to detecting mental health problems. Observation, collaboration, and social support emerged as important means of detecting mental health problems and promoting mental health. Conclusion: The HCAs had knowledge of risk factors, but they seemed insecure about which health professionals had the primary responsibility for mental health. They also seemed to have detected early signs of mental health problems, even though good personal knowledge of the client and continuity in home visits were crucial to do so. When it came to mental health promotion, the suggestions related to the aim of ending social isolation, decreasing feelings of loneliness, and increasing physical activity. The results indicate that the HCAs seemed dependent on supervision by district nurses and on care managers’ decisions to support the needed care, to schedule assignments related to the detection of mental health problems, and to promote mental health.

Nyckelord
Home care assistants, Mental health promotion, Municipal care, Older people, Sweden
Nationell ämneskategori
Gerontologi, medicinsk/hälsovetenskaplig inriktning
Identifikatorer
urn:nbn:se:rkh:diva-2476 (URN)10.2147/JMDH.S99388 (DOI)26966371 (PubMedID)
Tillgänglig från: 2017-11-06 Skapad: 2017-11-06 Senast uppdaterad: 2018-01-13Bibliografiskt granskad
Tyrrell, M., Hillerås, P., Skovdahl, K., Fossum, B. & Religa, D. (2016). Voices Of Spouses Living With Partners With Behavioural And Psychological Symptoms Related To Dementia. Paper presented at The Alzheimer's Association International Conference, Toronto 22-28 juli, 2016. Alzheimer's & Dementia, 12(7), 1174-1175
Öppna denna publikation i ny flik eller fönster >>Voices Of Spouses Living With Partners With Behavioural And Psychological Symptoms Related To Dementia
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2016 (Engelska)Ingår i: Alzheimer's & Dementia, ISSN 1552-5260, E-ISSN 1552-5279, Vol. 12, nr 7, s. 1174-1175Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]

Background

Persons with dementia, whdo reside in their own homes, are often cared for by family members or friends. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory. The quality of life for both the person with behavioural and psychological symptoms and their careers are affected, increasing both suffering and risk for hospitalisation. Family careers to persons with dementia have identified behavioural changes as more distressing than cognitive impairment leading to increased burden of care and admissions to residential care. Knowledge gaps exist regarding how family careers living with persons with dementia experience behavioural and psychological symptoms in a community setting. AIM: To describe spouses’ experiences of living with partners who have behavioural and psychological symptoms related to dementia.

Methods

Semi-structured interviews were carried out with 14 spouses of partners with dementia. The interviews included the completion of the NPI (Neuropsychiatric Inventory, Cummings, 1994). Interview data was analysed using content analysis.

Results

(Preliminary) Spouses identified that partners with dementia had on average five to eight co-existing NPI symptoms. Frequency, severity and distress varied. The behavioural and psychological symptoms highlighted were within three of four possible symptom domains; Behaviour, Psychosis and Mood. From the narrative data four main categories emerged; Support, Coping, Vulnerability and domestic violence AND Social isolation.

Conclusions

A large proportion of persons with dementia reside in the community. Support offered to persons with dementia and their families should have a person-centered approach meeting individual needs. A greater awareness is required regarding welfare and safety of persons with dementia and their partners in a community setting.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2717 (URN)10.1016/j.jalz.2016.07.103 (DOI)
Konferens
The Alzheimer's Association International Conference, Toronto 22-28 juli, 2016
Tillgänglig från: 2018-10-10 Skapad: 2018-10-10 Senast uppdaterad: 2018-10-10Bibliografiskt granskad
Tyrrell, M., Hillerås, P., Skovdahl, K., Fossum, B. & Religa, D. (2016). Voices Of Spouses Living With Partners With Neuropsychiatric Symptoms Related To Dementia. Paper presented at The Alzheimer's Association International Conference, Toronto 22-28 juli, 2016.. Alzheimer's & Dementia, 12(7), 979-980
Öppna denna publikation i ny flik eller fönster >>Voices Of Spouses Living With Partners With Neuropsychiatric Symptoms Related To Dementia
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2016 (Engelska)Ingår i: Alzheimer's & Dementia, ISSN 1552-5260, E-ISSN 1552-5279, Vol. 12, nr 7, s. 979-980Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]

Background

Persons with dementia, who reside in their own homes, are often cared for by family members or friends. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory. The quality of life for both the person with behavioural and psychological symptoms and their careers are affected, increasing both suffering and risk for hospitalisation. Family careers to persons with dementia have identified behavioural changes as more distressing than cognitive impairment leading to increased burden of care and admissions to residential care. Knowledge gaps exist regarding how family careers living with persons with dementia experience behavioural and psychological symptoms in a community setting. Aim: To describe spouses’ experiences of living with partners who have neuropsychiatric symptoms related to dementia.

Method

Semi-structured interviews were carried out with 14 spouses of partners with dementia. The interviews included the completion of the NPI (Neuropsychiatric Inventory, Cummings, 1994). Interview data was analysed using content analysis.

Results

The neuropsychiatric symptoms identified were within three of four possible symptom categories; Behaviour, Psychosis and Mood. From the narrative data three main themes emerged; Coping, Domestic violence and vulnerability and Social isolation.

Conclusions

A large proportion of persons with dementia reside in the community, a greater awareness, within the emergency response services about the welfare and safety of these persons and their families is required. Support offered to persons with dementia and their families should be more person-centered meeting their individual needs.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2718 (URN)10.1016/j.jalz.2016.06.2009 (DOI)
Konferens
The Alzheimer's Association International Conference, Toronto 22-28 juli, 2016.
Tillgänglig från: 2018-10-10 Skapad: 2018-10-10 Senast uppdaterad: 2018-10-10Bibliografiskt granskad
Alshaikh, Z., Alkhodari, M., Sormunen, T. & Hillerås, P. (2015). Nurses' knowledge about palliative care in an intensive care unit in Saudi Arabia. Middle East Journal of Nursing, 9(1), 7-13
Öppna denna publikation i ny flik eller fönster >>Nurses' knowledge about palliative care in an intensive care unit in Saudi Arabia
2015 (Engelska)Ingår i: Middle East Journal of Nursing, ISSN 1834-8742, Vol. 9, nr 1, s. 7-13Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Most patients die in hospital settings either in intensive care unit (ICU), emergency department (ED) or other departments. In Saudi Arabia, approximately 23,000 persons are diagnosed with cancer every year. According to the World Health Organization (WHO), palliative care is a holistic activity that involves physical, psychosocial and spiritual human needs to enhance quality of life for patients and their families. Palliative care is an essential aspect to be applied for patients with chronic diseases to improve their quality of life. Earlier studies have shown that physicians, nurses and nurse assistants who work in long-term care settings lack the knowledge to enforce palliative care principles due to lack of education. According to the WHO, health care professionals should be educated and trained to apply palliative care.Aim: The aim of this study was to explore nurses' knowledge about palliative care in an intensive care unit in Saudi Arabia. Method: Eight individual qualitative semi-structured interviews were conducted. Interviews were audiotaped and transcribed verbatim. Manifest content analysis was used to analyze the data. Results: The palliative care concept was not familiar for most ICU nurses but it was applied in their daily work. Most nurses provided physical care at the end of life to keep the body intact. Some nurses highlighted that dying patients did not feel pain to be treated and did not have emotions to be supported.Conclusions: Nurses had insufficient knowledge of palliative care and how to apply it in ICU setting. The provision of additional education in palliative care is recommended in order to improve the knowledge of palliative care among nurses.

Nyckelord
Palliative care, Intensive care unit, Knowledge, End of life, Kingdom of Saudi Arabia
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2478 (URN)
Tillgänglig från: 2015-03-11 Skapad: 2017-11-06 Senast uppdaterad: 2017-11-08Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-0971-5283

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