Background: More knowledge about homecare nurses’ experiences is needed to uncover well-functioning and non-functioning practices of interdisciplinary collaboration.
Aim: To examine what challenges homecare nurses describe when caring for cancer patients who want to die at home.
Method: Focus group interviews with 10 homecare nurses. Systematic text condensation was used for the analysis.
Results: Interdisciplinary collaboration was described as sub-optimal. Homecare nurses were often alone in complex situations without specialists to consult. They seem to take on the role of a coordinator, and experienced uncertainty regarding assignment of the overall responsibility for the patients’ care. They also found it challenging to establish an appropriate balance between being close and distancing themselves from the patients.
Conclusion: Homecare nurses expressed a need for more accessible support from the interdisciplinary team surrounding the patient and a clearer division of labor and responsibilities in palliative homecare.
The purpose of this article is to illuminate how nurses’ knowledge regarding philosophy of science can benefit patients and nurses. Nurses are asked to be more efficient and, at the same time, act in the best interests of the patient. This may create a dilemma for nurses, i.e. should they satisfy their leadership’s demand for efficiency, or provide the best possible care for patients? We discuss a common situation facing a nurse at an orthopaedic post in light of hermeneutics, rationalism, empiricism and phenomenology. This article shows how knowledge about philosophy of science influence nurses in building person-oriented nursing. As such, this article illustrates the importance of including philosophy of science in the curriculum at nursing schools and that nurses can use these perspectives while balancing the interests of different stakeholders.
A qualitative metasynthesis is an interpretive integration of qualitative findings in which findings from different studies are combined into new findings. It is the top-ranking method in qualitative methodology and a opportunity to connect «little islands of knowledge» (1, p. 181) and therefore it is highly relevant to keep producing these studies.
In this article we introduce the qualitative metasynthesis as described by Sandelowski and Barroso and outline the steps in the process of conducting a qualitative metasynthesis. Our aim is to disseminate understanding of the practical use of qualitative metasynthesis. The primarily audience for this article are practitioners and students of all kinds.
Background: Pancreatic cancer is an aggressive form of cancer with a high mortality. The course of disease affects not only the patient, but also the family. The aim of this study was to gain insight into and broaden the understanding of the family’s experiences of living with a relative diagnosed with pancreatic cancer. Method: The study was based on a phenomenological hermeneutic approach. The data was collected using semi-structured interviews, and analyzed with a method inspired by Paul Ricoeur. Findings: Through analysis, interpretation and discussion, four themes were identified representing the family’s experiences. Conclusion: The study portrays the difficulties a family undergoes with a terminally ill relative in their lives. Important factors to acknowledge as a health professional when dealing with a terminal ill are highlighted.
Since deaths among Danish infants still occur frequently in the neonatal period, this article revolves around end-of-life care to terminal neonates born after the gestational age of 24 weeks.
This article is based on a literature review and aims to increase the knowledge and understanding of the neonate’s essential needs at end of life. The empirical material consists of nine texts that include recommendations, instructions and expert evaluations that are analysed on the basis of inspiration from the method of inductive content analysis. Four needs are defined as the most important: Pain Control, Attention to terminal symptoms, Adjustment to surroundings and Presence.
The findings show that the essential needs of the neonate involves both physical as well as social aspects that are necessary to accommodate. End-of-life care should be based on a holistic approach in which nurses are aware of having an individual approach and use professional assessment in any given situation.
The philosophy of sense and situated practical nursing affects the relations between patients and nurses. The nurses receiving appeal of suffering, can make a space of recognition and affirmation of the patients. This practice occurs in a sense of bodily attitude.
The aim of the article is to explore how the philosophy of Kari Martinsen and her use of the concept of sense, interpretation, academic judgment and formation, can provide direction for the practical exercise of nursing.
The results appear that the concept of formation can be understood as a contribution in nursing practice of care. Being formulated and interpreted, the patients can be carried out in a bodily mode, where the nurse moves in the same manner in step with the patient. That makes it possible for the nurse to respond patients’ needs and contribute space for the patient to express himself and being available to receive care.
1/2020 Årgang 34
Annelise Norlyk, lektor, Institut for Folkesundhed – Sygepleje, Aarhus Universitet
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV