z-logo
Premium
Co‐creating possibilities for patients in palliative care to reach vital goals – a multiple case study of home‐care nursing encounters
Author(s) -
Bergdahl Elisabeth,
Benzein Eva,
Ternestedt BrittMarie,
Elmberger Eva,
Andershed Birgitta
Publication year - 2013
Publication title -
nursing inquiry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.66
H-Index - 49
eISSN - 1440-1800
pISSN - 1320-7881
DOI - 10.1111/nin.12022
Subject(s) - palliative care , nursing , perspective (graphical) , context (archaeology) , descriptive research , psychology , process (computing) , medicine , sociology , computer science , paleontology , artificial intelligence , biology , operating system , social science
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.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here