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American Journal of Hospice and Palliative Medicine®
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District nurses’ perceptions of palliative care in the home

Carina Berterö, PhD

Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden, Department of Medicine Care, Division of Nursing Science, Faculty of Health Science, Linköping University, Linköping, Sweden

Palliative care describes a caring philosophy. Originally, palliative care referred exclusively to the care of dying cancer patients, but over time has expanded to include mitigating care of all dying people whatever the diagnosis. The purpose of this paper is to explore the meaning of palliative care according to the experience of district nurses in Sweden. Six district nurses were interviewed, and the transcripts were analyzed using Giorgi’s phenomenology. The essence of the caring philosophy for the nurses in the study was identified as commitment, underscored by four themes: challenge, control, frustration, and relationships. These findings indicate that district nurses must be offered resources and education in order to be able to fulfill their commitment, i.e., to supply good palliative care.

Key Words: palliative care • challenge • control • frustration • relationships • commitment

American Journal of Hospice and Palliative Medicine®, Vol. 19, No. 6, 387-391 (2002)
DOI: 10.1177/104990910201900608


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