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District nurses perceptions of palliative care in the homeDepartment 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 Giorgis 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) |
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