Allt är inte hopplöst; det finns fortfarande hopp
en litteraturöversikt om upplevelser av hopp och hopplöshet hos självmordsnära patienter och deras möte med vården
SuicidalSuicideHopeHopelessnessThe experience of the patientThe acts of the health care staffSjälvmordSjälvmordsnäraHoppHopplöshetPatientens upplevelseVårdpersonalens handlingar
Background: Suicidal individuals are vulnerable patients in need of a caring relationship. A caring relationship should be based on a real presence were the patient's needs are in focus. Yet research has shown that suicidal patients experience caring that exacerbate their suicidial problems and hopelessness.Aim: To describe the experiences of hope and hopelessness in suicidal patients and their encounter with health care.Methods: In a literature review, in accordance with Friberg (2012) eight scientific papers have used, analyzed and scrutinized to answer the purpose of a new whole.Results: Two main themes emerged in the results with related subcategories. Experiences of hopegiving acts with sub-themes: The significance of a caring relationship, the significance of a strong social network and the significance of feelings of hopefulness. The second main theme that emerged was: Experiences of acts connected to hopelessness with subthemes: The significance of a non-confirmatory caring relationship and the significance of feelings of hopelessness.Discussions: It is found that suicidal patients experience care that lead to feelings of despair. Nursing theorist Rosemarie Rizzo Parse Human Becoming theory has been used as a basis for discussion in this literature review where a deepening of the results derived from the concept of a real presence. A real presence is all about the nurse's ability to share the lived situations of individuals and families in which hope can be expressed and shared.