Hopp hos patienter i palliativ vård
En deduktiv litteraturstudie med modellen de 6 S
PatientsHopePalliative careExperienceNursingThe model of 6 S:s.PatienterHoppPalliativ vårdUpplevelseOmvårdnadDe 6 s:n.
Background: In previous studies on the subject hope it has been revealed that hope is an important condition for the experience of health, quality of life and well-being. In the literature hope is described as a great support in life that is vital for a person's life and for how the person manages to become afflicted with a fatal disease. Within palliative care the 6S: s is a person-centered model for care that is directed towards the promotion of patient´s participation, relief from suffering and enablement of well-being and support of the patient and his or her family members. Aim: To describe how patients find hope in their situation in palliative care, and to examine whether there is an interaction between the different dimensions of 6 S: s model and with patients' experiences of hope. Methods: This degree project is literature study. Analysis was made using a deductive analysis with the 6 s:n theory as a theoretical reference frame. Results: The patients were hoping for cure, to live with hope, symptom management and they found hope in activities, symbols and metaphors, dreams and fantasies, humor, spirituality, self-determination, control, relationships, strategies and goals. After the result analysis to this degree project it appeared that all factors of hope corresponded with the dimensions of the 6 S: s: Self-image, Self-determination, Social relationships, Symptom relief, Context and Strategies. Discussions:It has been found that to have hope is important for patients in palliative care as it enables them to deal with their situation and experience meaning, well-being and safety at end of life. It has also been demonstrated that there is an interaction between the different dimensions of 6 S: s model and patients' experiences of hope. Thus, the model can be assumed to facilitate a more systematic way to integrate conversations about hope and accordingly to promote hope among patients in palliative care.