Med Personen i Centrum - Sjuksköterskors uppfattningar om att vårda patienter med ett palliativt vårdbehov på en akutkirurgisk vårdavdelning
Introduction: On the surgical wards in most hospitals in Sweden patients with different surgical needs are cared for. Patients with gastrointestinal conditions are, for example, nurtured alongside patients with urological disorders or patients in need of observation for head trauma. When the nurse, in addition to these patients, have to care for patients with palliative care needs can be perceived as problematic for nurse and patient alike.Purpose: The purpose of this study is to explore nurses' perceptions of care for patients with palliative care needs on an acute surgical ward, based on a person-centered perspective.Method: A focus group interview was conducted with the strategic selection of nurses from two acute surgical wards in a county hospital in western Sweden. The data from the interview were analyzed with qualitative directed, deductive content analysis with person-centered care as a theoretical framework. The theoretical background shows that person-centered care includes partnership, participation and structured documentation.Results: The results of this study show that even a fourth category, organization, emerged and needed to be reported. Discussion: The four categories were discussed on the basis of the collected data and previous research and other findings in the literature. The participants in the study mentioned that the majority of deficiencies in the organization significantly affected the ability to establish and conduct person-centered care when patients with palliative care needs were cared for alongside with acute surgical patients.Conclusion: The study shows that further research on the topic is needed in the future to achieve person-centered care in our wards. Participating nurses in the study were in total agreement that to integrate patients with palliative care needs on an acute surgical ward is definitely not recommended.