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Health care staff's opinions about existential issues among patients with cancer
Sahlgrens Univ Hosp, Dept Oncol, Clin Trial Unit, SE-41345 Gothenburg, Sweden.
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.ORCID-id: 0000-0001-9623-5813
Univ Gothenburg, Sahlgrenska Acad, Dept Clin Neurosci & Rehabil, Gothenburg, Sweden.
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden.
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2010 (Engelska)Ingår i: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 8, nr 1, s. 59-68Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: The objective of this study was to explore health care staff 's opinions about what existential issues are important to patients with cancer and staff 's responsibility when existential issues are raised by patients. Method: Four focus group interviews were conducted with health care staff (N = 23) at an in-patient hospice, on an oncology ward, on a surgical ward, and with a palliative home health care team. The focus group interviews focused on two questions, first, about health care staff 's opinions about patients' important existential questions and, second, about health care staff 's responsibility when existential issues are raised by the patient. The interviews were taperecorded, transcribed verbatim, and analyzed by qualitative content analysis into subcategories and categories. Results: Four categories and 11 subcategories emerged from the first question. The first category, "life and death," was based on joy of living and thoughts of dying. The second category "meaning," consisted of acceptance, reevaluation, hope, and faith. The third category, "freedom of choice," consisted of responsibility and integrity, and the fourth and last category, "relationships and solitude," consisted of alleviation, dependency, and loss. One category emerged from the second question about the health care staff 's responsibility, "to achieve an encounter," which was based on the subcategories time and space, attitudes, and invitation and confirmation. Significance of results: One strength of this study was that the findings were fairly congruent in different settings and in different geographical areas. Health care staff were aware of the importance of existential issues to patients. The existential issues, mentioned by health care staff, are similar to findings from studies conducted among patients, which is another strength of the present study. Health care staff are also confident about how to act when these issues are raised by the patients. The challenge for the future is to implement the findings from this study among health care staff in different settings.

Ort, förlag, år, upplaga, sidor
2010. Vol. 8, nr 1, s. 59-68
Nyckelord [en]
Content analysis; Existential; Focus groups; Health care professionals; Palliative care
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URN: urn:nbn:se:miun:diva-11696DOI: 10.1017/S147895150999071XISI: 000208486700008Scopus ID: 2-s2.0-77952426000OAI: oai:DiVA.org:miun-11696DiVA, id: diva2:324140
Tillgänglig från: 2010-06-14 Skapad: 2010-06-14 Senast uppdaterad: 2017-12-12Bibliografiskt granskad

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Melin-Johansson, ChristinaDanielson, Ella

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