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District nurses´ conceptions of medical technology in palliative home care
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health and Welfare, HHJ. ADULT. (KILVO)
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
2011 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, no 7, 845-854 p.Article in journal (Refereed) Published
Abstract [en]

Aim  The aim of this study was to describe district nurses’ conceptions of medical technology in palliative homecare.

Background  Medical technology has, in recent years, been widely used in palliative homecare. Personnel with varying degrees of training and knowledge must be able to handle the new technology.

Methods  A descriptive design with a phenomenographic approach was chosen to describe qualitatively different conceptions of the phenomenon medical technology. Interviews with 16 district nurses working with palliative homecare were analysed and five descriptive categories emerged.

Results  Medical technology in palliative homecare led to vulnerability because of increasing demands and changing tasks. When medical technology was used in the home it demanded collaboration between all involved actors. It also demanded self-reliance and an awareness of managing medical technology in a patient-safe way. Medical technology provided freedom for the palliative patients.

Conclusions  To maintain patient safety, more education and collaboration with palliative care teams is needed. Next-of-kin are considered as an important resource but their participation must be based on their own conditions.

Implications for nursing management  District nurses need regular training on medical devices, must be more specialized in this kind of care and must not fragment their working time within other specialities.

Place, publisher, year, edition, pages
2011. Vol. 19, no 7, 845-854 p.
Keyword [en]
district nurses, medical technology, palliative homecare, phenomenography
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-16150DOI: 10.1111/j.1365-2834.2011.01231.xOAI: oai:DiVA.org:hj-16150DiVA: diva2:442916
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2017-05-04Bibliographically approved
In thesis
1. Medical technology and its impact on palliative home care as a secure base experienced by patients, next-of-kin and district nurses
Open this publication in new window or tab >>Medical technology and its impact on palliative home care as a secure base experienced by patients, next-of-kin and district nurses
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2011. 148 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 21
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-17026 (URN)
Public defence
2011-12-02, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-01-09 Created: 2012-01-09 Last updated: 2017-05-04Bibliographically approved

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Munck, BeritFridlund, BengtMårtensson, Jan
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