Att Vårda Äldre Personer På Särskilt Boende under Livets Slutskede – Undersköterskornas Perspektiv

In Sweden, reforms in health and social care for older people were impplemented in 1992 (Adelreformen) and provided older people with the opportunity to be cared for in their own homes, under the responsibility of the local municipality. Most of the older people choose to live in their own home or in sheltered housing, a so-called special housing, for rest of their lives and are able to recieve extensive nursing care, including palliative care. Thus, palliative care has shifted from care at hospitals to care in own homes or special housing, which has increased the demands placed on nursing staff. The aim of this study was to elucidate the meanings the nursing staff expressed as regards caring for older persons in special housing in a palliative stage. Qualitative interviews with eight assistant nurses were performed. The inter-views were recorded, transcribed verbatim and analysed using qualitative content analysis. To care for an old person in the palliative stage means Caring for a friend, Creating a calm and peaceful death, Giving support to relatives and Alternating between feelings of powerlessness and satisfaction. When an old person died, the assistant nurse mourned him or her as the would a friend. Amongst the colleguages, the assistant nurses experienced a sense of security, which meant openness and the courage to discuss and reflect upon their feelings, both during the care and after the death. Despite this there was a need for more time to grieve after the death.