{"id":24700,"date":"2026-05-19T19:20:22","date_gmt":"2026-05-19T17:20:22","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=24700"},"modified":"2026-07-03T12:15:46","modified_gmt":"2026-07-03T10:15:46","slug":"jeg-har-aldrig-faaet-at-vide-at-min-nyresygdom-er-livstruende","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/05\/19\/jeg-har-aldrig-faaet-at-vide-at-min-nyresygdom-er-livstruende\/","title":{"rendered":"“Jeg har aldrig f\u00e5et at vide, at min nyresygdom er livstruende”"},"content":{"rendered":"
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Implementering af livssamtaler i Klinik for Dialyse: Et kvalitativt studie af behovet for palliativt fokus og strukturerede samtaleredskaber<\/span><\/strong><\/h5>\n
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Tina Brink Hansen, sygeplejerske, SD i formidling & klinisk uddannelse, MKS, Klinik for Dialyse, Regionshospitalet G\u00f8dstrup. <\/span>Tina.Brink.Hansen@goedstrup.rm.dk<\/span><\/a><\/em><\/p>\n

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Resum\u00e9
\n<\/span><\/strong>Baggrund<\/strong>
\n<\/span>Patienter i h\u00e6modialyse lever med en kronisk livstruende sygdom, men samtaler om sygdommens alvor, prognose og livsperspektiver finder ofte ikke sted eller foreg\u00e5r usystematisk. Tidlig palliativ indsats anbefales, men er fortsat sparsomt integreret i nefrologisk praksis.
\n<\/span>Form\u00e5l<\/strong>
\n<\/span>Form\u00e5let med masterprojektet var at unders\u00f8ge, hvordan sygeplejersker i Klinik for Dialyse forst\u00e5r og oplever samtaler med patienter i h\u00e6modialyse om det at v\u00e6re konstateret livstruende syg samt at identificere barrierer og behov knyttet hertil.
\n<\/span>Design og metode<\/strong>
\n<\/span>Projektet er et kvalitativt studie med f\u00e6nomenologisk-hermeneutisk tilgang. Data blev indsamlet gennem semistrukturerede interviews med sygeplejersker i klinikken og analyseret efter Kvale og Brinkmanns analysemetode.
\n<\/span>Resultater
\n<\/strong><\/span>Analysen viser, at livssamtaler ofte afholdes tilf\u00e6ldigt og afh\u00e6nger af den enkelte sygeplejerskes erfaring, v\u00e6rdier og mod. Manglende f\u00e6lles struktur, redskaber og organisatorisk opbakning samt bekymring for at fratage patienten h\u00e5b opleves som v\u00e6sentlige barrierer.
\n<\/span>Konklusion og implikationer<\/strong>
\n<\/span>Masterprojektets fund f\u00f8rte til udvikling og implementering af strukturerede livssamtaler som en systematisk praksis i Klinik for Dialyse. Forandringsprojektet har styrket sygeplejerskernes faglige tryghed, underst\u00f8ttet en palliativ kultur og bidraget til mere individuelt tilpassede og sammenh\u00e6ngende patientforl\u00f8b.<\/span><\/p>\n

N\u00f8gleord: <\/span><\/strong>Livssamtaler, h\u00e6modialyse, kronisk livstruende nyresvigt, palliativ indsats, relationel sygepleje, fundamentals of care, praksisudvikling, sygeplejerskers oplevelser<\/span><\/p>\n

English abstract
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\n\"I have never been told that my kidney disease is life-threatening\". <\/strong><\/em>Implementation of Life Conversations in the Dialysis Clinic: A Qualitative Study of the Need for Palliative Focus and Structured Conversation Tools<\/strong><\/p>\n


\n<\/strong>Background<\/strong>
\nPatients in haemodialysis live with a chronic life-threatening illness, but conversations about the severity of the disease, prognosis, and life perspectives often do not take place or occur unsystematically. Early palliative care is recommended but remains sparsely integrated in nephrological practice.
\nAim<\/strong>
\nThe aim of the master's project was to examine how nurses in the Dialysis Clinic understand and experience conversations with haemodialysis patients about living with a diagnosed life-threatening illness, and to identify related barriers and needs.
\nDesign and Methods<\/strong>
\nThe project is a qualitative study with a phenomenological-hermeneutic approach. Data were collected through semi-structured interviews with nurses at the clinic and analysed using Kvale and Brinkmann's analytical method.
\nResults<\/strong>
\nThe analysis shows that life conversations often occur randomly and depend on the individual nurse's experience, values, and courage. Lack of shared structure, tools, and organisational support, as well as concern about depriving the patient of hope, are experienced as significant barriers.
\nConclusion and Implications<\/strong>
\nThe master's project findings led to the development and implementation of structured life conversations as a systematic practice in the Dialysis Clinic. The change project has strengthened nurses' professional confidence, supported a palliative culture, and contributed to more individually tailored and coherent patient pathways.<\/p>\n

Keywords:<\/strong> Life conversations, haemodialysis, chronic life-threatening kidney failure, palliative care, relational nursing, fundamentals of care, practice development, nurses' experiences.<\/p>\n<\/div>\n<\/div>\n

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