{"id":2518,"date":"2024-02-20T19:49:18","date_gmt":"2024-02-20T19:49:18","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2518"},"modified":"2025-07-14T20:00:30","modified_gmt":"2025-07-14T18:00:30","slug":"hospicesygeplejersker-under-covid-19-pandemien-oplevede-moralsk-skade-og-potentiel-sekundaer-tramatisering","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/20\/hospicesygeplejersker-under-covid-19-pandemien-oplevede-moralsk-skade-og-potentiel-sekundaer-tramatisering\/","title":{"rendered":"Hospicesygeplejersker under Covid-19 pandemien oplevede moralsk skade og potentiel sekund\u00e6r tramatisering"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Hanne M\u00f8rkenborg Bov\u00e9, Vibeke R\u00f8n Noer, Camilla Askov Mousing. Being a Hospice Nurse in Times of the COVID-19 Pandemic – A Phenomenological Study of Providing End-of-Life Care. Journal of Hospice & Palliative Nursing; 2023, 25 (5): 277-285.
\n<\/span>DOI: 10.1097\/NJH.0000000000000961<\/span><\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Mulighederne for at yde pallierende sygepleje ved livets afslutning \u00e6ndrede sig betydeligt under COVID-19-pandemien, hvilket, i den specialiserede palliative indsats, lagde et enormt pres p\u00e5 hospicefilosofien og dens kernev\u00e6rdier.
\n<\/span>Denne unders\u00f8gelse havde til form\u00e5l at unders\u00f8ge de levede erfaringer hos hospicesygeplejersker, der leverede palliativ sygepleje til patienter indlagt p\u00e5 et regionalt hospice under pandemien.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Forskningen baserede sig p\u00e5 data fra 10 individuelle dybdeinterview med hospicesygeplejersker. Reflective Lifeworld Research, som beskrevet af Dahlberg (2008), strukturerede og guidede unders\u00f8gelsens dataindsamling og analyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Pandemien, og de medf\u00f8lgende restriktioner, ledte til f\u00f8lelser af usikkerhed og uvanthed inden for sygeplejefaget. Oplevelsen af at ud\u00f8ve palliativ sygepleje beskrives i data som to dimensioner af sygeplejen, en eksistentiel dimension og en praktisk-relateret dimension, der udfoldes i artiklen igennem to konstituenter; oplevelsen af at v\u00e6re hospicesygeplejerske og at ud\u00f8ve palliation ved livets afslutning. <\/span>Udforskning af den sidstn\u00e6vnte konstituent afsl\u00f8rede yderligere nuancer og perspektiver, herunder tilpasning til en ny jobposition og d\u00e9t at navigere i et regelregime ved at \u2019b\u00f8je reglerne\u2019.<\/span><\/p>\n

At yde palliativ sygepleje ved livets afslutning under COVID-19-regimet fremstod som en meget udfordrende og foruroligende oplevelse. <\/span>Sygeplejersker stod over for det dobbelte pres at skulle overholde strenge regler og restriktioner, mens de bestr\u00e6bte sig p\u00e5 at levere kvalitetsm\u00e6ssig god og empatisk pallierende sygepleje, i tr\u00e5d med hospicefilosofien og de grundl\u00e6ggende kernev\u00e6rdier denne omfatter. <\/span>Sygeplejersker oplevede et betydeligt tab af jobtilfredshed, potentiel \u2019moralsk skade\u2019 (moral injury) og h\u00f8j risiko for sekund\u00e6r traumatisering, hvilket understreger pandemiens dybe indvirkning p\u00e5 dem, der stod i spidsen for den palliative hospicesygepleje.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Unders\u00f8gelsen afsl\u00f8rede, at den oplevede moralske skade og potentielle sekund\u00e6re traumatisering blandt sygeplejersker, forbundet med deres oplevede manglende evne til at opfylde den n\u00f8dvendige og kendte rolle som hospicesygeplejerske, havde markant betydning for deres trivsel og arbejdsgl\u00e6de. Praktiske foranstaltninger i forhold til at afb\u00f8de moralsk skade, s\u00e5som at fremme et st\u00f8ttende arbejdsmilj\u00f8, anerkende den f\u00f8lelsesm\u00e6ssige belastning og fremme \u00e5ben kommunikation, er n\u00f8dvendige opm\u00e6rksomhedspunkter i fremtidige lignende situationer.<\/span><\/p>\n

Camilla A. Mousing, lektor, ph.d., <\/span>caac@via.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Mulighederne for at yde pallierende sygepleje ved livets afslutning \u00e6ndrede sig betydeligt under COVID-19-pandemien, hvilket, i den specialiserede palliative indsats, lagde et enormt pres p\u00e5 hospicefilosofien og dens kernev\u00e6rdier.<\/p>\n","protected":false},"author":4,"featured_media":12722,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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