Community nurses' experiences of ethical problems in end-of-life care in the patient's own home.
OBJECTIVE
To gain a deeper understanding of community nurses' experiences of ethical problems in end-of-life care in the patient's own home.


METHODS
Ten female nurses from five different communities with experience of end-of-life care were interviewed. A hermeneutic approach inspired by Gadamer was used to analyse the qualitative data from the interviews.


RESULTS
In the first step of interpretation, two themes emerged: Uncomfortable feelings and Lack of cooperation and in the second step, one theme Lack of security emerged. Finally, the overall interpretation revealed the theme Feelings of loss of control in end-of-life care in the patient's own home.


CONCLUSIONS
The nurses exhibited commitment and a desire to do good when caring for patients in the end-of-life phase, even if they sometimes experienced feelings of lack of control. This implies that, when confronted with care-related issues, they have the power to both act and react. This study aimed to increase understanding of ethical problems that arise in end-of-life care in the patient's own home and revealed the need to take the patients', relatives' and nurses' perspectives on health and suffering into consideration to ensure good end-of-life home care.
Department of Caring Science, Åbo Academy University, Vasa, Finland; Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
Margareta
M
Karlsson
Christina
C
Karlsson
António
A
Barbosa da Silva
Ingela
I
Berggren
Maud
M
Söderlund
D003152:Community Health Nursing; D006699:Home Care Services; D006801:Humans; D012537:Scandinavian and Nordic Countries; D013727:Terminal Care; D000078329:Workforce