title: Practical care work and existential issues in palliative care: experiences of nursing assistants.
abstract: BACKGROUND
  Despite increasing international interest in palliative care, little focus has been given to the role of nursing assistants, nor to research on existential issues.
  
  
  OBJECTIVE
  To investigate nursing assistants' experiences of existential issues in palliative care.
  
  
  METHODS
  An explorative study using focus group discussions as data. Seven nursing assistants working in a palliative care unit and a nursing home participated on three occasions.
  
  
  METHODS
  Data were analysed using a content analysis approach.
  
  
  RESULTS
  Two overlapping domains were extracted: practical care, interpreted in themes as meeting others, the patient's body and organisational boundaries; and existential issues, interpreted as the difficult part, the valuable part and death and dying. Communication seemed to be a theme central to both domains.
  
  
  CONCLUSIONS
  The results indicate that nursing assistants may give existential support in addition to practical aspects of care. The intimate interactions inherent in practical aspects of personal care create opportunities for meaningful conversations. Such conversations may constitute existential support for patients and a meaningful task for staff.
authors.affiliation: National Board of Health and Welfare, Stockhom, Sweden.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Ahsberg
authors.forename: Maria
authors.initials: M
authors.lastname: Carlsson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005086:Existentialism; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009728:Nursing Assistants; D010166:Palliative Care; D013548:Sweden
keywords: content analysis; nursing assistants; palliative care