Ethical sensitivity and perceptiveness in palliative home care through co-creation

A1 Originalartikel i en vetenskaplig tidskrift (referentgranskad)

Interna författare/redaktörer

Publikationens författare: Jessica Hemberg, Elisabeth Bergdahl
Förläggare: Sage
Publiceringsår: 2019
Tidskrift: Nursing Ethics
eISSN: 1477-0989


Background: In research on co-creation in
nursing, a caring manner can be used to create opportunities whereby the
patient’s quality of life can be increased in palliative home care. This can be
described as an ethical cornerstone and the goal of palliative care. To promote
quality of life, nurses must be sensitive to patients’ and their relatives’
needs in care encounters. Co-creation can be defined as the joint creation of
vital goals for patients through the process of shared knowledge between
nurses, patients and their relatives.

Aim: The aim of this study was to explore nurses’ experiences of caring
encounters and co-creation in palliative home care from an ethical perspective.

Research design,
participants, and research context:
A hermeneutical approach
was used. The material consisted of texts from interviews with twelve nurses in
a home care context. The method was inspired by thematic analysis.

Ethical considerations: Informed consent was sought
from the participants regarding study participation and the storage and
handling of data for research purposes.

Findings: An overall theme, a main
theme and four sub-themes emerged. Through ethical sensitivity and
perceptivity, nurses can balance their actions in the moment and change their
nursing care actions according to the patient's wishes through co-creation in
encounters. Here the time is crucial, as the time needed is unique to each

Discussion: The themes together can be
considered prerequisites for good palliative home care. If nurses fail to be
sensitive and perceptive in encounters with dying patients, good palliative
home care cannot be achieved. Ethical sensitivity and perceptiveness, can also be considered a part of nurses’ ethical competence.

Conclusion: Patients’ dignity can be preserved through ethical
sensitivity and perceptiveness, which is fundamental for good palliative care. Co-creation from patients’
perspectives should be the focus of future research.


Ethics, home health care

Senast uppdaterad 2020-31-03 vid 07:36