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Sjuksköterskors upplevelser av hot och våld på akutmottagningar: En kvalitativ intervjustudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund; Hot och våld förekommer dagligen inom verksamheter där vårdpersonal har nära kontakt med människor. Akutmottagningar tillhör en av de mest utsatta vårdmiljöer för hot och våld mot sjuksköterskor. Livsvärldsteori och viktimologi användes som teoretiska referensramar för att få en uppfattning om hur sjuksköterskor som arbetar på akutmottagning upplever samt påverkas av hot och våld från patienter. Få studier granskar sjuksköterskors egna upplevelser av hot och våld. Syfte; Att belysa hur sjuksköterskor på akutmottagningar upplever hot och våld. Metod; En kvalitativ studie med semistrukturerade intervjuer av 12 yrkesverksamma sjuksköterskor, nio kvinnor och tre män med minst ett års erfarenhet av att arbeta på akutmottagning i Sveriges södra sjukvårdsregion (Skåne, Blekinge, södra Halland och Småland). Resultat; Resultatet presenteras i fem kategorier; definitionen av hot och våld, utsatthet, riskfaktorer, genus samt åtgärder vid hot och våld. Riskfaktorer som ansågs ligga till grund för sjuksköterskors utsatthet var b.la. bristande utbildning och bemanning, otillräckliga säkerhetsåtgärder, ensamarbete samt patientens psykiska eller fysiska tillstånd. Slutsats; Sjuksköterskor på akutmottagningar upplever hot och våld som ett obehag eller rädsla, vilket ger en negativ påverkan i omvårdnadsarbetet och på det psykiska välmåendet. Känslan att ej kunna skydda sig vid hotfulla och våldsamma situationer ger en känsla av maktlöshet både på och utanför arbetsplatsen. För att förbättra arbetsmiljön behövs omfattande internutbildningar i hantering av hot och våld. 

Abstract [en]

Background: Threats and violence are common daily occurrences in any setting where a health care professional comes into contact with people, be it patients or their associates. Emergency departments (EDs) belong to one of the most exposed health care environments in terms of threats and violence against nurses. Lifeworld theory and victimology were used as theoretical frames of reference in order to establish a perception of how nurses working in EDs are exposed to, and affected by threats and violence. Only a handful of published studies examine nurses’ own experiences of threats and violence. Purpose: Was to examine how nurses working within EDs are affected by threats and violence. Method: A qualitative study was conducted based on an analysis of 12 semi-structured interviews with nurses, nine women and three men working in EDs at the time of the interview. For inclusion in the study the nurse needed at least one year experience working in an ED situated in the southern healthcare region of Sweden (including the counties of Skåne, Blekinge, southern Halland and Småland). Results: The results of the study are presented in five main categories: Definition of threats and violence, Exposure, Risk factors, Genus, and Measures taken when faced with threats and violence. Risk factors that may be the origin of their exposure to these experiences are, among others, lack of education and staffing, insufficient safety precautions, working alone and the patient’s physical and/or mental condition. Conclusion: ED nurses experience threats and violence as uncomfortable and fear-eliciting. This has a negative impact on their mental well-being as well as their overall work performance. The sensation of not being able to protect oneself in threatening and violent situations gives a sense of hopelessness and lack of control, both inside and outside of the workplace. To improve the working environment, extensive internal educational efforts are needed to educate ED nurses to cope with threats and violence.

Place, publisher, year, edition, pages
2017. , 43 p.
Keyword [en]
Emergency department, experience, exposure, nurse, risk, threat, violence
Keyword [sv]
Akutmottagning, hot, riskfaktorer, sjuksköterska, upplevelse, utsatthet, våld
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62451OAI: oai:DiVA.org:lnu-62451DiVA: diva2:1088608
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Emergency Care, 60 credits
Supervisors
Examiners
Available from: 2017-04-19 Created: 2017-04-13 Last updated: 2017-04-19Bibliographically approved

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