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Anestesisjuksköterskans upplevelse av Traumalarm
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: Den svårt skadade traumapatienten kräver ett multidisciplinärt och tvärprofessionellt omhändertagande vid ankomst till akutmottagningen. En av anestesisjuksköterskans arbetsuppgifter är att delta i omhändertagandet av traumapatienter. Detta kräver att anestesisjuksköterskan kan arbeta i ett anpassat arbetstempo samt kunna arbeta tvärprofessionellt i en stressad miljö. Rött traumalarm ökar kraven på anestesisjuksköterskan som skall inneha fördjupade medicinska- och omvårdnadskunskaper vid omhändertagandet av traumapatienter. Syfte: Studiens syfte var att belysa hur anestesisjuksköterskor upplevde deltagandet vid rött traumalarm. Metod: En kvalitativ design användes och besvarades med semistrukturerade intervjuer. Studien innefattade tio anestesisjuksköterskor från två mellanstora sjukhus i södra Sverige. Intervjuernas datamaterial analyserades med hjälp av en kvalitativ latent innehållsanalys. Resultat: Anestesisjuksköterskor i studien beskrev ett engagemang till det akuta omhändertagandet samt en vilja till att leverera en kvalitativ vård. Traumaomhändertagandet upplevdes ibland som utmanande, framförallt om det var flertalet skadade eller om patienten var svårt skadad. Samtidigt beskrevs ett ansvar över att vara en resurs för teamet och en länk för patienten under omhändertagandet. Struktur och trygghet var viktiga faktorer till ett lyckat teamsamarbete. För att arbetet kring patienten skulle ske på ett systematiskt och patientsäkert sätt, betonade anestesisjuksköterskorna vikten av utbildning inom traumasjukvård. Slutsats: Anestesisjuksköterskans deltagande i rött traumalarm kräver god kunskap inom såväl traumasjukvård som förmågan till samarbete och kommunikation. Kommunikation och samarbete visade sig oftast fungera väl, men då brister uppstod påverkades traumaomhändertagandet negativt, vilket även innefattade patientsäkerheten. Studien visar att traumaledaren har en avgörande betydelse gällande teamets förmåga till ett lyckat traumaomhändertagande.

Abstract [en]

Background: The severely injured trauma patient requires a multidisciplinary and interdisciplinary medical care on arrival to the emergency department. One of the nurse anaesthetists tasks is to participate in the care of trauma patients. This requires that the nurse anaesthetists can work in an adapted pace of work and be able to work interdisciplinary in a stressed environment. Red-trauma emergency increases the demand for nurse anaesthetist who shall hold in-depth medical and nursing skills in the care of trauma patients. Objective: The aim of this study was to illustrate the nurse anaesthetist experiences of taking part in red-trauma alarm. Method: The study had a qualitative approach and was answered by semi-structured interviews. The study included ten nurse anaesthetists from two middle large hospitals in southern Sweden. The data from the interviews were analyzed by using a qualitative latent content analysis. Results: Nurse anaesthetists in the study described an attraction to the acute care and a desire to deliver quality care. Trauma care perceived sometimes as challenging, especially if it was the most damaged, or if the patient was seriously injured. At the same time the nurse anaesthetists described a responsibility as being a resource for the team and a link to the patient during care. Structure and security were important factors in a successful team collaboration. So, that the work around the patient would be done in a systematic and patient safely, the nurse anaesthetists emphasize the importance of education in trauma care. Conclusion: The nurse anaesthetist attending in red-trauma emergency requires good knowledge in both trauma care as the ability to co-operation and communication. Communication and co-operation shown to usually work well, but when the deficiencies arose impacted negatively trauma care, which also included patient safety. The study have shown that the trauma leaders expertise have an essential role for a successful trauma-care.

Place, publisher, year, edition, pages
2017. , 47 p.
Keyword [en]
Nurse anaesthetist, experience, trauma, multidisciplinary team, trauma care
Keyword [sv]
Anestesisjuksköterska, Upplevelse, Traumalarm, Teamarbete, Traumaomhändertagande
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62474OAI: oai:DiVA.org:lnu-62474DiVA: diva2:1088804
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Anaesthetic Care, 60 credits
Supervisors
Examiners
Available from: 2017-04-19 Created: 2017-04-15 Last updated: 2017-04-19Bibliographically approved

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • sv-SE
  • Other locale
More languages
Output format
  • html
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