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Vi vill men orkar inte: Sjuksköterskors beskrivningar av varför de slutar på akutmottagning – en kvalitativ studie
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 thesisAlternative title
We want to, but do not have the strength : Nurses' descriptions of why they quit their jobs in the emergency department – a qualitative study (English)
Abstract [sv]

Titel: Vi vill men orkar inte: Sjuksköterskors beskrivningar av varför de slutar på akutmottagning – en kvalitativ studie

Bakgrund: På akutmottagningen utförs avancerad akutsjukvård som ställer höga krav på sjuksköterskans kompetens. Under de senaste åren har dock många sjuksköterskor valt att lämna akutsjukvården för att påbörja arbete på annan arbetsplats inom vården. Detta leder till att kompetensen hos kvarvarande personalgrupp sjunker och arbetsbelastningen på akutmottagningarna ökar relaterat till personalbristen.

Syfte: Syftet med studien var att belysa arbetsmiljörelaterade anledningar som leder till att sjuksköterskor på akuten slutar sin anställning.

Metod: Studien utfördes genom kvalitativ design där tio sjuksköterskor beskrev sina erfarenheter genom semistrukturerade individuella intervjuer. Deltagarna var alla kvinnor verksamma vid olika akutmottagningar i södra halvan av Sverige. Analys av data genomfördes med kvalitativ innehållsanalys.

Resultat: Studiens resultat pekade tydligt på att sjuksköterskorna upplevde arbetet på akutmottagningen som givande samtidigt som det fanns allt för många negativa aspekter i form av exempelvis bristande stöd från ledningen, känslan av maktlöshet och upplevelse av påverkad hälsa på grund av arbetsmiljörelaterade faktorer. Resultatet presenteras i tre kategorier: Stimulerande, Frustrerande och Motiverande, där den sista kategorien behandlar sjuksköterskornas egna förbättringsförslag för att orka stanna kvar på akutmottagningen.

Slutsats: Studien påvisar att sjuksköterskorna tyckte om arbetet på akutmottagning men att arbetsmiljörelaterade faktorer som stress, påverkan på den egna hälsan och bristande stöd från arbetsledningen påverkade deras vilja att stanna på arbetsplatsen. Arbetsmiljön på akutmottagningen måste således förbättras och till största delen är det arbetsledningen som behöver utveckla sitt ledarskap för att få sjuksköterskorna att känna sig uppskattade, delaktiga och sist men inte minst respekterade. 

Abstract [en]

Title: We want to, but do not have the strength: Nurses descriptions of why they quit their jobs in the emergency department – a qualitative study

Background: In the emergency department advanced emergency care is performed which place high demands on nurses’ skills. In recent years, however, many nurses have chosen to leave the emergency medical care to begin work at another workplace in health care. This leads to the a decrease in the skills of remaining staff and the workload on emergency departments increases related to staff shortages.

Aim: The aim of the study was to highlight working environment related reasons that makes nurses in the emergency department want to terminate their employment.

Method: The study was conducted with a qualitative design with ten nurses that described their experiences through semi-structured individual interviews. The participants were all women active in different emergency departments in the southern half of Sweden. To analyze the data a qualitative content analysis was carried out.

Results: Our results clearly indicated that nurses experienced the work in the emergency department as rewarding, whilst there were too many negative aspects in the form of, for example, lack of management support, the feeling of powerlessness and experience of affected health due to working environment related factors. The results are presented in three categories: Stimulating, Frustrating and Motivating, where the last category covers nurses own suggestions for improvement to help them have the strength to remain at work in the emergency department

Conclusion: This study demonstrates that nurses enjoy working in the emergency department but working environmental factors affected their ability to remain in the workplace like stress, impact on their own health and the lack of support from the management affected their willingness to stay in the workplace. The work in the emergency department must be improved, for the most part it is the workplace management that need to develop their leadership to help the nurses achieve the feeling of being valued, involved and last but not least respected.

Place, publisher, year, edition, pages
2017. , 36 p.
Keyword [en]
Emergency department, working environment, quit, emergency care, experience, stimulating, frustrating, motivating
Keyword [sv]
Akutmottagning, akutsjukvård, arbetsmiljö, frustrerande, motiverande, stimulerande, säga upp sig, upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62503OAI: oai:DiVA.org:lnu-62503DiVA: diva2:1089094
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Emergency Care, 60 credits
Supervisors
Examiners
Available from: 2017-04-19 Created: 2017-04-18 Last updated: 2017-04-19Bibliographically approved

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