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Sjuksköterskors erfarenheter av att vårda asylsökande patienter i psykiatrisk vård: En intervjustudie
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' experiences of caring for asylum seeking patients in psychiatric care : An interview study (English)
Abstract [sv]

Bakgrund: Asylsökande patienter drabbas ofta av psykisk ohälsa relaterat till stress i samband med flykt och svåra levnadsförhållanden. Som omvårdnadsansvarig ansvarar sjuksköterskan bland annat för att hjälpa människor med det som de själva hade utfört om de hade kraften. På grund av språkförbistringar och kulturbetingade förväntningar kan ibland vårdandet försvåras. För att kunna arbeta effektivt med asylsökande patienter behövs fördjupade kunskaper i hur sjuksköterskor beskriver sitt arbete med asylsökande patienter.

Syfte: Syftet med uppsatsen är att beskriva sjuksköterskors erfarenheter av att vårda asylsökande patienter i psykiatrisk vård.

Metod: Studien är en kvalitativ studie med induktiv ansats där semistrukturerade intervjuer genomfördes med fem sjuksköterskor verksamma inom psykiatrisk vård. Det insamlade datamaterialet analyserades enligt kvalitativ innehållsanalys.

Resultat: Dataanalysen resulterade i två kategorier med fem respektive två subkategorier vardera. Den första kategorin beskriver sjuksköterskors erfarenheter av hinder och möjligheter i relation till vårdandet av asylsökande patienter med underkategorier: kulturella skillnader, egenpåverkan och behovet av handledning, behov av information, förhållningssätt samt patientens nätverk. Den andra kategorin beskriver sjuksköterskors erfarenheter av hinder och möjligheter i relation till externa instanser, med underkategorier; tolk och asylsökningsprocessen.

Diskussion: Resultatet diskuteras utifrån Leiningers Soluppgångsmodell samt annan relevant forskning. Soluppgångsmodellen ger stöd för sjuksköterskor i mötet med patienter med en annan kulturell bakgrund, vilket kan vara viktigt för att arbeta holistiskt.

Abstract [en]

Background: Asylum seeking patients often suffer from mental health problems related to stress during flight and harsh living conditions. Being responsible for the care, nurses are responsible to help people with what they themselves have difficulties performing or are unable to do themselves. Due to language difficulties and cultural conditional expectations the caring of patients within this group can sometimes be suffering. In order to work effectively with asylum seeking patients in psychiatric care, it is required to possess a thorough knowledge of how nurses describe their work with asylum seeking patients.

Aim: The purpose of this paper is to describe nurses' experiences of caring for asylum seeking patients in psychiatric care.

Method: The study is a qualitative study with the inductive approach in which semi-structured interviews were conducted with five nurses working in psychiatric care. The collected data were analyzed according to qualitative content analysis.

Results: Data analysis resulted in two categories with five and two subcategories each. The first category describes the nurses' descriptions of the obstacles and opportunities in relation to asylum seekers patients with subcategories: cultural differences, personal impact and the need for guidance, the need of information, approaches, and patient social networks. The second category describes nurses' descriptions of the obstacles and opportunities in relation to external instances, with subcategories; interpreter and asylum process.

Discussions: The results are discussed from Leininger’s Sunrise Model and other relevant research. Sunrise model provides support for nurses in the meeting with patients with a different cultural background, which can be important to work holistically.

Place, publisher, year, edition, pages
2017. , 32 p.
Keyword [en]
Asylum seeking patients, Communication, Cultural competence, Nursing, Nurses, Psychiatric care
Keyword [sv]
Asylsökande patienter, Kommunikation, Kulturell kompetens, Omvårdnad, Psykiatrisk vård, Sjuksköterskor
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5910OAI: oai:DiVA.org:esh-5910DiVA: diva2:1090993
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care 60 ECTS
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-04-25 Created: 2017-04-25 Last updated: 2017-04-25Bibliographically approved

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