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Sjuksköterskors upplevelser av att vårda patienter med psykiatriska diagnoser inom somatisk vård: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurse ́s experiences of caring for patients with psychiatric diagnosis in a somatic care setting : A literature review (English)
Abstract [sv]

Bakgrund: Patienter med psykiatriska diagnoser och deras närstående upplever att den somatiska vården inte lever upp till deras förväntningar och att vårdpersonal har bristande kompetens vad gällande bedömning och bemötande. Patienter upplever sig misstrodda när de presenterar sina symtom vilket leder till känslor som skuld och skam. Psykisk sjukdom ökar i världen och sjukvården har ännu inte lyckats möta vårdbehovet för denna patientgrupp.

Syfte: Att beskriva sjuksköterskors upplevelser av att vårda patienter med psykiatriska diagnoser i den somatiska vården.

Metod: En litteraturöversikt genomfördes för att få kunskap inom detta område. Författarna valde ut tio vetenskapliga artiklar, som alla var av kvalitativ design och svarade till det specifika syftet.

Resultat: Tre kategorier framkom: Den första var Sjuksköterskors upplevelser i praktiken med underkategori Upplevelser av patienter där författarna presenterade hur sjuksköterskor uttryckte att de saknade färdigheter, fokuserade på patienters fysiska symtom och upplevde patienter som oförutsägbara och tidskrävande vilket ledde till känslor som frustration och rädsla. Den andra kategorin, Sjuksköterskors upplevda arbetsmiljö beskrev hur den fysiska och psykosociala arbetsmiljön hindrade sjuksköterskor från att tillgodose patienternas vårdbehov. Den tredje kategorin var Sjuksköterskors upplevda kompetens med underkategori Erfarenheter av att vårda. Sjuksköterskor upplevde att de saknade adekvat utbildning vilket hade en direkt inverkan på upplevelsen av att vårda.

Diskussion: Litteraturöversiktens resultat visade en upplevd kunskapsbrist hos sjuksköterskan och en arbetsmiljö som hindrade vårdandet. Detta diskuterades utifrån bakgrund, resultat och Phil Barkers omvårdnadsteori.

Abstract [en]

Background: Patients with psychiatric diagnoses and their families feel that somatic care does not live up to their expectations and that health professionals lack competence in the assessment and treatment for these diagnosis. Patients feel disbelieved when they present their symptoms, which leads to feelings of guilt and shame. Mental illness is increasing worldwide and the healthcare providers have not managed to meet the increased need for care.

Aim: The aim was to describe nurses experiences of caring for patients with psychiatric diagnosis in a somatic care setting.

Method: A literature review was conducted to gain a wider knowledge in this area. The authors chose ten scientific articles, all of which were of qualitative design and responded to the specific purpose.

Results: Three categories emerged. The first was Nurses experience in practice with the sub-category Experiences of patients where the authors presented how nurses expressed that they lacked skills, focused on the patients physical symptoms and experienced patient´s as unpredictable and time consuming, which led to feelings of frustration and fear. The second category, Nurses experience of their work environment described how the physical and the psychosocial environment prevented nurses from meeting the patients care needs. The third category was Nurses experienced competence with the subcategory Experiences of nursing. Nurses felt that they lacked adequate education, which had a direct impact on the experience of caring for patients with psychiatric diagnosis.

Discussion: The literature reviews result showed a perceived lack of knowledge for nurses and a work environment that hinder patient care. This was discussed on the basis of the background, result and Phil Barker´s nursing theory.

Place, publisher, year, edition, pages
2017. , 34 p.
Keyword [en]
Psychiatric diagnosis, Nurse, Experiences, Somatic care
Keyword [sv]
Psykiatriska diagnoser, Sjuksköterska, Upplevelser, Somatisk vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5946OAI: oai:DiVA.org:esh-5946DiVA: diva2:1099001
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-05-29Bibliographically approved

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