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Preoperativ oro hos barn: Anestesisjuksköterskors erfarenhet att bemöta och lindra oro hos barn : intervjustudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
2017 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Introduktion: Anestesi på barn ställer anestesisjuksköterskan inför en komplex situation. Barn är oroliga inför det okända som ska hända. För att minska oron behöver anestesisjuksköterskan reducera deras nivå av oro. Föräldrarna tryggar barnen och tillsammans med dem ska anestesisjuksköterskan delge barnen trygghet. Syfte: Beskriva anestesisjuksköterskors erfarenheter i att bemöta och lindra oro hos barn som ska genomgå anestesi. Metod: En kvalitativ intervjustudie, innehåll analyserades utifrån kvalitativ innehållsanalys. Sammanlagt intervjuades 8 anestesisjuksköterskor med varierande ålder och yrkeserfarenhet. Resultat: Anestesisjuksköterskornas erfarenheter visade att skapa trygghet, ha ett avledande tillvägagångsätt och att utgå ifrån den egna professionen var viktigt för att bemöta och lindra oro. Att samarbeta med föräldrarna, skapa en relation till barnet och ha bra preoperativa förberedelser tycktes skapa trygghet hos både barnet och föräldern. De använde sig av avledande strategier för att flytta den negativa oron till något positivt. Den erfarenhet som anestesisjuksköterskorna hade gav dem en trygg grund i de situationer som inte var fullt så optimala. Då det inte fanns några färdiga mallar i hur de ska bemöta och lindra oro hos barn ansåg de flesta att ”fingertoppskänslan” har stor betydelse. Det viktiga var att hela tiden anpassa sig till barnet och ta den tid som behövdes. Slutsats: Studien belyste anestesisjuksköterskans erfarenhet av att bemöta och lindra oro hos barn. I resultatet framkom att anestesisjuksköterskan upplevde svårighet att bemöta oroliga barn samt att det var en svår situation de ställdes inför. Emellanåt kunde samarbetet med oroliga föräldrar vara svårt, dock kunde samarbetet förbättras om anestesisjuksköterskan och föräldern hade samma målbild. Det ställdes höga krav på kompetens och ödmjukhet samtidigt som anestesisjuksköterskan hade en viktig roll i att skapa trygghet hos barnen.

 

Abstract [en]

Introduction To prepare a child for anesthesia put the nurses in a complex situation. The child is worried about the unknow that is going to happen and therefore the nurse needs to reduce the child’s level of anxiety and worry. The parents are supposed to comfort the child and together with the nurse they should help the child to manage the difficult situation. Aim: Describe the anesthesia nurses experience in addressing and reducing anxiety in children who are about to undergo anesthesia. Method:A qualitative interview study of 8 nurses with different age and work experience where included and interviewed. Result: Based on the experience of the nurses it showed that the most important thing where to create comfort, use distractions and the ability to use their previous professional experience. To be able to cooperate with the parents, create a relationship with the child as well as excellent preoperative preparation seemed to create comfort in both the child and the parents. The nurses used distracting strategies to transfer the negative anxiety to something more positive.  Since there are no written guidelines of how to comfort children about to undergo anesthesia the nurses had to use and incorporate their previous experience as an anesthesia nurse. The nurses mentioned that it is crucial to be able to sense and evaluate the situation and then act based on the conclusion. The most important thing was to adapt and conform to the need of the child and not rush the process. Conclusion: The study highlighted the experience of the nurse’s preoperative care. The result showed that the nurses experienced difficulty to care for worried children as well as the complex situation they were presented with. Sometimes worried parents made the situation more complex for the anesthesia nurse since they were not able to cooperate and work together. However, the corporation could be improved if the anesthesia nurse and the parent had the same goal and a joint way of handling the situation. The anesthesia nurse were required to have high professional competence, advanced humility as well the ability to make sure that the child  is comfortable and relaxed.

Place, publisher, year, edition, pages
2017. , 27 p.
Keyword [en]
Anaesthesia, Anxiety, Children, Nurse Anaesthetist, Preoperative care
Keyword [sv]
Anestesi, anestesisjuksköterska, barn, preoperativ oro, omvårdnad
National Category
Anesthesiology and Intensive Care Nursing
Identifiers
URN: urn:nbn:se:hig:diva-24090OAI: oai:DiVA.org:hig-24090DiVA: diva2:1107054
Subject / course
Nursing
Educational program
Specialist nursing – master’s programme (one year)
Supervisors
Examiners
Available from: 2017-06-09 Created: 2017-06-08 Last updated: 2017-06-09Bibliographically approved

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