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Medberoende eller god omvårdnad: en kvalitativ intervjustudie med sjuksköterskor inom beroendevården med fokus på substansbrukssyndrom
Ersta Sköndal University College, Department of Health Care Sciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Co-dependency or good care : a qualitative research with nurses in dependent care with focus on substance use disorder (English)
Abstract [sv]

Bakgrund: I bakgrunden beskrivs aspekter på sjuksköterskans yrkesroll samt omvårdnadsansvar inom både vården i allmänhet och beroendevården. Vidare beskrivs patientgruppen och dess problematik samt begreppet medberoende och hur det kan försvåra valet av omvårdnad.

Syfte: Syftet med denna undersökning var att undersöka sjuksköterskans syn på vad som kännetecknar god omvårdnad och medberoende inom den slutna beroendevården samt vad som skiljer dem åt.

Metod: Studien har en kvalitativ design med induktiv ansats. Sju sjuksköterskor intervjuades på en beroendeenhet i Stockholm enligt ostrukturerad metod. Materialet analyserades sedan med kvalitativ innehållsanalys.

Resultat: Resultatet utmynnade i tre kategorier: Sjuksköterskans syn på vad som utgör god omvårdnad inom beroendevården, Sjuksköterskans syn på fenomenet medberoende inom beroendevården samt Sjuksköterskans uppfattning kring var gränsen går mellan god omvårdnad och medberoende. I resultatet kom det bland annat fram att sjuksköterskan inte har några större problem med att skilja på de båda begreppen god omvårdnad och medberoende, men att det är svårare i praktiken.

Diskussion: Resultatet i studien diskuterades i relation till tidigare forskning, relevant litteratur och Ida Jean Orlandos interaktionsteori. I diskussionen kommer det bland annat fram hur sjuksköterskans omvårdnadsansvar kan gå över i ett medberoende.

Abstract [en]

Background: The background describes aspects of the nurse’s profession and care responsibility within both general care and in dependent care. Furthermore, it describes the patient group with its problems, the concept of co-dependency and how it can impact the choice of nursing.  

Aim: The aim of this study has been to explore nurses’ view of what characterizes good care and co-dependency within the closed depending care.

Method: This study has a qualitative design with an inductive approach. Seven nurses at a   depending care unit in Stockholm were interviewed using an unstructured method. The material was then analyzed using qualitative content analysis.

Results: The result from the interviews developed into three categories: The nurse’s view of what   constitutes good care within depending care, The view of the phenomenon of co-dependency within depending care and finally, The nurse’s perception of what differentiates good care and co-dependency. The result reveals, among   other things, the fact that while the nurse, intellectually, had no major problems in separating the concepts of good care and co-dependency, in practice it proved to be harder to implement.

Discussions: The results are discussed in the context of previous research, other relevant literature and from Ida Jean Orlando’s interaction theory. In the discussion it reveals, among other things, how the nurses responsibility of care can develop into co-dependency.

Place, publisher, year, edition, pages
2016. , 42 p.
Keyword [en]
Good care, Substance use disorder, Co-dependency, Nurse
Keyword [sv]
God omvårdnad, Substansbrukssyndrom, Medberoende, Sjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6177OAI: oai:DiVA.org:esh-6177DiVA: diva2:1110142
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care 60 ECTS
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-06-15 Created: 2017-06-15 Last updated: 2017-06-15Bibliographically approved

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