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Kommunicera mera...: Vårdpersonals erfarenheter av kommunikationssituationen vid CPAP-utprovning
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Många patienter med obstruktivt sömnapnésyndrom (OSAS) som behandlas med Continuous Positive Airways Pressure (CPAP) avbryter sin behandling i ett tidigt skede. Att inte vara följsam behandlingen kan innebära olika hälsorisker för patienten som kan få allvarliga konsekvenser. Kommunikationssituationen vid det initiala utprovningsbesöket kan därför påverka huruvida patienten inte blir följsam och fullföljer behandlingen. Syftet med denna studie var att belysa hur vårdpersonal beskriver sina erfarenheter av kommunikationssituationen vid det initiala utprovningsbesöket av CPAP. En kvalitativ intervjustudie genomfördes med 23 personer som alla möter denna grupp av patienter.  Som analysmetod användes induktiv innehållsanalys. Vid analysen av materialet framkom tre kategorier; Bygga en relation, Inta ett pedagogiskt förhållningssätt samt Stödja patientens delaktighet. Dessa tre kategorier mynnade ut i ett tema som visade på hur kommunikationssituationen beskrevs Skapa förutsättning för lärande hos patienten. Studien belyser vikten av en samskapande vård och ett personcentrerat förhållningssätt där patienten ses som en partner i de beslut som tas samt hur vårdpersonalens pedagogiska förhållningssätt påverkar kommunikations-situationen på olika sätt. Erfarenheterna som beskrevs i studien upplevdes påverka patientens möjligheter till lärande i situationen för en ökad följsam till sin CPAP-behandling.

Abstract [en]

Many patients with obstructive sleep apnea syndrome (OSAS) treated with Continuous Positive Airways Pressure (CPAP) interrupt their treatment at an early stage. Not having adherence to the treatment implies various health risks for the patient that can have serious consequences. Therefore, the communicationsituation at the initial testing visit may affect whether the patient does not follow up and completes the treatment. The purpose of this study was to illustrate how healthcare professionals describe their experiences of the communicationsituation at the initial visit testing CPAP. A qualitative interview study was conducted with 23 people who all meet this group of patients. As an analytical method, inductive content analysis was used. In the analysis of the material three categories was revealed; Build a Relationship, Take an Educational Approach and Support the Patient's Participation. These three categories emerged in a theme that demonstrated how the communication situation was described as Creating a prerequisite for learning for the patient. The study highlights the importance of a person-centered approach, a co-productive care where the patient is seen as a partner in the decisions and how the healthcare professionals' pedagogical approaches affect the communicationsituation in different ways. The experiences described in the study were perceived to affect the patient's ability to learn in the situation for an increased adherence to the CPAP treatment.

Place, publisher, year, edition, pages
2018. , p. 29
Keywords [en]
Adherence, communication, Continuous Positive Airways Pressure (CPAP), CoProduction, healthcare professionals´, obstructive sleep apnea, patient education, person-centered care.
Keywords [sv]
Continious Positive Airways Pressure (CPAP), följsamhet, kommunikation, obstruktivt sömnapnésyndrom, patientutbildning, personcentrerad vård, samskapande omvårdnad (CoProduction), vårdpersonal.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-40516ISRN: JU-HHJ-OMA-2-20180383OAI: oai:DiVA.org:hj-40516DiVA, id: diva2:1220361
Subject / course
HHJ, Nursing Science
Supervisors
Examiners
Available from: 2018-06-19 Created: 2018-06-18 Last updated: 2018-06-19Bibliographically approved

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CiteExportLink to record
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Citation style
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