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Dagkirurgi-patienters upplevelse av den fysiska och psykosociala vårdmiljön
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Kunskap om vårdmiljöns betydelse för patienten och dennes delaktighet i utformningen av miljön främjar välbefinnande hos patienten. I en personcentrerad omvårdnad är miljö en viktig komponent i människans läkeprocess. Syftet med denna studie var att beskriva upplevelsen av den fysiska och psykosociala vårdmiljön för kvinnor som opererades på dagkirurgisk avdelning på grund av bröstcancer från inskrivning till omedelbart innan sedering. Metoden var en kvalitativ, semistrukturerad intervjustudie. Strategiskt urval användes för att rekrytera informanter och åtta personer deltog. Kvalitativ innehållsanalys valdes för att utföra analys på intervjumaterialet. Studiens resultat visade att informanterna hade en positiv upplevelse av vårdmiljön på avdelningen. Beskrivningar av upplevelsen av den fysiska vårdmiljön på avdelningen varierade men var generellt positiv. Ren och trevlig miljö var betydelsefullt för informanternas upplevelse. En hemlik känsla upplevdes. Eget rum uppskattades högt av informanterna vilket förknippades med integritet. Det förekom dock upplevelser av brister i hur integriteten bevaras på grund av vårdmiljöns utformning, i synnerhet i det gemensamma väntrummet. Informanterna upplevde professionalism och kompetens hos personalen vilket skapade en känsla av trygghet och förtroende. Personalens goda arbetssätt och bemötande skapade en känsla av harmoni och trygghet vilket upplevdes som lugnande. Slutsatsen är att vårdmiljön på avdelningen påverkade informanternas upplevelse generellt positivt. Även om upplevelsen av den fysiska miljön på avdelningen inte beskrevs vara optimal vägde upplevelsen av den psykosociala vårdmiljön och det goda bemötandet upp informanternas helhetsupplevelse.

Abstract [en]

Knowledge about the importance of nursing environment and patients’ participation in its design promote patients’ well-being. In person centred care, environment is an important component of the human healing process. The aim of this study was to describe the experience of the physical and psychosocial nursing environment in women who underwent day surgery due to breast cancer from registration to immediately before sedation. The method used was qualitative semi structured interview study. Strategic selection was used to recruit informants where eight patients participated. Qualitative content analysis was chosen to analyse the data. The results showed that the informants had a positive experience of the nursing environment at the department. Described experiences in the physical nursing environment varied but were generally positive. Clean and friendly environment was important for the informants’ experience. A “just like home” experience was described. Having a private room was highly appreciated by the informants, which they associated with experienced integrity. However, there were experiences of deficiencies in how integrity was preserved in the common waiting room due to its design. Experienced professionalism and skills in the nursing staff resulted in a sense of security and trust. The nursing staff’s good working methods and patient treatment created a sense of harmony and security that was experienced as calming. In conclusion, the department’s nursing environment affected the informants' experience generally positive. Although the experience of the physical nursing environment was described as not optimal, experience of the psychosocial nursing environment and good patient treatment outweighed the informants' overall experience.

Place, publisher, year, edition, pages
2018.
Keywords [en]
nursing care, nursing environment, day surgery, patient treatment
Keywords [sv]
Omvårdnad, vårdmiljö, dagkirurgi, bemötande
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-354413OAI: oai:DiVA.org:uu-354413DiVA, id: diva2:1221154
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot operationssjukvård
Supervisors
Examiners
Available from: 2018-06-20 Created: 2018-06-19 Last updated: 2018-06-20Bibliographically approved

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