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Sjuksköterskors upplevelser av att möta patienter med psykisk ohälsa inom somatisk vård - en kvalitativ intervjustudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' experiences of meeting patients with mental illness in somatic care : a qualitative interview study (English)
Abstract [sv]

Bakgrund: Personer som drabbats av allvarlig psykisk ohälsa har en ökad risk att även drabbas av somatisk sjukdom. Dessa patienter riskerar även att i högre grad hospitaliseras vid långa sjukhusvistelser än andra patienter. Forskning visar att sjuksköterskor inom såväl psykiatrisk som somatisk vård upplever svårigheter att samtala med patienter med psykisk ohälsa. Inom somatisk vård tenderar sjuksköterskor att uppleva dessa patienter som farliga och oförutsägbara. Sjuksköterskor upplever också att de kunskaper som de har med sig i mötet med patienter med psykisk ohälsa är bristfälliga.

Syfte: Syftet med studien var att undersöka sjuksköterskors upplevelser av att möta patienter med psykisk ohälsa inom somatisk vård.

Metod: Studien är genomförd med en kvalitativ design där enskilda semistrukturerade intervjuer har genomförts med 11 sjuksköterskor inom kommunal hemsjukvård och somatiska slutenvårdsavdelningar. En kvalitativ innehållsanalys har använts för att analysera data.

Resultat: Sjuksköterskornas upplevelser av att möta patienter med psykisk ohälsa inom somatisk vård belyser utsatthet i yrkesrollen, att inte räcka till för patienterna, upplevelser av patienters utsatthet och att erfarenhet och kännedom ger upplevelse av trygghet i arbetet. Upplevelse av osäkerhet kunde skönjas genomgående i resultatet och utgör ett tema.

Slutsats: Upplevelse av osäkerhet framträder i relation till behovet av trygghet i mötet med patienter med psykisk ohälsa. Osäkerhet riskerar att bli ett hinder för trygghetsskapande. För de sjuksköterskor som har tidigare erfarenheter av möten som upplevs lyckade kan en större känsla av trygghet infinna sig. Med denna trygghet kan de ha bättre förutsättningar att ge en vårdande vård.

Abstract [en]

Background: Persons who are affected by severe mental illness have a higher risk to be affected by somatic illness. These patients are more likely to be hospitalized for long hospital stays. Research shows that nurses in both psychiatric and somatic care experience difficulties in communicating with patients with mental illness. Research also shows that nurses in somatic care tend to experience these patients as dangerous and unpredictable. Nurses also feel that the knowledge they bring in the meeting with patients with mental illness is inadequate.

Aim: The purpose of the study was to investigate nurses' experiences of meeting with patients with mental illness in somatic care.

Method: The study has been conducted with a qualitative design in which individual semistructured interviews have been conducted with 11 nurses in municipal home care and somatic hospital care services. A qualitative content analysis has been used to analyze data.

Results: Nurse's experiences of attending patients with mental illness in somatic care illustrate experiences of vulnerability in the profession, to not be enough for patients, experiences of patient vulnerability, experience and know-how gives experience of safety at work. Experience of uncertainty could be seen throughout in the result and constitutes a theme.

Conclusion: Experience of uncertainty appears in relation to the need for security in the meeting with patients with mental illness. Uncertainty risks becoming an obstacle to security creation. For those nurses who have previous experiences of meetings that are perceived as successful, a greater sense of security can emerge. With this security, they can have better conditions for providing caring care.

Place, publisher, year, edition, pages
2019. , p. 43
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-80896OAI: oai:DiVA.org:lnu-80896DiVA, id: diva2:1292947
Subject / course
Health care science
Educational program
Specialist Nursing Programme, with Specialism in Psychiatric Care, 60 credits
Supervisors
Examiners
Available from: 2019-03-04 Created: 2019-03-01 Last updated: 2019-03-04Bibliographically approved

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