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Vård i rörelse: En kvalitativ intervjustudie om den mobila vården
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 thesis
Abstract [sv]

Bakgrund: Vård i hemmet tycks bli allt mer nödvändigt när befolkningen blir allt äldre och det förordas i nationella utredningar om framtidens vårdorganisation. Det finns dock stora utmaningar med att förflytta vård av akut sjuka patienter från akutmottagningar till patienters hem. 

Syfte: Studiens syfte är att beskriva erfarenheter av den mobila vården.

Metod: Semistrukturerade intervjuer genomförs med 12 personer med erfarenhet av mobil vård i Sverige, så som sjuksköterskor, läkare, tjänstemän och politiker. Kvalitativ latent innehållsanalys användes som analysmetod.

Resultat: Studiens resultat redovisas utifrån ett tema “En holistisk vård given genom samverkan i patientens hemmiljö”, med tre huvudkategorier “gränslöst samarbete”, “resurser i närmiljö” och “helhetssyn av patienten”.  Studiens resultat visade att samverkan är av stor vikt för fungerande mobil vård. Det behövs både organisatoriskt samarbete mellan olika vårdorganisationer och ett nära samarbete mellan de olika läkare och sjuksköterskor som har hand om samma patient för att de ska kunna ta ett gemensamt ansvar för patienten. Eftersom mobil vård främst används för äldre multisjuka behövs en helhetssyn på patienten, där mobil vård ger patienter och anhöriga en upplevelse av trygghet.

Slutsats:  Studien antyder att den mobila vården ses som en rörlig vård som kommer till den vårdsökande och inte tvärtom. Resurserna fördelas där de gör mest nytta, det vill säga närmast individen. Den mobila vården ses som ett komplement till den traditionella sjukhusvården. Det innebär ett annorlunda arbetssätt som kräver ett tätt samarbete mellan olika personalkategorier och organisationer, där det inte pratas om gränser utan om patientens behov och situation.  

Abstract [en]

Introduction: Provision of mobile care at the home of patients appears to become necessary as the population becomes increasingly older. But there are challenges in moving acute care from hospitals to the home of patients.

Aim: The aim of the study is to describe the experiences of the mobile care.

Method: Semi structured interviews are conducted with 12 persons with experience of mobile care in Sweden, such as nurses, doctors, civil servants and politicians. Qualitative latent content analysis was used as an analysis method.

Result: The study's result is presented on the basis of a theme "A holistic care given through collaboration in the patient's home environment", with three main categories "borderless cooperation" "resources in the immediate environment" and "holistic view of the patient". The results show that cooperation is of utmost importance to achieve functioning mobile care. Cooperation both on an interorganizational level and on a close teamwork level is required for all of the involved parties in mobile care to take on a joint responsibility for the patient. As mobile care is foremost provided to elderly multimorbid patients, a comprehensive view on patient care is required in which the patient and its relatives experience security.

Conclusion: This study suggests that mobile care is seen as a moving care that comes to the seeking person and not the other way around. The resources are distributed where they make the most use, that is, closest to the individual. Mobile care is seen as a complement to the traditional hospital care. This means a different way of working that requires close collaboration between different categories of personnel and organizations, where it does not talk about boundaries but about the patient's needs and situation.

Place, publisher, year, edition, pages
2019. , p. 47
Keywords [en]
Mobile care, close care, mobile team, emergency care, security, patient safety, organization, collaboration, patients
Keywords [sv]
Den mobila vården, nära vård, mobila team, akutsjukvård, trygghet, patientsäkerhet, organisation, samverkan, patienten
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-85513OAI: oai:DiVA.org:lnu-85513DiVA, id: diva2:1326251
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Emergency Care, 60 credits
Supervisors
Examiners
Available from: 2019-06-18 Created: 2019-06-17 Last updated: 2019-06-18Bibliographically approved

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