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Kvinnor med bröstcancer och deras upplevelser av delaktighet vid kort vårdtid: En intervjustudie
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.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Hälso- och sjukvården är skyldiga att främja patienters delaktighet i vården. För att patienter ska känna sig delaktiga behöver deras enskilda behov tillgodoses, för att uppnå detta behöver vårdpersonalen lyssna till patienten, ge adekvat information och tillsammans med patienten planera för dennes vård på ett respektfullt sätt. Bröstcancer är den vanligaste cancerformen för kvinnor, vårdtiden efter ett kirurgiskt ingrepp är kort. Kvinnor som drabbats av bröstcancer uttrycker ett stort behov av känslomässigt stöd och att känna sig delaktiga i vården. Syfte: Att beskriva kvinnors upplevelser av delaktighet vid kort vårdtid i samband med bröstcancerkirurgi. Metod: En kvalitativ induktiv metod har använts där semistrukturerade intervjuer genomfördes, dessa analyserades med Elo och Kyngäs innehållsanalys Resultat: Deltagarna ansåg att ett bra bemötande och närvarande vårdpersonal var viktigt för att de skulle känna sig delaktiga i vården särskilt med tanke på den korta tiden de befann sig på avdelningen. Dock uttryckte deltagarna att det hade varit svårt att få ett förtroende för vårdpersonalen då de vårdades under så pass kort tid. De upplevde att personalen utförde arbetet på rutin, vilket resulterade i att personliga samtal uteblev. Deltagarna hade önskat mer information och känslomässigt stöd under vårdtiden. Det framkom även upplevelser av att inte bli involverade i planeringen kring vården. Slutsats: För att göra kvinnor med bröstcancer delaktiga i den korta postoperativa vården behöver vårdpersonalen bemöta patienterna på ett respektfullt och individanpassat sätt, tillsammans med patienten planera vården, tänka på patientens integritet, vara närvarande och ge patienterna känslomässigt stöd.

Abstract [en]

Background: Healthcare is obliged to promote patients' participation in healthcare. In order for patients to feel involved, their individual needs need to be met, in order to achieve this, the healthcare staff need to listen to the patient, provide adequate information and, together with the patient, plan for their care in a respectful manner. Breast cancer is the most common form of cancer for women, the length of stay after surgery is short. Women who suffer from breast cancer express a great need for emotional support and to feel participation in the care. Aim: To describe women's experiences of participation in short-term care in connection with breast cancer surgery. Method: A qualitative inductive method has been used in which semi-structured interviews were conducted, these were analyzed with Elo and Kyngäs content analysis. Results: The participants felt that the interaction and a caring relationship, including a present healthcare staff, were important to feel involved in the care, especially in view of the short time they were in hospital care. However, the participants stated that it has been difficult to gain confidence in the healthcare staff when they were cared for in such a short time. They felt that the staff performed the work on routine, which resulted in personal conversations not being fulfilled. The participants wanted more information and emotional support during the care period. Experiences of not being involved in the planning of the care were also reported. Conclusion: To involve women with breast cancer in their postoperative care, healthcare professionals need to respond to the patients in a respectful and individualized manner, plan the care together with the patient, think about the patient's integrity, being present and give the patients emotional support.

Place, publisher, year, edition, pages
2019. , p. 33
Keywords [en]
breast cancer, participation, communication, patient experience, length of stay
Keywords [sv]
bröstcancer, delaktighet, personcentrerad vård, patientupplevelser, vårdtid
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-387538OAI: oai:DiVA.org:uu-387538DiVA, id: diva2:1329395
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot kirurgisk vård
Supervisors
Examiners
Available from: 2019-06-24 Created: 2019-06-24 Last updated: 2019-06-24Bibliographically approved

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