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Sjuksköterskors upplevelse av att vårda patienter som motsätter sig behandling
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses’ experiences of caring for patients refusing treatment (English)
Abstract [sv]

Bakgrund: Att en patient motsätter sig behandling kan vara av religiösa, etiska eller moraliska skäl. Eftersom sjuksköterskans huvuduppgifter i sitt arbete är att främja hälsa, förebygga sjukdom, återställa hälsa samt att lindra lidande så är det av intresse att undersöka sjuksköterskans upplevelse av att vårda patienter som motsätter sig behandling. Syfte: Syftet var att beskriva sjuksköterskors upplevelse av att vårda patienter som motsätter sig behandling. Metod: En allmän litteraturstudie med induktiv ansats genomfördes och fyra kategorier framkom. Resultat: Resultatet visar att sjuksköterskors upplevelser av att vårda patienter som motsätter sig behandling innebär att: ha en god relation med patienten, respektera patientens autonomi, argumentera för patientens behandling, samt känna emotionell påverkan av patientens beslut. Det visade sig att en god relation mellan patient och sjuksköterska var viktigt när patienten motsätter sig behandling. Sjuksköterskor respekterade patienters autonomi även om de ibland försökte argumentera för att patienter skulle ta emot behandling. Sjuksköterskor kunde uppleva starka känslor som maktlöshet, frustration och ilska när patienten motsatte sig behandling. Konklusion: Studien visade att relationen mellan sjuksköterskan och patienten var viktigt i vårdandet av patienter som motsätter sig behandling. Sjuksköterskorna var noga med att respektera patientens autonomi. Ville inte patienten ta emot behandling försökte sjuksköterskan att få patienten att ta emot behandling. Fungerade inte detta kunde starka känslor upplevas.

Abstract [en]

Background: A patient’s refusal of treatment may be for religious, ethical, or moral reasons. Since the nurse’s main task in her work is to promote health, restore health, prevent illness and relieve suffering, it is of interest to investigate the nurse’s experience of caring for patients who refused treatment. Aim: The aim of this study was to describe the nurse’s experiences of caring for patients who refused treatment. Method: A literature review with an inductive approach and four categories emerged. Result: The study shows that nurse’s experiences of caring for patients who refuse treatment are: have a good relationship with the patient, respecting the patient’s autonomy, arguing for the patient’s treatment, and feel an emotional impact. It turned out that a good relationship between the patient and the nurse was important when the patient refused treatment. Nurses respected patient’s autonomy even although they sometimes tried to argue that patients would receive treatment. Nurses could experience strong feelings such as powerlessness, frustration, and anger when the patients refused treatment. Conclusion: The study showed that a good relationship between the nurse and the patient was important in the care of patients who refused treatment. The nurses were careful to respect the patient’s autonomy. If the patient did not want to receive treatment, the nurse tried to get the patient to receive treatment. If this did not work, strong feelings could be experienced.

Place, publisher, year, edition, pages
2020. , p. 12
Keywords [en]
Experience, nurse, nursing, treatment refusal
Keywords [sv]
Omvårdnad, sjuksköterska, upplevelse, vägrar behandling
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:hh:diva-42031OAI: oai:DiVA.org:hh-42031DiVA, id: diva2:1429385
Subject / course
Nursing
Educational program
Nursing Programme, 180 credits
Supervisors
Examiners
Available from: 2020-05-11 Created: 2020-05-11 Last updated: 2020-05-11Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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Language
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  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
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  • asciidoc
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