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Vårdrelationens innebörd för patienter inom psykiatrisk tvångsvård: en litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies.
University of Gävle, Faculty of Health and Occupational Studies.
2010 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Det är sjuksköterskans ansvar att etablera en vårdrelation där patienten känner sig trygg, därför var det viktigt att belysa patientens egen uppfattning om vårdrelationens innebörd och vad det kan ha för betydelse för omvårdnaden. Syftet med studien var att undersöka vårdrelationens innebörd för vuxna patienter inom psykiatrisk tvångsvård. Studien är litteraturstudie med kvalitativ och deskriptiv design. Det gjordes en artikelsökning i Cinahl och PubMed med sökorden psychiatric care, caring relationship, coercion samt patients experiences. Artiklarna som valdes ut kvalitetsgranskades och sedan gjordes en manifest innehållsanalys. Den resulterade i sex kategorier: att känna sig åsidosatt, förlorat människovärde, maktlöshet, att bli tagen på allvar, medmänsklighet samt delaktighet. Därefter gjordes en tolkning av det manifesta innehållet, dvs. en latent innehållsanalys, där urskiljdes två teman: ensidighet och ömsesidighet. Patienterna beskrev antingen att de upplevde en distans från vårdarna eller att vårdarna bemötte dem på ett jämlikt plan. Eftersom patienterna är i en beroendeställning inom psykiatrisk tvångsvård blir relationen ojämn (asymmetrisk). En ömsesidig vårdrelation kan ses som en moralisk norm som banar väg för upprättandet av en vårdgemenskap.

Abstract [en]

It is the nurse's responsibility to establish a caring relationship in which the patient feels safe, therefore it was important to highlight the patient's own perception of the caring relationship and what it means to caring. The aim of this study was to investigate the meaning of the caring relationship for adult patients in compulsory psychiatric treatment. The study was a literature review with qualitative and descriptive design. The search for scientific articles was done by the databases in Cinahl and PubMed with the keywords psychiatric care, caring relationship, coercion, and patient experiences. The selected articles were quality reviewed and then a content analysis of the manifest content was made which resulted in six categories: to feel disregarded loss of dignity, powerlessness, to be taken seriously, humanity and participation. Thereafter, an interpretation of the manifest content, i.e. a latent content analysis was made. Two themes were discerned: one-sidedness and mutuality. Patients described either that they experienced a distance from the health personal or that they responded to them on an equal plane. Since patients are in a dependent position in compulsory psychiatric treatment relationship becomes uneven (asymmetrical). A mutual caring relationship can be seen as a moral standard that paves the way for the establishment of a community.

Place, publisher, year, edition, pages
2010. , p. 24
Keywords [en]
psychiatric care, caring relationship, coercion, patient`s experience, content analysis
Keywords [sv]
psykiatrisk vård, vårdrelation, tvång, patientens upplevelse, innehållsanalys
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-7185Archive number: FKOMVC/2010nr25OAI: oai:DiVA.org:hig-7185DiVA, id: diva2:330578
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-08-16 Created: 2010-07-02 Last updated: 2010-08-16Bibliographically approved

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