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Sjuksköterskans möte med etiska situationer och problem
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
The nurse´s confrontation with ethical situations and issues (English)
Abstract [sv]

I den dagliga vården möter sjuksköterskan ständigt situationer som har ett etiskt perspektiv. En utvecklad personlig etisk förmåga och en god kännedom om egna och andras värden är en betydelsefull del vid dessa möten. För att kunna möta etiska problem måste också den egna och patientens sårbarhet uppmärksammas och reflekteras. Sårbarheten kan ses som en tillgång, men kan också upplevas som en påfrestning som leder till känslomässig stress och ohälsa. På grund av denna påfrestning är det betydelsefullt att identifiera de situationer som sjuksköterskan uppfattar som etiskt problematiska samt beskriva upplevelsen av dessa för att kunna ge patienten en bättre vård. Syftet med studien var att beskriva sjuksköterskans upplevelser av etiska situationer och problem inom omvårdnaden. Studien genomfördes som en litteraturstudie där 18 vetenskapliga artiklar bearbetades och analyserades. Resultatet visar att sjuksköterskor drivs av en vilja att göra det bästa för patienten, och när inte denna vilja kan följas upplevs etiska situationer och problem. De upplevde underbemanning, bristande kompetens och oetiskt beteende hos kollegor som faktorer som gav upphov till etiska situationer och problem. Trots en medvetenhet om vad som är rätt och fel i en situation, begränsades sjuksköterskan av olika faktorer att bedriva god vård med patienten i fokus. För att öka den etiska medvetenheten krävs etisk reflektion samt forskning om hur sjuksköterskan använder etiska teorier, principer och riktlinjer i den vardagliga omvårdnaden.

Abstract [en]

In everyday health care the nurse is constantly confronted with situations presenting ethical issues. A developed personal ethical ability and a good knowledge of one´s own and others´ values is an important part in dealing with such situations. To be able to meet ethical issues the vulnerability of one´s own and of the patients´ must also be noticed and reflected upon. The vulnerability can be seen as an asset, but can also be experienced as a strain which leads to emotional stress. Because of this strain it is important to identify the situations that nurses experience as ethical complicated along with describing the experience of these situations. The aim of this study was to describe the nurse´s experience of ethical situations and issues in nursing practice. The study was conducted as a literature review where 18 research articles were processed and analyzed. The results showed that the nurse is compelled by a desire to do what is best for the patient. When this desire cannot be followed, ethical situations and issues arise. Nurses experienced understaffing, lack of competence and unethical behavior among colleagues as factors leading to ethical situations and issues. Despite a consciousness of what is right and wrong in certain situations, the nurse was limited by different factors in providing quality care with the patient in focus. Reflection of ethical issues and further research on how the nurse uses and applies ethical theories, principles and guidelines in the daily nursing practice, are all needed, in increasing ethical awareness. Awareness, in turn, leads to a “platform of courage” in confronting ethical issues.

Place, publisher, year, edition, pages
2011. , 16 p.
Keyword [en]
Ethical issues, ethical situations, ethics, experience, moral, nurse
Keyword [sv]
Etik, etiska problem, etiska situationer, moral, sjuksköterska, upplevelser
National Category
Nursing Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-15491OAI: oai:DiVA.org:hh-15491DiVA: diva2:425150
Subject / course
Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-06-22 Created: 2011-06-20 Last updated: 2011-06-22Bibliographically approved

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