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Debriefing och avlastningssamtal ur intensivvårdssjuksköterskans perspektiv
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The intensive care nurse's perspective of debriefing and defusing (English)
Abstract [sv]

Bakgrund: Arbetet på en intensivvårdsavdelning innefattar ofta ett högt tempo och intensivvårdssjuksköterskan förväntas utöver sin kunskap inom medicin och omvårdnad, kunna hantera de psykologiska reaktionerna som kan uppstå i samband med kritiska tillstånd.Debriefing och avlastande samtal är båda verktyg för att bearbeta känslor då en svår situation inträffat. Syfte: Att belysa intensivvårdssjuksköterskors upplevelser om vad som påverkar behovet av debriefing och avlastande samtal i det dagliga arbetet. Metod: Genom ett strategiskt urval valdes totalt 10 intensivvårssjuksköterskor ut att delta i denna deskriptiva kvalitativa studie, som genomfördes på tre olika intensivvårdsavdelningar i Sverige. Halvstrukturerade intervjuer utfördes och analyserades i enlighet med Granheim och Lundmans metod för kvalitativ innehållsanalys. Resultat: Sjuksköterskorna upplevde generellt ett behov av debriefing/avlastande samtal i samband med större olyckor. Behovet påverkades av olika faktorer som presenteras i kategorierna; akut och/eller oväntad händelse, etiska dilemman, igenkännande och personligt engagemang, personliga förmågor, erfarenhet, tid och ansvar. Slutsats: Erfarenhet i yrket underlättade för sjuksköterskorna att bearbeta svåra händelser på egen hand, medan igenkännande, i form av sjuksköterskans egna livsituation och föräldraskap, ökade behovet av debriefing/avlastande samtal.

Abstract [en]

Background: The work at an intensive care unit often involves a high tempo and the specialist nurse in intensive care is expected, in addition to the medical and nursing knowledge, to deal with the psychological reactions that may arise in critical conditions. Debriefing and defusing are both tools to process emotions when a difficult situation occurred. Aim: To illustrate intensive carenurses experience of what effects the need of debriefing and defusing in the daily work. Method:This descriptive qualitative study was conducted in three different intensive care units in Sweden.Through a strategic selection were a total of 10 intensive care nurses selected to participate in semi-structured interviews. Which were performed and analyzed in accordance with Granheimand Lundman's method for content analysis. Result: Intensive care nurses generally experience aneed of debriefing/defusing for major accidents. The need is affected by various factors which are presented in following categories; acute or unexpected situation, ethical dilemmas, recognition and personal engagement, personal abilities, experience, time and responsibility. Conclusion:Professional experience made it easier for intensive care nurses to process difficult situations on their own, while recognition, such as life situation and parenthood, increased the need for debriefing/defusing.

Place, publisher, year, edition, pages
2012. , 30 p.
Keyword [en]
debriefing, defusing, intensive care nurs*, intensive care
Keyword [sv]
debriefing, avlastande samtal, intensivvårdssjuksköterska, intensivvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-13526Local ID: OMV D-6OAI: oai:DiVA.org:kau-13526DiVA: diva2:531771
Subject / course
Emergency Care Specialist Nursing, Intensive Care Nursing, Graduate Diploma
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-06-14 Created: 2012-06-07 Last updated: 2012-06-14Bibliographically approved

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Debriefing och avlastningssamtal ur intensivvårdssjuksköterskans perspektiv(240 kB)1058 downloads
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