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Abort: Sjuksköterskors upplevelser vid avbrytande av graviditeter inom gynekologisk vård
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Abortion : Nurses' experiences with termination of pregnancies in gynecological care (English)
Abstract [sv]

Bakgrund: Internationellt existerar fortfarande illegala aborter med kvinnans hälsa, och i somliga fall liv, som insats. Inom gynekologisk vård i Sverige arbetar allmänsjuksköterskor vilka vars arbetsuppgifter bland annat består av att vårda kvinnor som genomgår inducerade aborter. Deras arbete vilar på den svenska abortlagens bestämmelser om kvinnans rätt till fri abort samt den övergripande hälso- och sjukvårdslagen. Allmänsjuksköterskor har fått en mer framträdande roll i arbetet med inducerade aborter i takt med den ökade användningen av den medicinskt inducerade aborten. I sitt arbete ställs sjuksköterskorna inför specifika arbetsuppgifter vilka kan tyckas påfrestande. Hälso- och sjukvårdslagen kräver vård på lika villkor och ett mål om god hälsa, detta gäller även sjuksköterskors arbete.

Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att vårda kvinnor som genomgår en inducerad abort.

Metod: En litteraturöversikt bestående av tio vetenskapliga studier, varav åtta av dessa var av kvalitativ ansats. Litteratursökning utfördes huvudsakligen i vårdvetenskapliga databaser. Dataanalysen genomfördes med textanalys och resulterade i sju centrala teman.

Resultat: Resultatet visade att flertalet sjuksköterskor stöttade kvinnans rätt till abort, men trots detta kantades tillvaron av varierande attityder gentemot kvinnan och hennes beslut om abort. Sjuksköterskorna upplevde omvårdnaden som krävande samt förekomst av moraliska dilemman och etisk stress. Att ha ett professionellt förhållningssätt och en icke-dömande attityd var viktiga inslag i arbetet. Sjuksköterskorna efterlyste handledning och utbildning samt ett reflekterande arbetsklimat som ett medel för att uppnå och bevara sin egen hälsa på arbetsplatsen.

Diskussion: En tolkning av resultatet utfördes utifrån Hesook Suzie Kims Human Living Concept. Diskussion fördes hur vårdrelationen påverkas av sjuksköterskors upplevelser av att arbeta med inducerade aborter samt sjuksköterskors behov av reflektion, handledning och utbildning på arbetsplatsen.

Abstract [en]

Background: From an international perspective women are still subject to illegal abortions, putting their health, and in some cases their life, at risk. In gynecological care in Sweden nurses duties consists, amongst others, of caring for women undergoing induced abortion. Their work is based on the swedish abortion law on women's right to abortion aswell as the health care law. Nurses have been given a more prominent role regarding induced abortions in pace with the increasing use of the medically induced abortion. In this work, the nurses are exposed to specific tasks which can seem demanding. The health care law requires care on equal terms, and a goal of good health, this should also apply to the nurses’ work.

Aim: The aim was to describe nurses' experiences of caring for women undergoing induced abortion.

Methods: A literature review consisting of ten scholarly articles, eight of which were of a qualitative approach. Literature searches were primarly conducted in health science databases. Data analysis was performed with text analysis and resulted in seven key themes.

Results: The results showed that the majority of nurses supported the woman's right to abortion. Despite this, differing attitudes existed towards the women and their decisions on abortion. The nurses felt that caring was demanding and pointed out the existence of moral dilemmas and ethical stress. A professional approach and a non-judgmental attitude were important elements in the work. The nurses called for supervision and education, and a reflective working climate as a means of achieving and maintaining their own health in the workplace.

Discussions: Interpretation of the results was performed using Hesook Suzie Kim's Human Living Concept. Discussion reflected on how the care relationship is affected by the nurses’ experiences of working with induced abortions and nurses’ need of reflection, supervision and training in the workplace.

Place, publisher, year, edition, pages
2012. , 36 p.
Keyword [en]
Induced abortion, nurse, caring, experience, support.
Keyword [sv]
Inducerad abort, allmänsjuksköterska, omvårdnad, upplevelse, stöd.
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-2027OAI: oai:DiVA.org:esh-2027DiVA: diva2:603421
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2013-02-06 Created: 2013-02-05 Last updated: 2013-02-06Bibliographically approved

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