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Det är ju ändå en människa som vi vårdar!: Synen på den missbrukande patienten inom psykiatrisk omvårdnad
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
It's a human being that we're caring for! : The view of the substance misusing patient in psychiatric nursing (English)
Abstract [sv]

Bakgrund: Internationell forskning visar att det från vårdpersonalens sida existerar dömande attityder gentemot patienter med drog- och alkoholmissbruk. Patienterna tillskrivs som grupp negativa egenskaper såsom att de är aggressiva, manipulativa och farliga och att arbeta med omvårdnad av dessa patientgrupper har lägre status än omvårdnaden av andra patienter. Motsvarande studier gällande hur det ser ut i en svensk kontext har däremot inte identifierats och således existerar här en kunskapslucka.

Syfte: Studiens syfte var att beskriva sjuksköterskors syn på patienter med missbruksproblem inom psykiatrisk omvårdnad.

Metod: Studien har genomförts som en empirisk intervjustudie med kvalitativ ansats. En fokusgruppsintervju genomfördes med fyra aktiva sjuksköterskor som deltagare. Fokusgruppsintervjun analyserades med hjälp av en kvalitativ innehållsanalys.

Resultat: Analysen resulterade i åtta kategorier som urskilts ur materialet: Kontakt genom vinnande strategi, Den självvalda kontaktlösheten, Den hämmande vårdmiljön, Människan som helhet, Den individreducerande vårdkulturen, Livsöde, Den onda cirkeln samt Frustration.

Slutsats: Studien visar att sjuksköterskan inom psykiatrisk omvårdnad har en humanistisk människosyn som grund för omvårdnad av patienter med missbruksproblem. Denna människosyn hindras ibland av frustation som uppstår gentemot patienterna, av att patienterna reduceras till objekt, samt av den miljö i vilken sjuksköterskan och patienten möts, något som i sin tur leder till en mer naturalistisk människosyn.

Klinisk betydelse: Att utöka kunskapen om synen på den missbrukande patienten i kontexten psykiatrisk omvårdnad. Kunskapen kommer att kunna användas för att minska distinktionen mellan teori och praktik gällande hur den humanistiska människosynen appliceras inom den psykiatriska omvårdnaden.

Abstract [en]

Background: International research shows that there exist judgmental attitudes among nursing staff towards patients with drug and alcohol addiction. The patients as a group are assigned negative properties such as being aggressive, manipulative and dangerous, and caring for these patients have a lower status than the care of other patients. Corresponding studies of how it looks in a Swedish context have not been identified and thus there’s a gap in knowledge.

Aim: The aim of the study was to describe the nurses’ view of patients with substance misuse problems in psychiatric care.

Method: The study was conducted as an empirical interview study with a qualitative approach. A focus group interview was conducted with four active nurses as participants. The focus group interview was analyzed using a qualitative content analysis.

Results: The analysis resulted in eight categories out of the collected data: contact by winning strategy, the self-selected absence of contact, the inhibitory care environment, the human being in its entirety, the reduction of the individual by care culture, destiny, the vicious cycle and frustration.

Conclusion: The study shows that nurses within psychiatric care have a humanistic view of man as a basis for caring for patients with substance misuse problems. This view of man is hindered by frustration that arises in relation to the patients, that the patients are reduced to objects and the environment in which the nurse and the patient interact. This, in turn, leads to a more naturalistic view of man.

Clinical significance: To expand the knowledge regarding the view of the patient with substance misuse problems in psychiatric care. The knowledge will be usable to decrease the distinction between theory and practice regarding how the humanistic view of man can be practically applied to psychiatric care.

Place, publisher, year, edition, pages
2013. , 27 p.
Keyword [en]
Addict, Care, Humanism, Naturalism, View of Man
Keyword [sv]
Humanism, Missbrukare, Människosyn, Naturalism, Omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-683OAI: oai:DiVA.org:rkh-683DiVA: diva2:627653
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Available from: 2013-06-12 Created: 2013-06-12 Last updated: 2015-07-20Bibliographically approved

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