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Sjuksköterskors upplevelser av etiska dilemman inom sluten psykiatrisk vård
Kristianstad University, School of Health and Society.ORCID iD: 0000-0002-3671-1336
Kristianstad University, School of Health and Society.
2013 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses experiences of ethical dilemmas in closed psychiatric care (English)
Abstract [sv]

Bakgrund: All sjukvård som bedrivs i Sverige är frivillig, även den psykiatriska vården. Dock kan vården ibland ske med tvångslagar mot patienters vilja. När sjuksköterskan begränsar en patients autonomi i form av tvångsåtgärder kan det bidra till att sjuksköterskan upplever det etiskt jobbigt även om syftet är att göra gott för patienten. Syfte: Syftet med litteraturstudien var att belysa sjuksköterskors upplevelser av att utföra tvingande åtgärder mot patienter med psykossjukdom inom psykiatrisk slutenvård, ur ett etiskt perspektiv. Metod: En litteraturstudie med tio kvalitativa artiklar bearbetades och analyserades av författarna. Utifrån analysen kunde kategorier skapas utifrån de fynd författarna fann i flera av artiklarna. Resultat: Vid utförandet av tvångsåtgärder upplevde sjuksköterskor etiska dilemman. Genom relation, ändamål och reflektion upplevde sjuksköterskorna att patienternas autonomi kunde respekteras och behandlas bättre. Diskussion: Med grunden i kategorierna från resultatet diskuterades de etiska upplevelserna av att utföra tvingande åtgärder. Ett centralt begrepp som kunde beskriva förhållandet mellan sjuksköterska och patient var paternalism. Lagarna HSL och LPT diskuterades och ställdes i konflikt mot varandra.

Abstract [en]

Background: All medical care performed in Sweden is optional, even in the psychiatric care. Although the care can sometimes be coercive by law and therefore against the patients will. When the nurse limits the autonomy of a patient by coercive measures the nurse may experience it as it ethically difficult even if it is for the best interest of the patient. Purpose: The purpose of the literature study is to highlight nurses experiences when performing coercive measures against patients with psycothic diseases in psychiatric closed care, from an ethical perspective. Method: A literature study with ten qualitative studies was processed and analyzed by the authors. From the analysis the authors were able to make categories out from the finds in most of the articles. Result: When performing coercive measures the nurses experienced ethical dilemmas. By relation, purpose and reflection the nurses experienced that the autonomy of the patients could be respected and treated better. Discussion: By using the categories from the result as a basis the ethical experiences of performing coercive measures were discussed. A main concept that described the relationship between nurse and patient was paternalism. The HSL and LPT- laws were discussed and put in conflict against eachother.

Place, publisher, year, edition, pages
2013. , 28 p.
Keyword [en]
nurses, experiences, ethics, psychiatric care, coercive care
Keyword [sv]
sjuksköterskor, upplevelser, etik, psykiatrisk vård, tvångsvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-10680OAI: oai:DiVA.org:hkr-10680DiVA: diva2:631769
Educational program
Study Programme in Nursing
Presentation
(Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2013-07-01 Created: 2013-06-23 Last updated: 2013-07-01Bibliographically approved

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CiteExportLink to record
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