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Sjuksköterskors erfarenheter av etiska dilemman inom psykiatrin
Karlstad University, Faculty of Arts and Social Sciences (starting 2013).
2013 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Utgångspunkten för studien var att sjuksköterskor inom psykiatrin är en yrkesgrupp som konfronteras med olika etiska dilemman inom vardagen. Det undersöktes sjuksköterskornas upplevda etiska dilemman inom deras verksamhetsområde som var psykiatrisk sluten- och öppenvård samt kommunal psykiatri för att få djupare förståelse om vad de som erfarna psykiatrisjuksköterskor ansåg som generella etiska dilemman och vilka tankar de hade kring potentiella lösningar.

Sju sjuksköterskor med vidareutbildning inom psykiatrin intervjuades om sina erfarenheter av etiska dilemman. Intervjuerna analyserades enligt Interpretative Phenomenological Analysis (IPA).

De två huvudteman som identifierades var lojalitetskonflikter och samarbete inom hierarkiska strukturer. Respondenterna upplevde etiska dilemman i situationer där de kände sig tvungna att välja mellan lojaliteten med patienten, mot organisationen eller mot sig själv som sjuksköterska. Som svårast uppfattades det att behöva agera i strid med egna värderingar. När känslor var involverade mindes dilemman starkast. Arbetsgruppen och läkaren på avdelningen beskrevs som potentiellt stöd i hanteringen av dilemman. Däremot upplevdes de också som utlösande faktorer för etiska dilemman, framförallt då sjuksköterskan blir medveten om den egna rollen inom den hierarkiska strukturen.

Studien bidrar till möjliga lösningsansatser för att motverka de negativa konsekvenser som etiska dilemman medför såväl för personal som för patienter.

Abstract [en]

The basis of the study was that nurses in psychiatry is a profession who are faced with various moral dilemmas in everyday life. It was examined nurses' perceived moral dilemmas within their field which was psychiatric inpatient and outpatient care and public psychiatry to gain a deeper understanding of what experienced psychiatric nurses considered that general ethical dilemmas are and what thoughts they had about potential solutions.

Seven nurses with further education in psychiatry were interviewed about their experiences with ethical dilemmas. It was used Interpretative Phenomenological Analysis (IPA) using verbatim transcriptions of the semi-structured interviews.

The two main themes which were identified were conflicts of loyalty and cooperation in hierarchical structures. Ethical dilemmas were not experienced by the respondents mostly by the compulsory treatment, respectively coercion - as it could be expected - but in situations where they felt forced to choose between loyalty to the patient, organization or herself as professional. The hardest perceived dilemmas were those that forced the nurses to act against their own values. When emotions were involved, dilemmas were remembered strongest. The working team and the doctor on the ward was considered as part of the solution of moral dilemmas. On the other hand they were experienced equally as triggering factor for moral dilemmas, especially when nurses got aware of the role they play within the hierarchical structure.

The study contributes to potential solution approaches to counteract the negative consequences that moral dilemmas entails both for personnel and for patients.

Place, publisher, year, edition, pages
2013. , 33 p.
Keyword [en]
ethics, moral dilemma, psychiatry, nurse
Keyword [sv]
etik, etiskt dilemma, psykiatri, sjuksköterska
National Category
Humanities
Identifiers
URN: urn:nbn:se:kau:diva-28290Local ID: PS:1OAI: oai:DiVA.org:kau-28290DiVA: diva2:633414
Subject / course
Psychology
Presentation
2013-06-05, Universitetet Karlstad, Karlstad, 13:00 (Swedish)
Supervisors
Examiners
Available from: 2013-07-04 Created: 2013-06-26 Last updated: 2013-07-04Bibliographically approved

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Mastersuppsats Michaela Hansen(310 kB)2819 downloads
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