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Distriktssköterskans erfarenhet av stress i sitt arbete: - med fokus på moralisk stress
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Sjuksköterskor skattar sig att bli stressade av tidsbrist och resursbrist. Moralisk stress uppstår ur dilemman. Dilemmat uppstår när det finns begränsningar i organisationen, konflikter med bedömningar som andra har gjort hindrar en att göra det som egentligen anses riktigt och tankar uppkommer om vad som ska göras istället.

 

Syfte: Att undersöka distriktssköterskans erfarenhet av stress i sitt arbete på vårdcentral med fokus på moralisk stress.

 

Metod: En kvalitativ studie med semistrukturerade intervjuer har genomförts med åtta distriktssköterskor och analyserades med manifest kvalitativ innehållsanalys.

 

Resultat: Distriktssköterskorna erfor stress i många olika situationer och det som var mest framträdande var tidsbrist samt situationer i telefonrådgivningen. Det fanns ett större vårdbehov än vad det fanns läkartider och då kunde inte distriktssköterskorna ge den vård som de önskade. Regler och rutiner kunde upplevas som hindrande i mötet med patienten vilket gav uttryck som frustation och tankar om vad som var rätt att göra.

 

Slutsats: Distriktssköterskorna upplever stress, oro och frustration vid stor vårdtyngd, lite personal, brist på läkartider och när kommunikationen mellan kollegor och patienter brister. Distriktssköterskorna står inför dilemman på grund av att regler och rutiner i organisationen hindrar dem att utföra den vård de önskar vilket visar på att de erfar moralisk stress.

Abstract [en]

Background: Nurses think themselves to be stressed by time constraints and lack of resources. Moral distress arise out of dilemmas and these dilemmas emerge when there are limitations in the organization and conflicts between previous assessments and, contradicting thoughts about what can be done instead arise.

 

Purpose: To examine the district nurse's experience of stress in their work on health center, focusing on moral distress.

 

Method: A qualitative study with semi-structured interviews was conducted with eight district nurses and to analyze, manifest content analysis was used.

 

Results: The district nurse´s experience stress in many different situations, lack of time and struggles with telephone counseling was the most prominent. The need for care is greater than there are doctor’s appointments and the district nurses cannot provide the care they desire. When meeting with patients, rules and procedures can be more obstructive than helpful, this often led to feelings of frustration and second guessing the right thing to do.

 

Conclusion: District nurses experience stress, concern and frustration when there is too much workload, staff shortages, when times for doctors’ appointments are few and the communication between colleagues and patients is insufficient. The district nurses are facing these dilemmas because the rules and procedures in the organization prevent them from performing the care they desire. In other words, they are experiencing moral distress.

Place, publisher, year, edition, pages
2013.
Keyword [en]
Cooperation, district nurses, experiences, moral distress, stress, organization, work environment
Keyword [sv]
Arbetsmiljö, distriktssköterskor, erfarenheter, moralisk stress, organisation, samarbete, stress
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-30160OAI: oai:DiVA.org:lnu-30160DiVA: diva2:662308
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Primary Health Care, 75 credits
Supervisors
Examiners
Available from: 2013-11-11 Created: 2013-11-06 Last updated: 2013-11-11Bibliographically approved

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