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Att vårda patienten inom operationssjukvård: en fenomenografisk studie
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.ORCID iD: 0000-0002-6291-0654
2014 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Syfte: Det övergripande syftet med avhandlingen var att beskriva uppfattningar av operationssjuksköterskans vårdande inom operationssjukvård och perioperativ vård

Metod: En kvalitativ beskrivande design med en fenomenografisk metod valdes i båda studierna (I och II). I studie I samlades data in genom intervjuer med 16 strategiskt utvalda legitimerade sjuksköterskor och studenter i sista terminen av grundutbildningen till sjuksköterska. I studie II samlades data in genom intervjuer med 15 kliniskt verksamma operationssjuksköterskor. Båda studierna analyserades enligt fenomenografisk metod.

Resultat: Resultatet av studie I visade att operationssjuksköterskans yrkesfunktion uppfattades som osjälvständig men ändå med ansvar för patientens vård utifrån specifika kunskaper i hygien och operationsmetodik. Omvårdnaden i yrkesfunktionen var otydlig och uppfattades som fragmentarisk eftersom operationssjuksköterskor enbart var delaktiga i en del av patientens vårdprocess och hade få möjligheter att skapa en vårdrelation med patienten. Resultatet i studie II visade att operationssjuksköterskor ville följa patienten hela vägen. Det innebar att lära känna patienten både före och efter operationen och därigenom bli ansvariga för att säkerställa patientens kontinuitet och säkerhet i vården. Genom att hålla ett vakande öga skyddade de patientens kropp och bevarade patientens värdighet.

Konklusioner: Operationssjuksköterskans yrkesfunktion ansågs som fragmenterad och uppfattades vara medicinskt och tekniskt inriktad. Det framkom att vårdandet inom operationssjukvård och perioperativ vård var otydlig. Det fanns en vilja att bli mer delaktig i patientens vård och att vårdandet blev tydligare för andra yrkeskategorier inom vård.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2014. , 55 p.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2014:3
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-30606ISBN: 978-91-7063-532-8 (print)OAI: oai:DiVA.org:kau-30606DiVA: diva2:675679
Presentation
2014-01-30, 1B 306, Karlstads universitet, Karlstad, 13:00
Opponent
Supervisors
Available from: 2014-01-07 Created: 2013-12-04 Last updated: 2016-05-25Bibliographically approved
List of papers
1. Nurses conceptions of the professional role of operation theatre and psychiatric nursers
Open this publication in new window or tab >>Nurses conceptions of the professional role of operation theatre and psychiatric nursers
2008 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 3, 9-13 p.Article in journal (Refereed) Published
Abstract [en]

The shortage of specialist trained nurses in the operating theatre and psychiatric care is a problem in Swedish health care. There is a great needfor recruitment since in both areas nurses have a high average age and few students register in these specialties at university. The reason for thelow interest for these specialties is not clear. The purpose of the study was to investigate nurses’ and nurse students’ conceptions of the professionalrole of operating theatre and psychiatric care nurses. A qualitative approach with phenomenographic method was used. Twelve nurses andfour nurse students were interviewed. Three categories of conceptions within each specialty emerged. Operating theatre nurses’professional rolewas perceived as: Dependent assistant, Responsible monitor and Fragmented nurse. Psychiatric nurses’ professional role was perceived as:Empathetic agent, Conscious diplomat and Fragmented nurse. The informants had difficulties in understanding the professional role in bothfields. One conclusion is that the theoretical and clinical training in basic nurse education play an important role for choosing specialist trainingas operating theatre nurse or psychiatric nurse.

Keyword
Nurse specialist training, operating theatre nurse, psychiatrc nurse, phenomenography
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-16222 (URN)
Available from: 2012-12-19 Created: 2012-12-19 Last updated: 2017-12-06Bibliographically approved
2. Making the invisible visible: Operating theatre nurses’ perceptions of caring in perioperative practice
Open this publication in new window or tab >>Making the invisible visible: Operating theatre nurses’ perceptions of caring in perioperative practice
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 2, 361-368 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe operating theatre nurses' (OTNs') perceptions of caring in perioperative practice. A qualitative descriptive design was performed. Data were collected with interviews were carried out with fifteen strategically selected operating theatre nurses from different operating theatres in the middle of Sweden. A phenomenographic analysis was used to analyse the interviews. The findings show that operating theatre nurses' perceptions of caring in perioperative practice can be summarised in one main category: To follow the patient all the way. Two descriptive categories emerged: To ensure continuity of patient care and keeping a watchful eye. The operating theatre nurses got to know the patient and as a result became responsible for the patient. They protected the patient's body and preserved patient dignity in perioperative practice. The findings show different aspects of caring in perioperative practice. OTNs wanted to be more involved in patient care and follow the patient throughout the perioperative nursing process. Although OTNs have the ambition to make the care in perioperative practice visible, there is today a medical technical approach which promotes OTNs continuing to offer care in secret.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2015
Keyword
care, operating theatre nurse, perioperative nursing
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-30605 (URN)10.1111/scs.12172 (DOI)000354260700019 ()25250842 (PubMedID)
Available from: 2013-12-04 Created: 2013-12-04 Last updated: 2017-12-06Bibliographically approved

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