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Helsefremmende samarbeid – en viktig triveselfaktor i anestesisykepleierfaget.: En kvalitativ studie av anestesisykepleieres opplevelse av sitt arbeidsmiljø
Nordic Council of Ministers, Nordic School of Public Health NHV.
2009 (Norwegian)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Health promoting collaboration - an important factor of well-being in anaesthesia nursing. : A qualitative study of anaesthesia nurses` experience of their working environment. (English)
Abstract [no]

Bakgrunn: Medarbeiderundersøkelsen i 2006 ved anestesiavdelingen seksjon 2, Rikshospitalet iOslo, avdekket dårlige skår for anestesisykepleieres mulighet til å påvirke sin egen arbeidssituasjon.

Hensikt: Hensikten med studien var å kartlegge faktorer i anestesisykepleierens arbeidssituasjon som oppleves som helsefremmende og å finne ut på hvilken måte ledelsen kunne bidra til et mer helsefremmende arbeidsmiljø. Nytteverdien av studien blir at de faktorer som fremmer helse foranestesisykepleiere blir synliggjort overfor ledelsen.

Metode: Det ble brukt en kvalitativ metode med intervjuer av fjorten yrkesaktive anestesisykepleiereved seks forskjellige anestesiavdelinger. En modifisert Grounded Theory ble benyttet somanalysemetode.

Resultat: Analysen av intervjuene resulterte i kjernekategorien: Samarbeid på godt og vondt,anestesisykepleierens lodd i yrkeslivet og tre kategorier: Ledelsen som premissleverandør; Trivsel iet operasjonsmiljø; Rolleklarhet.Kjernekategorien belyser den koordinerende helheten som anestesisykepleieren i varetar i forhold tilpasient og andre profesjoner. Den beskriver både en stor tilfredsstillelse i arbeidssammenheng men samtidig gir den en anelse om at uoverensstemmelser kan forekomme. Ledelse utkrystalliserte segsom en viktig faktor for å tilrettelegge for et helsefremmende arbeidsmiljø, slik at grunnleggende behov ble tilfredsstilt. Produksjonspress og kommunikasjonsvansker i forhold til de nære samarbeidspartnere var faktorer som opplevdes som demotiverende og kunne noen ganger skapemistillit. Kollegastøtte spilte en avgjørende rolle i anestesisykepleiernes opplevelse av et godtarbeidsmiljø. En sammenfattende modell ble utviklet som beskriver grunnforutsetninger for utøvelseav sitt fag, hinder og begrensninger, opplevelsen av optimal pasientbehandling og ledelsens overordnede påvirkningspotensiale på både de positive og negative faktorene.

Konklusjoner: Studien viser at flere viktige faktorer medvirker til at arbeidsmiljøet oppleves som helsefremmende for anestesisykepleiere. Ledelsen er en viktig faktor og den bør være mer aktiv vedå gi forsvarlige rammer for drift, og i større grad initiere helsefremmende tiltak og motivere til bedresamarbeid mellom profesjonene. Andre viktige faktorer for trivselen var det selvstendige arbeidet og det tverrfaglige samarbeidet om pasienten.

Abstract [en]

Background: The 2006 employee survey from Anaesthesia Unit 2, at Oslo’s Rikshospital, revealedlow scores regarding anaesthesia nurses` opportunity to influence their own work situation.

Purpose: This study aimed to examine work factors that anaesthesia nurses perceive health promoting and to analyze how hospital leadership could initiate a healthier work environment. The value of this assessment is that factors that promote a healthy work environment for anaesthesia nurses will become visible to department management.

Method: A qualitative method was used, which included interviews with fourteen anaesthesianurses, working in six different departments. A modified Grounded Theory was applied as a methodfor analysis.

Result: Analysis of the interviews yielded a core category: Cooperation for Better or Worse-Anaesthesia Nurses` “Ticket” in the Workplace, and three categories: Leadership, An Organizer of Conditions; Well-being in an Operations Environment and Clarity of Roles.The core category illustrates the coordinated entirety that anaesthesia nurses consider a safeguard inrelation to the patients and other professions. Nurses described great satisfaction in their work aswell as an inkling that differences can occur. Leadership was crystallized as an important factor infacilitating a healthy working environment that satisfies basic personal and professional needs. The respondents perceived production pressure and communication difficulties with close collaborators,as demotivators that sometimes caused lack of trust. Collegial support was a crucial factor in creatingthe perception of a good working environment. A model was developed, which illustrates the basic conditions of practicing the profession, obstacles and restrictions, how nurses experience optimal patient care and fundamental and potential influence of department leadership on both positive and negative factors.

Conclusions: The study shows that several important factors contribute to a healthy working environment for the anaesthesia nurses. Leadership should work more actively toward developing ajustifiable framework of management and initiating health promoting efforts that motivate better cooperation between team members. Other important factors for well-being in the workplace included independent work and interdisciplinary collaboration around patient care.

Place, publisher, year, edition, pages
2009. , 54 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2009:8
Keyword [en]
Nurse Anesthetists, Workplace, Health Promotion, Leadership, Management
Keyword [no]
Anestesisykepleier, arbeidsplass, helsefremmende, ledelse
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3158OAI: oai:DiVA.org:norden-3158DiVA: diva2:722001
Presentation
2009-10-30, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 13:39 (Norwegian)
Supervisors
Note

ISBN 978-91-85721-75-7

Available from: 2014-06-05 Created: 2014-06-05 Last updated: 2015-01-13Bibliographically approved

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