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Ambulanssjuksköterskors upplevelser av smärtlindring av barn i en prehospital kontext - en kvalitativ intervjustudie
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Ambulance nurses’ experience of pain relief to children in a prehospital context - a qualitative interview study (English)
Abstract [sv]

Syftet med denna studie är att studera ambulanssjuksköterskors upplevelser av att bedöma och vårda barn under tio års ålder med akut smärta i en prehospital kontext.

 

Metod: Studien utfördes som en kvalitativ empirisk intervjustudie baserad på fem öppna frågor. Tio ambulanssjuksköterskor intervjuades och fick beskriva positiva och negativa upplevelser av att omhänderta barn 0-10 år med akut smärta i prehospital kontext. Materialet analyserades genom en kvalitativ innehållsanalys med en manifest och latent ansats.

 

Resultat: Upplevelser av det vårdande mötet var en utmaning. Ambulanssjuksköterskan förberedde sig inför smärtbehandling under framkörningen till barnet. En bra smärtlindring var förenad med ett gott omhändertagande men smärtbehandlingen var svår och mångfacetterad. Vikten av stöd och samarbete prehospitalt från kollegorna och andra personalgrupper framkom liksom frustration som följd av kommunikationssvårigheter med barnet. Vikten av att skapa en god kontakt med barnet och dess anhöriga betonades och det fanns en upplevelse av otillräcklighet och utrymme för förbättring kring barn och smärta. Ambulanssjuksköterskan upplevde otillräcklighet i sitt yrkesutövande och mer utbildning önskades. Behovet av alternativa behandlingsprinciper lämpliga för barn där ambulanssjuksköterskan inte behöver sticka barnet efterfrågades.

 

Slutsats: Den prehospitala vården behöver utvecklas ytterligare på flera områden avseende riktlinjer, metoder för att skatta barns smärta och vid omhändertagandet av de yngsta barnen. Mera utbildning kring barn och smärta är önskvärt samt utveckling kring andra administrationssätt än perifer venkateter.

Abstract [en]

The purpose of this study is to find out the ambulance nurses experience in assessing and nursing children under the age of ten with acute pain in a prehospital context.

Method: The study was conducted as a qualitative empirical interview study based on five open-ended questions. Ten ambulance nurses were interviewed and were asked to describe positive and negative experiences in caring for children 0-10 years old with acute pain in a prehospital context. The material was analyzed through a qualitative content analysis with a manifest and latent approach.

Results: Experiences of the caring encounter was a challenge. Ambulance nurses prepare themselves for pain treatment while they drove to the child. A good pain relief was associated with good care but pain treatment was difficult and multifaceted. Importance of support and cooperation from prehospital colleagues and other staff groups was found as frustration due to communication difficulties with the child. The importance of creating a good contact with the child and their family was important and there was a feeling of inadequacy, and room for improvement around children and pain. Ambulance nurses experienced inadequacy in their professional practice and more training was desired. As well as alternative modes of administration where the stick torque is not needed.

Summary: The prehospital care need to be developed further in several areas regarding policies, methods to estimate the child's pain and the care of the youngest children. More education about children and pain is desirable as well as development on other alternatives than intravenous drug administration.

Place, publisher, year, edition, pages
2014. , 32 p.
Keyword [en]
ambulance, ambulance nurse, children, experience, pain relief, prehospital
Keyword [sv]
ambulans, ambulanssjuksköterska, barn, prehospital, smärtlindring, upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-33449OAI: oai:DiVA.org:kau-33449DiVA: diva2:745194
Subject / course
Emergency Care Specialist Nursing, Prehospital Nursing, Graduate Diploma*
Educational program
Study Programme for Specialist Nursing in Prehospital Nursing (60 ECTS credits)
Supervisors
Examiners
Available from: 2014-11-03 Created: 2014-08-25 Last updated: 2014-11-03Bibliographically approved

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Ambulanssjuksköterskors upplevelser av smärtlindring av barn i en prehospital kontext - en kvalitativ intervjustudie(839 kB)330 downloads
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