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Att främja delaktighet i vården: En litteraturstudie om patienter med schizofreni
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
To promote participation in health care : A litterature study about patients with schizophrenia (English)
Abstract [sv]

Bakgrund: Schizofreni är en psykisk sjukdom som ofta har inverkan på det dagliga livet. Tillståndet kan leda till allvarlig kognitiv svikt och i förlängningen till tvångsvård. Sjukdomsbilden gör att patienterna inte alltid kan eller vill delta i beslut kring sin egen vård. Delaktighet kan därför bli komplext i förhållande till denna patientgrupp. Syfte: Syftet var att belysa faktorer som kan påverka delaktighet i vården hos patienter med schizofreni. Metod: Metoden var en allmän litteraturöversikt över tio vetenskapliga artiklar. Textanalys med induktiv ansats användes som metod för dataanalys. Resultat: Det framgick i resultatet att vårdpersonalens bemötande hade betydelse för patienternas delaktighet i vården. Att bli tagen på allvar, bli lyssnad på och få information stärkte patienternas engagemang. Rädslor för negativa attityder, lågt självförtroende och stigma hindrade de i vissa fall från att uppsöka vård. En tillitsfull vårdrelation kunde reducera dessa upplevelser. Sociodemografiska faktorer som kön, ålder, utbildningsnivå och paternalism hade också betydelse. Slutsats: Av resultatet drogs en slutsats att bemötande, tillit, information, stigma och paternalism påverkar delaktighet i vården hos patienter med schizofreni. Att upprätthålla patienternas autonomi i den mån vårdens kontext tillåter kan öka patienternas deltagande och känsla av kontroll. Klinisk betydelse: I klinisk verksamhet kan man tänka sig att sjuksköterskor bör pröva att använda strategier i form av empowerment och personcentrerad vård för att kunna öka denna grupps intresse av att vara delaktiga. 

Abstract [en]

Background: Schizophrenia is a mental illness that often affects the daily life. The condition can lead to serious cognitive failure and forced admission to psychiatric care. The clinical picture makes the patient not always willing to participate, or able to make decision about their care. Participation can therefore become complex in this nursing context. Purpose: The purpose was to enlighten factors that can influence participation in health care for patients with schizophrenia. Method: The method was a general review of ten scientific articles. A text analysis with inductive approach was used as method for analysing data. Results: The results show that the health care professionals approach is a significant aspect of patient participation in health care. To be heard, respected and receive information strengthened the patient’s involvement. Fear of negative attitudes, low self-confidence and experiencing stigma weakened the involvement. A caring relationship based on trust between patients and health care professionals can reduce these experiences. Socio demographic factors such as gender, age, level of education and paternalism from caregivers were also of relevance. Conclusion: The caregivers approach when it comes to creating trust and give information was found to be important factors along with the experience of stigma and paternalism. To maintain the patient’s autonomy as far as the caring context allows can increase the participation and feeling of control. Clinical implications: In clinical practice nurses can try to use empowerment and a person-cantered care to increase this group’s interest of participating.

Place, publisher, year, edition, pages
2015. , 24 p.
Keyword [en]
schizophrenia, participation, empowerment
Keyword [sv]
schizofreni, delaktighet, empowerment
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-1706OAI: oai:DiVA.org:rkh-1706DiVA: diva2:809669
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Supervisors
Examiners
Available from: 2015-05-05 Created: 2015-05-05 Last updated: 2015-05-05Bibliographically approved

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