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Delaktighet – en patients rättighet: En litteraturöversikt om patienters erfarenheter av att delta i bedsiderapportering
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Participation – a patient’s right : A literature review on patients' experiences of participation in bedside handover (English)
Abstract [sv]

Bakgrund: Bedsiderapportering är en del av utvecklingen mot en mer personcentrerad vård med patienten i fokus. Rapporteringen syftar till att få patienten delaktig i informationsutbytet mellan sjuksköterskor vid skiftbyte och sker vid patientens säng. Kommunikationen vid rapporteringstillfället är viktigt för hur patienten skapar en förståelse för sin situation men också för att öka patientsäkerheten. År 2015 instiftades nya lagar kring patienters delaktighet i vården, vilket resulterat i att kravet på delaktighet har ökat.

Syfte: Att belysa patienters erfarenheter av att delta i bedsiderapportering.

Metod: En litteraturöversikt har gjorts. Tio studier valdes ut till resultatet som alla besvarade studiens syfte. Som grund för analys av materialet tillämpades Fribergs modell. Begreppet vårdrelation användes som teoretisk utgångspunkt i studien.

Resultat: I resultatet framkom patienters upplevelser och erfarenheter av bedsiderapportering vilka delas upp i tre kategorier; ‘Att få information genom bedsiderapportering’, ‘Patientens delaktighet i bedsiderapportering’, och ‘Integritet och sekretess’.

Diskussion: Resultatet diskuterades med relevant litteratur och begreppet vårdrelation. Resultatet visade att patienterna kände sig delaktiga och upplevde trygghet i samband med bedsiderapportering. Detta styrks av vårdrelationen då syftet är att skapa trygghet hos patienten. Patienter upplevde även ett hot mot integriteten då det fanns en risk för att andra patienter kunde höra känslig information. Vikten av sjuksköterskors diskretion och att tala tyst i en flerbäddssal för att skydda patientens integritet och sekretess styrks av relevant litteratur.

Abstract [en]

Background: Bedside handover is part of the process towards a more person-centred care. The handover that takes place at the patient's bedside aims to get patients involved in the exchange of information between nurses at the change-of-shift. Communication at the handover is an important part of how the patient gets an understanding of their situation but also serves to increase patient safety. In 2015 new laws were established about patient participation in care, which resulted in a stronger requirement of participation.

Aim: To describe patients' experiences of participation in bedside handover.

Method: A literature review has been performed. Ten studies that furthered the aim of describing patients’ experiences with bedside handover were selected. The Friberg analysis model was applied as a basis for the analysis. The concept of nurse-patient relationship was used as the theoretical basis of the study.

Results: The results depict patients' experiences of bedside handover through three categories; 'Getting information through bedside handover', 'Patient participation in bedside handover' and 'Privacy and confidentiality'.

Discussion: The results were discussed with relevant literature and the concept of nurse-patient relationship. The results showed that patients felt involved and safe related to the participation in bedside handover. This is confirmed by the nurse-patient relationship that aims to provide the patient’s feeling of safety. Patients also experienced a threat against their integrity with a risk of other patients hearing sensitive information. The importance of nurses' discretion and to speak quietly in a multi-private room to protect patient integrity and confidentiality is confirmed by relevant literature.

Place, publisher, year, edition, pages
2015. , 38 p.
Keyword [en]
Bedside handover, Participation, Experiences, Safety, Information, Integrity
Keyword [sv]
Bedsiderapportering, Delaktighet, Erfarenheter, Trygghet, Information, Integritet
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-4937OAI: oai:DiVA.org:esh-4937DiVA: diva2:875086
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2015-11-30 Created: 2015-11-30 Last updated: 2016-01-19Bibliographically approved

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