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Ambulanssjuksköterskans upplevelser av att omhänderta barn med akut hindrad luftväg: 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.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Ambulance nurses' experiences of caring for children with obstructed airway : A qualitative interview study (English)
Abstract [sv]

Introduktion: Ambulanssjukvården ställer höga krav på ambulanssjuksköterskans kunskap att möta olika patienter i olika tillstånd. Ett barn med akut hindrad luftväg är en patient som är sällsynt prehospitalt, vilket många ambulanssjuksköterskor anser är det mest utmanande de kan träffa på i arbetet. En av de viktigaste kompetenserna ambulanssjuksköterskan skall ha är att kunna upprätthålla en fri luftväg, vilket leder till en stor utmaning hos ambulanssjuksköterskan om det gäller barn med akut hindrad luftväg. Det är ringa utforskat i ämnet, både i Sverige och i världen, hur upplevelserna är kring den situationen. Syftet: Att belysa ambulanssjuksköterskans upplevelser av att omhänderta barn med akut hindrad luftväg. Metod: En kvalitativ intervjustudie genomfördes med tio ambulanssjuksköterskor där insamlad data analyserades enligt Graneheim och Lundmans kvalitativa innehållsanalys. Resultatet: Sju kategorier framkom, där den mentala förberedelsen beror på kvaliteten och kvantiteten av information, omhändertagandet upplevs som enkelt, problematiskt och kreativt utmanande. Känslorna har stor spännvidd, där erfarenhet och utbildning ökar tryggheten samtidigt som ambulanssjuksköterskan känner av ett resursbehov när hen stöter på barn med akut hindrad luftväg. Konklusion: Barn med akut hindrade luftvägar utmanar ambulanssjuksköterskan maximalt kunskapsmässigt och känslomässigt, samt att ambulanssjuksköterskan önskar att få mer fortbildning inom området.

Abstract [en]

Introduction: The prehospital care in Sweden has high demands on the ambulance nurses’ qualifications to meet patients in different ages and conditions. A child with an obstructed airway is a rare type of patient in the prehospital environment, a patient which many ambulance nurses’ thinks is the most challenging they could care for. One of the essential qualifications an ambulance nurse should have is airway management, which leads to a big challenge for the ambulance nurse when it comes to children with an obstructed airway. There have been rather few studies regarding the experiences concerning these types of situations. Purpose: The purpose of the study was to enlighten how ambulance nurses’ experiences of caring for children with an obstructed airway. Method: A qualitative interview study was made with ten ambulance nurses, and the data was analyzed using Graneheim and Lundmans content analysis method. Results: The result led to seven categories. The mental preparation depends on the quality and quantity of received information. Airway management is perceived as simple, problematic and a creative challenge. The span of emotions are huge, where years of experience and education leads to feeling secure, and the ambulance nurse feel the need of human resources when working with a child with an obstructed airway. Conclusion: The conclusion is that a child with an obstructed airway challenges the ambulance nurse knowledge and emotionally to the fullest extent and there is a need for more education concerning airway management.

Place, publisher, year, edition, pages
2016. , 28 p.
Keyword [en]
ambulance nurse, experiences, children, airway, prehospital
Keyword [sv]
ambulanssjuksköterska, upplevelser, barn, luftväg, prehospitalt
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-39164OAI: oai:DiVA.org:kau-39164DiVA: diva2:900453
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: 2016-02-08 Created: 2016-01-29 Last updated: 2016-02-08Bibliographically approved

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