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Sjuksköterskors erfarenheter av att vårda patienter med beroendediagnos inom specialiserad beroendevård - En intervjustudie
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses experiences of caring for patients with substance use disorder at specialized addiction care units - an interview study (English)
Abstract [sv]

Bakgrund: Sjuksköterskor som vårdar patienter med en beroendediagnos upplever att det är en balansgång mellan frustration och förståelse över patientens situation. Sjuksköterskor upplever även att de behövde en ökad förståelse för sina egna reaktioner.

Syfte: Syftet med denna studie var att beskriva sjuksköterskors erfarenheter av att vårda personer med beroendediagnos inom specialiserad beroendevård.

Metod: En kvalitativ studie där nio sjuksköterskor intervjuades under december 2015 och januari 2016. Intervjuerna analyserades med hjälp av kvalitativ innehållsanalys.

Resultat: Det framkommer två huvudkategorier i denna studie, relationen mellan sjuksköterskan och patienten samt rollen som sjuksköterska. Deltagarna i studien berättar om att en individanpassad vård är det bästa för patienten. Det framkommer att drogen enbart är en del av patientens problem och att dessa patienter blir felbehandlade i icke specialiserad beroendevård. De tar även upp att det pågår en ständig diskussion kring mediciner samt att det finns en maktutövning inom vården. Deltagarna i studien berättar även om hot och våld samt påfrestningar. Deltagarna framhåller att det är viktigt att vara trygg i sin profession samt att kunna samarbeta med andra

Slutsats: En individanpassas vård ger bäst resultat av den omvårdnad som ges. En annan slutsats är att tydliga rutiner och riktlinjer gör att man känner sig trygg i sitt arbete. Vidare slutsatser är att det skulle vara av intresse att forska vidare på samma frågeställning men ur ett genusperspektiv.

Abstract [en]

Background: Earlier studies regarding nurses experiences shows that nurses fell that there is a balance between frustration and understanding of the patient's situation when they care for patients whit a substance use disorder. Nurses also experience that they needed a better understanding regarding their own reactions.

Aim: The aim of this study was to describe nurses' experiences when caring of persons with a substance use disorders in specialized addiction care units.

Method: A qualitative study was performed during December 2015 and January 2016, nine nurses were interviewed. The interviews were subjected to qualitative content analysis.

Results: Two main categories appeared in this study, the relationship between the nurse and the patient, as well as the role of the nurse. Participants in the study tells us that individualized care is the best for the patient. It appears that the drug is only a part of the patient's problem, and that these patients are mistreated in nonspecialized care. The participants also talk about the fact that there is a continual discussion of medications between the patient and the nurse. It further shows that the power over the care is divided. Participants in this study also mentions threats, violence and stress. Participants emphasize that it is important to be confident in their own profession and to be able to cooperate with others.

Conclusion: An individualized care gives the best results for the patient. It is important that the nurse is confident in their professional capacity and has support from their colleagues. Another conclusion is that guidelines makes the nurse feel safer during work. Further conclusions are that it would be of interest to further research in the same issue but from a gender perspective.

 

Place, publisher, year, edition, pages
2016. , 29 p.
Keyword [en]
experiences, mental health nursing, psychiatric nursing, qualitative content analysis, specialized addiction care, substance use disorder
Keyword [sv]
erfarenheter, kvalitativ innehållsanalys, psykiatrisk omvårdnad, specialistvård med inriktning beroendevård, substansberoende
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-119874OAI: oai:DiVA.org:umu-119874DiVA: diva2:925312
Subject / course
Magisterkurs i omvårdnad
Educational program
Graduate Programme in Specialist Nursing - Psychiatric Nursing
Supervisors
Examiners
Available from: 2016-06-13 Created: 2016-05-01 Last updated: 2016-06-13Bibliographically approved

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