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Patientsäker omvårdnad: Operationssjuksköterskans upplevelser av perioperativ omvårdnad - en intervjustudie
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nursing and patient safety : Operating theatre nurse's experiences of perioperative nursing - an interview study (English)
Abstract [sv]

Introduktion: Operationssjuksköterskan ansvarar för patientens omvårdnad under den perioperativa processen och den ska bedrivas utifrån personcentrerad omvårdnad (PCO). I den högteknologiska miljön fungerar operationssjuksköterskan som en länk mellan tekniken och patienten. Endast ett fåtal studier belyser operationssjuksköterskans perioperativa omvårdnad och behovet av ett omvårdnadsinriktat arbete inom operationssjukvården kan ifrågasättas.

Syfte: Studiens syfte var att beskriva operationssjuksköterskors upplevelser av vad som utmärker perioperativ omvårdnad.

Metod: Studien var en kvalitativ intervjustudie med induktiv ansats. Datainsamlingen gjordes genom reflexiva intervjuer av tio operationssjuksköterskor från två operationskliniker. Intervjuerna baserades på en upplevd situation av perioperativ omvårdnad. Dataanalysen genomfördes utifrån innehållsanalys.

Resultat: Operationssjuksköterskornas upplevelser av perioperativ omvårdnad kan sammanfattas i en huvudkategori: Patientsäker omvårdnad. Tre generiska kategorier framkom: Bevara patientens värdighet, Samordna och kontrollera patientens vård samt Skydda patientens kropp. Operationssjuksköterskorna beskrev hur de arbetade utifrån patientens individuella behov samt hade operationsmetodiska och medicintekniska kunskaper vilket förhindrade vårdskador hos patienten.

Konklusion: Den perioperativa omvårdnaden utmärks av att operationssjuksköterskorna genom sina specifika kunskaper samordnar och kontrollerar patientens vård, skyddar patientens kropp och medverkar till en bevarad värdighet hos patienten vilket bidrar till en patientsäker vård. Enligt riktlinjer ska den perioperativa omvårdnaden vara personcentrerad vilken den delvis är men ytterligare evidens kring PCO perioperativt skulle vara betydelsefullt.

Abstract [en]

Introduction: The operating theatre nurse (OTN) is responsible for the patient’s care during the perioperative process and it should be conducted on the basis of person-centered care (PCC). In the high-tech environment the OTN work as a link between technology and the patient. Only a few studies illustrate the OTN’s perioperative care and the need for a care-oriented work in the operating room is questionable.

Aim: The aim of the study was to describe OTNs' experiences of the characteristics of perioperative nursing.

Method: The study was a qualitative interview study with an inductive approach. The data was collected through reflexive interviews of ten OTNs’ from two surgical clinics. The interviews were based on a perceived situation of perioperative care. Data analysis was carried out with content analysis.

Result: The OTNs' experiences of perioperative care can be summarized in one key category: Patient safe care. Three generic categories emerged: Preserving the patient's dignity, Coordination and control of the patient’s care and Protect the patient's body. The OTNs’ described how they worked according to individual patient needs and had specific operating and technical knowledge which prevented the emergence of health damage to the patient.

Conclusion: The perioperative nursing characterized by the OTNs’ through their specific knowledge coordinates and controls the patient's care, protect the patient's body and contributes to the preservation of the patient’s dignity, which contributes to a patient safe care. According to the guidelines, the perioperative care should be person-centered which it partly is but further evidence regarding perioperative PCC would be significant.

Place, publisher, year, edition, pages
2016. , 27 p.
Keyword [en]
operating theatre nurse, perioperative nursing, experience, person-centered care, patient safety, interview
Keyword [sv]
operationssjuksköterska, perioperativ omvårdnad, upplevelser, personcentrerad omvårdnad, patientsäkerhet, intervju
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-42680OAI: oai:DiVA.org:kau-42680DiVA: diva2:935474
Educational program
Specialist Nursing -Theatre Care (60 ECTS credits)
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Examiners
Available from: 2016-07-07 Created: 2016-06-10 Last updated: 2016-07-07Bibliographically approved

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