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Sjuksköterskors erfarenheter av att skapa en vårdande relation med en vaken eller lätt sederad patient i respirator: en fokusgruppsstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Introduktion: I dagens intensivvård hålls patienter som vårdas i respirator mer ytligt sederade. Patienterna blir berövade sitt verbala tal och behandlas i en miljö som kan upplevas som skrämmande. Detta ställer högre krav på sjuksköterskan, att bemöta patientens psykosociala behov på ett bra sätt och etablera en vårdande relation.

Syfte: Att belysa sjuksköterskors erfarenheter av att skapa en vårdande relation med en vaken eller lätt sederad patient som vårdas i respirator på en intensivvårdsavdelning.

Metod: En kvalitativ induktiv design användes och data insamlades med hjälp av fyra fokusgruppsintervjuer, med totalt 14 kvinnliga sjuksköterskor med minst två års yrkeserfarenhet av intensivvård. Studien utgick från tre intensivvårdsenheter i västra Sverige. Den insamlade datan analyserades med hjälp av kvalitativ innehållsanalys.

Resultat: Sjuksköterskors erfarenheter av att skapa en vårdande relation med en vaken eller lätt sederad patient som vårdas i respirator, tolkades utifrån följande teman för att belysa olika faktorer som är av vikt: kommunikation i mötet, att lyfta fram personen bakom patienten, det vårdande rummet och när relationen försvåras.

Slutsats: Att med hjälp av kommunikation skapa en gemensam förståelse, att lära känna patienten och orientera patienten i nuet, att vårda med respekt och trygghet och slutligen att sträva efter att lösa eventuella hinder som uppstår på vägen, var alla centrala faktorer i skapandet av en vårdande relation. Som blivande intensivvårdssjuksköterskor anser författarna att studien ger viktiga infallsvinklar i problemområdet som kan vara användbara i deras kommande yrkesroll.

Abstract [en]

Introduction: In today's intensive care, patients who are mechanically ventilated are more often lightly sedated. Patients are deprived of their verbal communication and treated in an environment that they can find frightening. This puts greater demands on the nurse, in order to respond to the patient's psychosocial needs in a positive way and establish a caring relationship.

Aim: To illuminate nurses’ experience of creating a caring relationship with an awake or lightly sedated patient undergoing mechanical ventilation in an intensive care unit.

Method: A qualitative inductive design was used and data was collected with four focus groups, with a total of 14 female registered nurses with at least two years professional experience of intensive care. The study was conducted at three intensive care units in western Sweden. Data was analysed with a qualitative content analysis.  

Result: Nurses' experience of creating a caring relationship with an awake or lightly sedated patient undergoing mechanical ventilation, was interpreted on the basis of the following themes to highlight the various factors that are of importance; communication in the meeting, to highlight the person behind the patient, the room of caring and when the relationship is complicated.

Conclusion: Using communication to create a common understanding, to get to know the patient and orient the patient in the present, to provide care with respect and impart a sense of comfort, and finally strive to resolve any challenges that may arise along the way, were all key factors in creating a caring relationship. As future intensive care nurses, the authors consider that the study provides important insights into the problem area that may be useful in their future profession.

Place, publisher, year, edition, pages
2017. , p. 44
Keywords [en]
caring relationship, lightly sedated, awake, mechanical ventilation, experiences, focus group, qualitative
Keywords [sv]
vårdande relation, lättsederad, vaken, respirator, intensivvård, erfarenheter, fokusgrupp, kvalitativ
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62543OAI: oai:DiVA.org:lnu-62543DiVA, id: diva2:1089770
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Intensive Care, 60 credits
Supervisors
Examiners
Available from: 2017-04-21 Created: 2017-04-20 Last updated: 2017-04-21Bibliographically approved

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Sjuksköterskors erfarenheter av att skapa en vårdande relation med en vaken eller lätt sederad patient i respirator: en fokusgruppsstudie(910 kB)98 downloads
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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • nn-NO
  • nn-NB
  • sv-SE
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Output format
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