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Patientinformation inom intensivvården - En litteraturstudie
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.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Patient information within the intensive care - A literature review (Swedish)
Abstract [sv]

Bakgrund: En intensivvårdspatient befinner sig i en högteknologisk miljö med behov av flera medicintekniska interventioner. Intensivvårdssjuksköterskan har som ansvar att förmedla information till patienten om vad som händer, planeras och varför. Det har framkommit att intensivvårdssjuksköterskan har svårigheter att förmedla information. Patienter befinner sig redan, i och med kritisk sjukdom och högteknologisk miljö, i en utsatt och maktlös position. Därför blir information som kan lindra oro och ångest mer betydelsefull på intensivvårdsavdelning än på en allmän vårdavdelning. Syfte: Att belysa patienters upplevelser av information inom en intensivvårdskontext. Metod: En systematisk litteraturstudie gjordes enligt Bettany-Saltikov och Mcsherry (2016). Redan befintlig data i form av vetenskapliga artiklar analyserades och sammanställdes genom kvalitativ innehållsanalys. Sökningen gjordes i tre databaser. Det gjordes en analys av 19 vetenskapliga artiklar, 18 kvalitativa artiklar och en med mixad metod.  Inkluderade artiklar har kvalitetsgranskats. Resultat: Resultatet visar att patienters upplevelser av information varierar. Det fanns ett stort behov att veta vad som hände. Patienterna förespråkade förståelig information, individ- och situationsanpassad. Information vid enstaka tillfällen kunde vara svårt att ta till sig, upprepningar upplevdes underlätta för patienterna. Tre kategorier framkom; Att få information med underkategorier informationsgivare, förståelse och följder av information. Att göras delaktig med underkategorier informationstyp, individanpassat och ställa frågor. Att vara utlämnad med underkategorier bristande information och ses som ett objekt. Slutsats: Litteraturstudien visar att information till patienter på IVA är av vikt för att känna sig delaktig i vården och att uppleva trygghet.

Abstract [en]

Background: An intensive care patient is located in a high technology environment with the need of multiple medical interventions. The intensive care nurse is responsible to provide information to the patient regarding what is happening, why it’s happening and further plans about treatments. However, it has been found that the intensive care nurses have difficulties to give information. Since the patient is already at an exposed and powerless position, due to the critical illness and the intensive care environment, providing information to reduce anxiety becomes more important to a patient in the intensive care unit (ICU) than in a general ward. Purpose: To illuminate patients’ experiences of information in an intensive care unit. Method: A systematic literature review according to Bettany-Saltikov and Mcsherry (2016) based on findings in 19 scientific articles; 18 qualitative and one mixed method were found in three different databases. Data where analyzed and compiled with a qualitative content analysis. Included articles have undergone a quality assessment. Result: Patient experiences of information vary. There was a need to know. The patients requested understandable information, individualized and situational. Repeated information was favorable. Three categories emerged; to get information with subcategories providing information, understanding and consequences of information. To be involved with subcategories type of information, individualized and ask questions. Exposed with subcategories lack of information and seen as an object. Conclusion: The systematic literature review show that information to patients in ICU is of great importance for the experience of involvement and the sense of security in patients.

Place, publisher, year, edition, pages
2018. , p. 54
Keywords [en]
Patient, intensive care, experiences, information
Keywords [sv]
Patienter, intensivvård, upplevelser, information
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-74343OAI: oai:DiVA.org:lnu-74343DiVA, id: diva2:1205659
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Intensive Care, 60 credits
Supervisors
Examiners
Available from: 2018-05-15 Created: 2018-05-14 Last updated: 2018-05-15Bibliographically approved

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