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  • 1.
    Broberg, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hesselgård, Lotten
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    När psykiatri möter somatik: En intervjustudie om sjuksköterskors upplevelser av vården vid samsjuklighet inom psykiatrisk heldygnsvård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As patients with mental illness have an increased risk of developing somatic conditions, somatic nursing in psychiatric inpatient care also increases. The somatic care is not so good for these people. This places increased demands of knowledge on registered nurses in psychiatric inpatient care, to bee able to meet somatic conditions and co-morbidity. Objective: Describe nurses' experiences and perceptions regarding the care of patients with psychiatric and somatic complicity in psychiatric full-day care.

    Method: A qualitative interview study with semi-structured interviews and questions from an interview guide which interviews and registered nurses who are actively working in psychiatric inpatient care. Collected material has been analyzed through qualitative content analysis of manifest character.

    Results: The analysis resulted in three categories, where each category consisted of three subcategories describing the informants' experiences. The three categories with subcategories are: 1) To care for patients with psychiatric and somatic complicities; Overall view, lack of resources, emotions, 2) The importance of knowledge; Lack of knowledge, need for knowledge, responsibility to acquire new knowledge  and3) The collaboration between psychiatric and somatic care departments; Expectations, the divided care, the importance of cooperating.

    Conclusion: The registered nurses experience the somatic nursing as challenging. The biggest challenge is the shortage of resources, that knowledge about diseases is limited and to carry out medical technical tasks. The nursing is also seen as challenging as an ignorance and incomprehension about each other's departments that constitutes a difficulty to co-operation. However, there is basically good cooperation, in the situations they need to consult and get help from each other's expertise.

    Clinical implications: The hope is that the study's results will give an increased understanding of how the nurses experience caring for somatic disease conditions in a psychiatric inpatient department.

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