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Ambulanssjuksköterskors upplevelser av att vårda patienter med psykisk ohälsa: - En intervjustudie
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Ambulance nurse’s experiences of nursing patients with mental illness : - An interview study (English)
Abstract [sv]

Introduktion: Antalet patienter med psykisk ohälsa har setts öka de senaste åren. Ambulansens funktion har också vuxit från att vara ett transportmedel till att bedriva avancerad sjukvård, vilket även avspeglas i den prehospitala vården av patienter med psykisk ohälsa. Forskning visar att sjuksköterskor har en negativ syn på patienter med psykisk ohälsa samt att de upplever rädsla och osäkerhet i vårdandet på grund av bristande kunskap. Att inte känna sig trygg kan leda till felaktiga bedömningar av patientens verkliga vårdbehov. Syfte: Syftet med studien var att undersöka ambulanssjuksköterskors upplevelser av att vårda patienter med psykisk ohälsa i de olika delarna av vårdkedjan i den prehospitala vårdmiljön. Metod: Tio stycken intervjuer genomfördes med ambulanssjuksköterskor från fem ambulansstationer i Mellansverige. Intervjuerna analyserades med en kvalitativ innehållsanalys. Resultat/Slutsats: Studien visade att ambulanssjuksköterskor upplevde en bristande kunskap i att bemöta, bedöma och vårda patienter med psykisk ohälsa i den prehospitala miljön. Den upplevda kunskapsbristen upplevdes leda till osäkerhet i samband med patientmötet och således sämre vård för patienten. Hot och våld var något som också upplevdes i samband med vården av patienter med psykisk ohälsa där utbildning i bemötande och riskförebyggande arbete skulle kunna förbättra arbetsmiljön för ambulanssjuksköterskor och öka tryggheten i vårdandet av patienterna. De upplevde också att kommunikationen och patientomhändertagande hade blivit bättre på psykiatriska akutmottagningen under senaste tiden, men där en ökad förståelse och insikt i varandras verksamheter skulle kunna göra samarbetet och kommunikationen ännu bättre.

Abstract [en]

Introduction: The number of patients with mental illness has increased in recent years. The ambulance has also grown from being a means of transport to being able to give advanced medical care, which is also reflected in the prehospital care of patients with mental illness. Research shows that nurses have a negative view of a patient with mental illness and nurses experience fear and insecurity in nursing for the patients due to insufficient knowledge. The uncertainty can lead to incorrect assessments of the patient's actual care needs. Purpose: The purpose of the study was to investigate ambulance nurses experiences of caring for patients with mental illness in the various parts of the care chain in the prehospital environment. Method: Ten interviews were conducted with ambulance nurses from five stations in central Sweden. The interviews were then analyzed with a "qualitative content analysis". Result/Conclusion: The result showed that ambulance nurses experienced a lack of knowledge in responding, assessing and caring for patients with mental illness in the prehospital environment. The perceived lack of knowledge leads to insecurity of caring and thus poorer care for the patient. Threat and violence was also experienced in the care of patients with mental illness, where education in communication and risk prevention could improve the working environment for ambulance nurses and increase the safety of patient care. They also felt that communication and patient care had improved on psychiatric emergency services in recent years, but with better understanding and insight into each other's operations could make collaboration and communication even better.

Place, publisher, year, edition, pages
2018. , p. 34
Keywords [en]
Prehospital, Experiences, Mental illness, Nursing Ambulance nurses
Keywords [sv]
Prehospital, Upplevelser, Psykisk ohälsa, Omvårdnad Ambulanssjuksköterskor
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-67287OAI: oai:DiVA.org:kau-67287DiVA, id: diva2:1204053
Subject / course
Emergency Care Specialist Nursing, Prehospital Nursing, Graduate Diploma*
Educational program
Study Programme for Specialist Nursing in Prehospital Nursing (60 ECTS credits)
Supervisors
Examiners
Available from: 2018-05-09 Created: 2018-05-06 Last updated: 2018-05-09Bibliographically approved

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