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Den specialistutbildade sjuksköterskans betydelse och roll i den psykiatriska öppenvården ur ledningsperspektiv
Ersta Sköndal University College, Department of Health Care Sciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The specialist trained nurse`s importance and role in the psychiatric outpatient care from management`s perspectives (English)
Abstract [sv]

Bakgrund: Psykiatrisjuksköterskan har historiskt sett pendlat mellan att vara omvårdnadsansvarig till att vara förlängd arm till andra yrkeskategorier som till exempel läkare. Studier visar att specialistsjuksköterskan har en komplex kompetens som hen upplever inte alltid lyfts av organisationen och att hen ofta upplever sig klämd emellan patienters, medarbetares och organisationens krav. Specialistsjuksköterskor i psykiatrisk vård börjar nu bli en bristvara och då deras roll, status och betydelse framstår som diffus   kan det bli svårt att rekrytera nya sjuksköterskor att utbilda sig och stanna kvar inom psykiatrisk vård. Då mycket få studier är genomförda i psykiatrisk öppenvård och med ledningsperspektiv var det av intresse att tillfråga just enhetschefer med ansvar att anställa personal.

Syfte: Att beskriva enhetschefers uppfattningar om och förväntningar på specialistsjuksköterskans betydelse och roll i psykiatrisk öppenvården.

Metod: Studien genomfördes som en empirisk intervjustudie med semistrukturerade frågor som ställdes individuellt till sju enhetschefer verksamma inom psykiatrisk öppenvård. Materialet bearbetades med en kvalitativ innehållsanalys med induktiv ansats.

Resultat: I resultatet framkom huvudkategorin ”Arbetsuppgifter och förväntningar” med underkategorierna Bedömningar, Samordnande och samverkande roll, Läkemedelsadministrering, Utvecklingsarbete, Flexibla ansvarsområden, Bemötande och kommunikation samt Kompetens.

Diskussion: Specialistsjuksköterskan har många olika roller att träda in i inom psykiatrisk öppenvård och förväntas använda sin kompetens där den behövs.

Abstract [en]

Background: Psychiatric nurses has historically oscillated between being responsible of nursing care to be an extended arm to other professionals such as physicians. Studies show that the specialist nurse has a complex competence that according to the nurses is not always highlighted by the organization and often find themselves trapped between patients, other employees and the organization's demands. Specialist nurses in psychiatric care are now becoming scarce and when their role, status and importance appears diffuse, it may be difficult to recruit new nurses to train and remain in psychiatric services. Since very few studies have been carried out in outpatient psychiatric services and management perspective, it was of interest to the matter to ask the views of unit managers with responsibility to hire staff.

Aim: To describe unit managers' perceptions and expectations of the specialist nurse's importance and role in psychiatric outpatient services.

Method: The study was conducted as an empirical interview study with semi-structured questions that were asked individually to seven unit managers occupied in psychiatric outpatient care. The material was processed with a qualitative content analysis with inductive approach.

Results: The result showed the main category "Duties and expectations" with the subcategories Assessments, Coordinating and cooperative role, Drug administration, Development, Flexible responsibilities, Treatment and communication as well as Competence.

Discussions: The specialistnurse has many variable roles to enter in psychiatric outpatient care and are expected to use their expertise where it is needed.

Place, publisher, year, edition, pages
2016. , 41 p.
Keyword [en]
Importance, Management, Organization, Outpatient psychiatric care, Role, Specialist nurse
Keyword [sv]
Betydelse, Ledning, Organisation, Psykiatrisk öppenvård, Roll, Specialistsjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5621OAI: oai:DiVA.org:esh-5621DiVA: diva2:1052531
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care 60 ECTS
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-12-08 Created: 2016-12-06 Last updated: 2016-12-08Bibliographically approved

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