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Sjuksköterskans upplevelse av att vårda patienter med substansberoende: En litteraturöversik
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
The nurse's experience of caring for patients with substance abuse : A literature review (English)
Abstract [sv]

Bakgrund: Substansberoende i form av narkotika och alkohol är ett växande samhällsproblem. Det förekommer en stigmatisering av personer med substansberoende i samhället och det kan finnas en risk att dessa individer upplever ett sämre bemötande inom hälso- och sjukvården. I sjuksköterskans roll finns ett ansvar att ge vård på lika villkor på ett respektfullt sätt.

Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att vårda patienter med substansberoende.

Metod: Utifrån Fribergs metod utfördes en litteraturöversikt bestående av nio kvalitativa artiklar samt en kvantitativ artikel. Databaserna som användes var CINAHL Complete och PubMed. Resultat: I resultatet identifierades fyra teman; Att vara rädd, osäker och misstro patienten, att vara otillräcklig och frustrerad, att ha bristande kunskap och att skapa en vårdrelation. Resultatet visade att sjuksköterskor upplevde att det var känslomässigt utmanande att vårda patienter med substansberoende. Mer kunskap och utbildning om substansberoende efterfrågades av sjuksköterskor och ett öppet förhållningssätt bidrog till att meningsfulla vårdrelationer kunde skapas.

Slutsats: Det är viktigt att som sjuksköterska vara medveten om sina attityder och hur det kan påverka vårdandet, för att vården ska kunna ges på lika villkor. Mer kunskap, vägledning och tydliga rutiner behövs för att öka möjligheterna att skapa en lyckad vårdrelation. 

Abstract [en]

Background: Substance addiction, in particular alcohol and narcotics, is a societal problem that keeps on growing. At the same time, stigma surrounds people with substance abuse and there is a risk that it has a negative impact on the care given by the healthcare. In their professional role, however, nurses have a responsibility to treat patients equally and with due respect.

Aim: The aim was to describe nurses experience of treating patients with a substance abuse

Method: Nine qualitative articles and one quantitative article were reviewed. CINAHL Complete and PubMed were used to identify the articles.

Results: Four themes were identified: To feel afraid, insecure and not trusting the patient; to feel inadequate and frustrated; to lack knowledge and the importance of creating a caring relationship. The findings showed nurses felt it was emotionally demanding to treat patients with substance disorder. More information and education on the topic of substance abuse was asked for by the nurses. In addition, an open mindset contributed to establishing a meaningful relationship between the nurse and the patient.

Conclusion: It is important in the role as a professional nurse to be aware and reflect on one’s prejudices and the potential impact it has on the care given. In particular in order to provide care on equal terms. More information and guidance are needed to improve the chances of a successful meeting with the patients.

Place, publisher, year, edition, pages
2020. , p. 30
Keywords [en]
Nurse experience, Substance addiction, Nurse-patient relation, Stigma
Keywords [sv]
Sjuksköterskans upplevelse, Substansberoende, Vårdrelation, Stigma
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-8428OAI: oai:DiVA.org:esh-8428DiVA, id: diva2:1485476
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2020-11-03 Created: 2020-11-02 Last updated: 2020-11-03Bibliographically approved

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