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Sjuksköterskans upplevelse av att vårda i hemmet
Ersta Sköndal University College, Department of Health Care Sciences.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses´ experiences for caring of patients at their home (English)
Abstract [sv]

Bakgrund:

Många länder möter en demografisk förändring där antalet äldre människor ökar. Parallellt med denna utveckling ökar behov av hemsjukvård där antal äldre människor som vill vårdas i sina egna hem ökar. Vård i hemmet beskrivs ofta som det bästa alternativet för många äldre människor. Tidigare forskning har visat att sjuksköterskor har både positiva och negativa erfarenheter av det dagliga arbetet hemmet.

Syfte:

Syfte med studien är att beskriva sjuksköterskans upplevelse av att vårda i hemmet.

Metod:

Intervjuer genomfördes med åtta sjuksköterskor som arbetar inom hemsjukvård. Analys genomfördes med innehållsanalysmetod inspirerad av Graneheim and Lundman (2004).

Resultat:

I resultatet framkom att de sjuksköterskor som deltog i studien beskrev att de strävar efter att göra sitt yttersta för patienter trots att de ibland kan bli hindrade. Tre kategorier med tio subkategorier bildades utifrån intervjuerna. Kategorierna beskriver hur sjuksköterskan upplever att vårda i hemmet: Sjuksköterskans arbete i hemmet, Att vara professionell och Teamarbete.

Diskussion:

Utifrån studiens resultat beskrivs vårdkontext och sjuksköterskans bemötande som viktiga faktorer i mötet med patienten därför att det inbjuder till delaktighet och stödjer patientens självbestämmande. Det resulterar i att det rumsliga tillskrivs stor betydelse där sjuksköterskan upplever en dubbel roll som professionell yrkesutövare och som gäst i patientens hem vilket resulterar i att sjuksköterskan upplever både känsla av frihet och känsla av otillräcklighet.

Abstract [en]

Background:

Many countries are facing a changing demographic where the number of elderly people will increase. Parallel to this development there will be a rising demand for home-based care where more elderly people want to be cared for in their own home. Home-based care is often described as the best kind of caring for many elderly people. Earlier research has shown that nurses have both negative and positive experiences when it comes to home-based care.

Aim:

The aim of this study is to describe the nurses’ experiences of home-based care.

Methods:

 Interviews were performed with eight registered nurses who had experience of caring for people at their homes. The interviews were analyzed with qualitative content analysis inspered by Greneheim and Lundman (2004).

Results:

The result showed that the nurses who participated in the study stated that they strive to do their utmost for the patients although they sometimes can be prevented from doing that. Tre categories with ten sub-categories were generated from the interviews. The categories describe nurses’ experiences of caring for patients of their homes: Nursing at home, To be professional and Teamwork.

Discussions:

Based on the study the nursing context and the nurses’ approach are described as important factors in the meeting with the patient. Nursing context and the nurses’ approach are important because they invite to participation and support the patients’ autonomy. This results in that the space is given great importance where the nurse experiences a double role: As a professional and as a guest in the patients’ own home. This results in that the nurse experiences the feeling of freedom and the feeling of inadequacy.

Place, publisher, year, edition, pages
2012.
Keyword [sv]
Hemsjukvård, kvalitativ intervju, sjuksköterska, upplevelse.
National Category
Humanities
Identifiers
URN: urn:nbn:se:esh:diva-1640OAI: oai:DiVA.org:esh-1640DiVA: diva2:537525
Educational program
Bachelor/Master of Nursing Specialized in Care of the Elderly
Presentation
(Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-06-27 Created: 2012-06-24 Last updated: 2012-06-27Bibliographically approved

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Sjuksköterskans upplevelse av att vårda i hemmet(631 kB)938 downloads
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