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Se mig! Hör mig! Tala till mig!: En litteraturstudie om bemötande av äldre patienter
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
See Me! Hear Me! Talk to Me! : A literature review on the treatment of elderly patients (English)
Abstract [sv]

Bakgrund: Åldrandet är en process som berör hela människan som inkluderar både kropp, själ, psyke, och det sociala sammanhanget där det är viktigt att värna om den äldres autonomi samt hens värdighet. Inom vården har sjuksköterskan det största ansvaret för att kunna identifiera individens omvårdnadsbehov. Ett gott bemötande och en öppen kommunikation är nödvändigt för att förstå individens behov och därmed kunna bidra till att främja individens hälsa.

Syfte: Beskriva patienters upplevelser av bemötande inom sjukvården. En litteraturöversikt rörande åldrarna 65 och äldre i Sverige.

Metod: Litteraturöversikten baseras på 12 vetenskapliga kvalitativa artiklar från databaserna Cinahl och MedLine samt en manuell sökning. Sökorden var dignity (värdighet), autonomy (autonomi), elderly (äldre), nursing (omvårdnad), patients (patient) perspective (perspektiv), older patient (äldre patienter), experiences (erfarenheter), health care (hälsovård), home nursing (hemsjukvård), emergency department (akutmottagning).

Resultat: Litteraturöversikten påvisade att det rådde brister i bemötande av äldre patienter oavsett vårdform. När vårdpersonalen uppträdde på ett paternalistiskt sätt hotades den äldres självbestämmande och värdighet. Detta gav sig uttryck när personalen förutsatte vad som är bäst för patienten utan att samråda med hen. Situationer där personalen var stressade och uppträdde oengagerad resulterade i brister gällande kommunikation vilket orsakade att den äldre upplevde otrygghet, minskad delaktighet och misstro till vården.

Diskussion: Resultatdiskussionen berör begrepp som värdighet, autonomi och integritet som hade stor betydelse för den äldre patientens upplevelse av bemötande. Dessa begrepp diskuteras gentemot den teoretiska utgångspunkten gällande vårdande kommunikation av Belinda Dewar (2011).

Abstract [en]

Background: Aging is a process that affects all aspects of the individual, his/her physical health, mental health, soul and social health and it is important to protect the individual’s autonomy as well as his/her dignity. In the context of healthcare it is the nurse who has the biggest responsibility to identify the individual needs of a patient. A professional treatment and open communication is crucial for understanding the needs of the individual and promote the individual´s health.

Aim: The aim was to describe experiences of encounters within the health care system. A literature review regarding ages 65 and older in Sweden.

Method: This literature review is based on findings in 12 scientific articles, which are found in Cinahl and MedLine databases as well as through a manual search. Keywords during the search were dignity, autonomy, elderly, older, nursing, patients, perspective, experiences, health care, home nursing, emergency department.

Results: The study shows that there is room for improvement in treatment of elderly patients, regardless of care setting. When the caregivers behaved in a patronizing way they threatened the patient’s self-determination and dignity. This was particularly clear when the staff presuppose what is best for the patient without consulting him/her. Stressed and unengaged staff members showed a lack of communication towards the patient, which resulted in a feeling of unsafety, loss of participation and increased distrust of the health care system.

Discussion: In the discussion terms such as dignity, autonomy and integrity had a high degree of importance for the elderly patient. These terms are explained and discussed towards Researcher Belinda Dewar’s (2011) model for the caring conversation, which was the theoretical framework supporting this literature reviews´ discussion.

Place, publisher, year, edition, pages
2015. , 30 p.
Keyword [en]
Treatment, Dignity, Autonomy, Human, Elderly, Patient experience
Keyword [sv]
Bemötande, Värdighet, Autonomi, Människa, Äldre, Patienters upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5006OAI: oai:DiVA.org:esh-5006DiVA: diva2:895999
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-01-20 Created: 2016-01-20 Last updated: 2016-01-20Bibliographically approved

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