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Erfarenheter av personcentrerad vård i arbetet med personer med psykossjukdom: En intervjustudie med specialistsjuksköterskor i psykiatrisk vård
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
Experiences of person-centred care in work with people with psychosis : An interview study with specialist nurses in psychiatric outpatient care (English)
Abstract [sv]

Bakgrund: Den nya patientlagen från 2015 stärker patienters ställning gentemot vårdgivare. Personcentrerad vård beskrivs i kompetensbeskrivning för specialistsjuksköterskor i psykiatrisk vård, riktlinjer för psykosvård beskriver hur vården bör vara personcentrerad och tidigare forskning visar på att personcentrerad vård förbättrar vårdkvaliteten. Studier visar att patienter som vårdas i den psykiatriska vården önskar bli mer delaktiga i sin vård samt bli sedda och respekterade som personer. Forskningen är dock bristfällig kring vilken erfarenhet specialistsjuksköterskor har av personcentrerad vård i sin kliniska vardag.

Syfte: Att beskriva specialistsjuksköterskors erfarenheter av personcentrerad vård i deras arbete med personer som vårdas för psykossjukdom i psykiatrisk öppenvård.

Metod: I föreliggande studie har en kvalitativ design använts och fem specialistsjuksköterskor i psykiatrisk öppenvård intervjuades med individuella semistrukturerade intervjuer för att samla in data. Datan analyserades sedan med kvalitativ innehållsanalys.

Resultat: Dataanalysen resulterade i tre huvudkategorier och 14 underkategorier. Huvudkategorierna var att forma en personcentrerad vård, relationens betydelse och att låta individen ta plats i psykosvården.

Diskussion: Resultatets tre huvudkategorier med innehåll diskuterades mot Barkers teori för psykiatrisk omvårdnad, tidvattenmodellen. Resultatet diskuterades även mot forskning, aktuella riktlinjer, kompetensbeskrivning och lagstiftning.

Abstract [en]

Background:The new Swedish law for patients from 2015 strengthens the position patients have in relation to health care providers. Person-centred care is something described in the competence description for specialist nurses in psychiatric care, in guidelines of care for persons who have psychosis and research about person-centred care shows that it can improve quality of care. Studies have shown that patients cared for in psychiatric care wish to be more involved in care and to be seen and respected as individuals. Research, however, is inadequate about the experience specialist nurses have of person-centred care in their clinical practice.

Aim: To describe experiences that specialist nurses have of person-centred care in work with people with psychosis in psychiatric outpatient care.

Method: The study was carried out with a qualitative design and the data was collected with semi-structured interviews with five specialist nurses in psychiatric outpatient care. Qualitative content analysis was used to analyze the data.

Results: The data generated three main categories and 14 subcategories. The main categories were named: To shape a person-centred care, the importance of the caring relationship and to give space to the person cared for.

Discussions: The result of the study was discussed in relation to The Tidal model, which is a theory for psychiatric nursing funded by Barker. The result was also discussed in relation to research, guidelines of care, competence description for specialist nurses and law.

Place, publisher, year, edition, pages
2016. , 50 p.
Keyword [en]
Person-centred care, Specialist nurses in psychiatric care, Experiences, Psychosis, psychiatric outpatient care
Keyword [sv]
Personcentrerad vård, Specialistsjuksköterskor i psykiatrisk öppenvård, Erfarenheter, Psykossjukdom, Psykiatrisk öppenvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5323OAI: oai:DiVA.org:esh-5323DiVA: diva2:938459
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-06-17 Created: 2016-06-16 Last updated: 2016-06-17Bibliographically approved

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