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Delaktighet i intensivvården - närståendes upplevelser
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Introduktion: Närstående till patienter som vårdas på en intensivvårdsavdelning har en viktig roll i patientens vård. De har ofta en vilja av att vara en resurs för patienten samtidigt som de ställs inför stora påfrestningar. Känslan av att bli exkluderad eller utelämnad från patientens vård kan bidra till mer stress och oro i en redan påfrestande situation.

Syfte: Syftet var att undersöka närståendes upplevelser av deras delaktighet i intensivvården.

Metod: Deskriptiv intervjustudie med kvalitativ innehållsanalys i enlighet med Krippendorff (2004) och Graneheim och Lundman (2004). Datainsamlingen skedde genom semistrukturerade intervjuer med närstående till patienter som vårdats på en intensivvårdsavdelning på ett universitetssjukhus i Mellansverige.

Resultat: De närstående beskrev både upplevelser av delaktighet och utestängdhet under intensivvården. Delaktighet uttryckte sig genom att de närstående upplevde god information och kommunikation, en trygg och inbjudande miljö på avdelningen, att de kunde bistå patienten samt att de hade en god relation till personalen. De uppgav även att de ibland kände sig utestängda, då genom bristande information eller kommunikation, att de upplevde en avvisande miljö, att de inte kunde bistå patienten eller att relationen till personalen brast.

Slutsats: I aktuell studie framkom det att närstående kände sig delaktiga under intensivvården när informationen och kommunikationen var bra, relationen till personalen var god, när miljön var inbjudande samt när de kunde bistå patienten. Fungerade inte dessa delar ledde det till att de närstående kände sig utestängda från vården.

Abstract [en]

Introduction: Relatives of patients who are being cared for in an intensive care unit have a significant role in the patients’ care. They often have a desire to assist the patient at the same time they experience major strains. The feeling of being excluded from the patients’ care can lead to increased stress and anxiety in an already agitated situation.

Aim: The aim was to examine relatives’ experiences of participation in intensive care.

Method: Descriptive interview study with qualitative content analysis according to Krippendorff (2004), and Graneheim and Lundman (2004). Data was collected through semi-structured interviews with relatives of patients who had received care in an intensive care unit (ICU) at a university hospital in central Sweden.

Findings: Relatives described experiences of both participation and exclusion during the time at the ICU. Participation manifested through good information and communication, a safe and welcoming atmosphere, being able to assist the patient and a good relationship to the nurses. The relatives also stated that they sometimes felt excluded from the care, which could be due to lacking information and communication, an unfriendly environment, not being able to assist the patient or that the relationship with the nurses failed.

Conclusion: The relatives expressed that they felt involved in the patients’ care during their time at the ICU. This was due to satisfactory information and communication as well as good relations with the nurses. Being able to assist the patient and a welcoming atmosphere also generated a sense of participation. In cases where these aspects failed the relatives felt excluded from the patients’ care.

Place, publisher, year, edition, pages
2017. , 25 p.
Keyword [en]
Intensive care, relatives, participation, experience, exclusion
Keyword [sv]
Intensivvård, närstående, delaktighet, upplevelse, utestängdhet
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-324640OAI: oai:DiVA.org:uu-324640DiVA: diva2:1110716
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2017-06-16 Created: 2017-06-16 Last updated: 2017-06-16Bibliographically approved

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