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Sexualitetens roll i vården av onkologipatienten: Sjuksköterskors arbete kring patienters sexualitet på fyra onkologikliniker
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.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: En cancerdiagnos påverkar en människa på flera olika sätt, däribland dess sexualitet. Flera olika aspekter finns av hur sexualiteten berörs av sjukdomen och relaterade behandlingar. Därför finns det en utbredd vilja från forskningens och samhällets sida att vården ska hantera detta på ett sätt som leder till att patienten får individuellt anpassad vård och stöd kring de faktorer som rör dennes sexualitet, vilket i sin tur kan leda till större delaktighet i vården. Syfte: Att undersöka sjuksköterskans arbete kring frågor som rör sexualitet hos onkologipatienter. Metod: Kvalitativ intervjustudie med åtta sjuksköterskor från fyra olika onkologienheter rekryterades genom bekvämlighetsurval på samma sjukhus. Intervjuer skedde med semistrukturerade öppna frågor. Resultat: Resultatet visade på att sjuksköterskorna arbetade medvetet och omedvetet med strategier som de grundade i klinisk erfarenhet. Flera olika dimensioner och hinder för att samtala om frågor som rör sexualitet togs upp av informanterna. Slutsats: Sjuksköterskornas arbete kring sexualitet på onkologienheterna fokuserar främst på de fysiska biverkningarna av cancerbehandling. Sjuksköterskorna upplevde att de har en kunskapsbrist om vilka problemområden patienter kan ha, hur behandlingar eller sjukdomen generellt påverkar patienternas sexualitet. Att få mer kunskap, ha tydligare rutiner för hur sexualitet skall adresseras i vården eller att kunna remittera vidare till en sexolog är något som sjuksköterskor vill få tillgång till för att kunna bli bättre i sitt arbete kring patienter sexualitet.

Abstract [en]

Background: A cancer diagnosis affects a person in many different ways, among them their sexuality. Several different aspects of sexuality are impacted by the disease and its treatments. Therefore there is a widespread will from the research world and society for the health care to address these issues in a way that leads to an individual and patient centered care and support concerning the aspects of their sexuality, which can result in greater participation in the care. Purpose: To investigate the nurses work concerning sexuality among oncology patients. Method: Qualitative interviews were conducted with eight nurses from four different oncology clinics that were recruited by convenience sample from one hospital. Findings: The result revealed that the nurses worked, consciously or unconsciously, through strategies that they grounded in clinical experience. Several different dimensions and obstacles to talk about the subject of sexuality were brought up by the informants. Conclusion: The nurses work concerning sexuality in the oncology clinics were mainly focused on the physical side effects of cancer treatment. The nurses felt they lack the knowledge about the problem areas the patient might experience, how treatments or the disease itself can affect the patients sexuality. To gain more knowledge, to have more routines on how to address sexuality or to be able to refer patients to a sexologist was something the nurses would like to have access to in order to improve their work with patients sexuality.

Place, publisher, year, edition, pages
2016. , 25 p.
Keyword [en]
Sexuality, Communication, Oncology, Nursing
Keyword [sv]
Sexualitet, Kommunikation, Onkologi, Sjuksköterskeprofessionen, Omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-294936OAI: oai:DiVA.org:uu-294936DiVA: diva2:931923
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2016-05-31 Created: 2016-05-31 Last updated: 2016-05-31Bibliographically approved

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