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Upplevelser i mötet mellan personer med borderline personlighetssyndrom och hälso- och sjukvårdspersonal: Metaetnografisk studie
University West, Department of Health Sciences, Section for nursing - graduate level.
University West, Department of Health Sciences, Section for nursing - graduate level.
2021 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Experiences in the meeting between people with borderline personality disorder and healthcare professionals : A meta ethnographic study (English)
Abstract [sv]

Bakgrund

Psykisk ohälsa ökar i samhället. Personer med borderline personlighetssyndrom har svårigheter med affektreglering, relationer till sig själv och andra, samt har ökad risk för självmord. Personal inom hälso- och sjukvård upplever arbetet inom psykiatrisk vård som givande, men också utmanande och svårt. Sjuksköterskor känner mindre empati för patienter med borderline personlighetssyndrom och upplever dem som farligare än andra patienter. Patienter med borderline personlighetssyndrom upplever sig avfärdade av vården.

Syfte

Utforska upplevelser i det gemensamma mötet mellan personer med borderline personlighetssyndrom och hälso- och sjukvårdspersonal.

Metod

Studien är genomförd med den kvalitativa metoden metaetnografi. Sökningar gjordes i sju databaser vilket resulterade i 24 valda studier. Studierna syntetiserades och resulterade i två huvudmetaforer samt två respektive tre submetaforer.

Resultat

Resultatet består av två huvudmetaforer; Det som döljer sig under ytan där personal och patient erfar sig ha för lite kunskap om diagnosen, vilket ger negativa känslor. Havets föränderliga vågor där det framkommer att mötet mellan patient och personal är komplext. Kunskapsbrist ses som ett hinder, och tillit och respekt identifierats som avgörande faktorer för ett bra möte.

Slutsats

Både patienter och vårdpersonal upplever ett lidande i vårdmötet. Patienterna vill bli hjälpta samtidigt som vårdpersonal upplever hinder på vägen. För att vårdpersonal skall kunna möta patienterna behövs kunskap för att kunna skapa tillit.

Abstract [en]

Background

Mental illness is increasing in the society. People with borderline personality syndrome have difficulties with affect regulation, relationship to one self and others, and have a higher risk of suicide. Health care professionals find the work in psychiatric care rewarding, but also challenging and difficult. Nurses feel less empathy for patients with borderline personality disorder and perceive them as more dangerous than other patients. Patients with borderline personality disorder feel rejected by the health care.

Aim

To explore the experiences in the mutual meeting between people with borderline personality disorder and healthcare professionals.

Method

The study is conducted with the qualitative method of meta ethnography. Searches were made through seven databases which resulted in 24 included studies. The studies were synthesized which resulted in two main metaphors and two respectively three sub metaphors.

Results

The result consists of two main metaphors; What is hidden under the surface where staff and patients feel they have too little knowledge about the diagnosis, which gives negative feelings. The changing waves of the sea where it emerges that the meeting between patient and staff is complex. Lack of knowledge is seen as an obstacle, and trust and respect have been identified as decisive factors for a good meeting.

Conclusion

Both patients and health professionals experience suffering in the care meeting. Patients want to be helped at the same time as healthcare professionals experience obstacles along the way. In order for healthcare staff to be able to meet patients, knowledge is needed to be able to create trust.

Place, publisher, year, edition, pages
2021. , p. 39
Keywords [en]
Borderline personality disorder, experiences, meta ethnography, nursing, psychiatric nurse
Keywords [sv]
Borderline personlighetssyndrom, metaetnografi, omvårdnad psykiatrisjuksköterska, upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-17617Local ID: EXS801OAI: oai:DiVA.org:hv-17617DiVA, id: diva2:1605746
Subject / course
Nursing science
Educational program
Specialist nursing programme
Supervisors
Examiners
Available from: 2021-10-26 Created: 2021-10-25 Last updated: 2021-10-26Bibliographically approved

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