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Sjuksköterskors erfarenheter av interaktioner med patienter som lider av psykisk ohälsa inom den somatiska vården
University West, Department of Health Sciences, Section for nursing - undergraduate level.
University West, Department of Health Sciences, Section for nursing - undergraduate level.
2017 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses experience of interaction with patients suffering from mental illness in somatic care (English)
Abstract [sv]

Detta är en litteraturöversikt som är tänkt att skapa en överblick av kunskapsområdet. I dagens samhälle är psykisk ohälsa ett stort problem, vilket definieras som avsaknad av välbefinnande hos en individ där hen ej klarar av att hantera ett normalt liv. Att personer med psykisk ohälsa har en hög risk att drabbas av samtidig fysisk sjukdom gör att det sätts hög press på sjukvårdspersonal. För att kunna ge en god omvårdnad till patienter bör sjuksköterskor kunna se till hela patienten och människan bakom sjukdomarna. Studien syftar till att se hur sjuksköterskor upplever arbetet inom somatisk vård när patienter både lider av psykisk ohälsa och ett samtidigt somatiskt sjukdomstillstånd.  Det har visat sig att sjuksköterskor upplever sig ha för lite kunskap från sin grundutbildning angående just psykisk ohälsa för att kunna bemöta denna patientgrupp. Resurserna på en somatisk vårdavdelning räcker inte till för att även ta hand om psykisk ohälsa. Vidare visar det sig att sjuksköterskor har blandade attityder gentemot psykisk ohälsa, exempelvis undvikande, fördomar, medlidande och sympati.

Abstract [en]

Background: Mental illness is a widespread, vast issue in today’s society. It’s challenging for nurses working in the somatic-care to interact with and care for patients with coexisting mental illness. Despite high prevalence of mental illness in the population, major problems exist regarding prejudices and negative attitudes towards these patients. A legal obligation for nurses to conduct non-discriminatory care and responsibility to maintain decent ethical attitude prevents violations of patients right. Previous research indicate that nurses today experience this as difficult achieving.

Aim: The aim of this study was to illustrate nurses’ experiences of interacting with patients with mental illness in somatic care.

Method: Systematic literature review was used, based on six qualitative and three quantitative scientific articles. The databases Cinahl, PubMed and ProQuest were used to find the articles.

Results: Nurses stated varying competence regarding assessment- and actionability related to patient behaviour. Care environment was considered as inadequate. Nurses expressed different prejudices and attitudes towards patients with mental illness. They mainly experienced feelings of uncertainty, insufficiency, fear, anger, anxiety and frustration, this affected interaction negatively. Overall a lack of knowledge was stated, regardless of attitude.

Conclusion: Nurses in somatic care mainly express negative attitudes and experiences regarding patients with mental illness, though positive attitudes also showed. Varied levels of competency and knowledge regarding interaction, a consistently need for further education was stated. Stigmatization, prejudices and lack of holistic approach exists. Increased education and knowledge leads to decreased negative attitudes and experiences. It raises feelings of security, positive attitudes, acceptance and a more holistic approach.

Place, publisher, year, edition, pages
2017. , 15 p.
Keyword [en]
attitudes, experiences, general nurses, mental illness, somatic care
Keyword [sv]
allmännsjuksköterskor, attityder, erfarenheter, psykisk ohälsa, somatisk vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-11480Local ID: EXO502OAI: oai:DiVA.org:hv-11480DiVA: diva2:1140460
Subject / course
Nursing science
Educational program
Nursing Programme
Supervisors
Examiners
Available from: 2017-09-12 Created: 2017-09-12 Last updated: 2017-09-12Bibliographically approved

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