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Sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus
University West, Department of Health Sciences, Section for nursing - undergraduate level.
University West, Department of Health Sciences, Section for nursing - undergraduate level.
2019 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' experiences of family-centred care when a child is cared for in hospital (English)
Abstract [en]

Background: When a child is cared for in hospital, the child's well-being and ability to influence its own care must be taken into consideration. Children should not be separated from their parents unless the purpose is to protect the child. Children are entitled to a relative's presence and participation throughout the care period. The environment affects the child's experience of health and well-being during hospitalization. The presence of the family is of great importance and creates a well-being that gives the child security, harmony and an inner calm. 

Aim: The aim of this study was to highlight nurses' experiences of family-centered care when a child is admitted to hospital.

Method: The method was a literature-based study that contributes to evidence-based care, eight scientific articles with qualitative data were analysed using Friberg's five-step model. The method was used to compile and analyse previous research into a new whole and to use the identified scientific knowledge into practically useful knowledge.

Results: Three main themes and ten subthemes were identified. The first theme describes the relationship between the nurse and the family. The subthemes were; The importance of the family, Creating a trusting relationship, Involving the family in the child's care, The family may hinder family-centration. The second theme describes the importance of communication. The subthemes were; Need for communicative skills, Nurses' retention of certain information, Cultural barriers. The third theme describes lack of resources preventing family-centration. The subthemes were; Insufficient material and infrastructural resources, Insufficient human resources and Lack of knowledge about family-centering.

Conclusion: Family's presence is of great importance to the child, that the nurse should be able to involve the family in the child's care and create a trusting relationship with the family. Nurses' approach is meaningful to how the family's participation in the child's care is perceived. The family can be seen as an obstacle or an advantage to the nurse's work. The nurses acknowledge that they need more knowledge about family-centered nursing in its entirety, and how to work with the family.

Abstract [sv]

Denna studie belyser sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus. När barn är i behov av sjukhusvård är oftast barnets familj närvarande och hela familjen påverkas av sjukhusvistelsen. Sjuksköterskan bör vara uppmärksam på familjens individuella behov och se barn och familj som en helhet. Sjuksköterskans förhållningssätt är avgörande för familjens upplevelse av vårdtiden samt hur en tillitsfull relation etableras. Det är viktigt att familjens tid på sjukhus inte upplevs negativ då det kan leda till att familjen inte känner tillit till vården i framtiden. Använder sig sjuksköterskan av ett familjecentrerat förhållningssätt kan barnet bli mer samarbetsvilligt vilket underlättar sjuksköterskans omvårdnadsarbete. Att involvera familjen i barnets omvårdnad är av betydelse då det bidrar till att bandet mellan barn och familjen bibehålls samt stärker relationen mellan sjuksköterska och familj. Det är viktigt att sjuksköterskan reflekterar kring sitt förhållningssätt och samarbetar med familjen. En god relation leder till känsla av trygghet och tillit vilket underlättar undersökningar och behandlingar.

Place, publisher, year, edition, pages
2019. , p. 23
Keywords [en]
child, family, family-centered, care, hospital, nurse perception, nursing.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-13565Local ID: EXO502OAI: oai:DiVA.org:hv-13565DiVA, id: diva2:1289918
Subject / course
Nursing science
Educational program
Nursing Programme
Supervisors
Examiners
Available from: 2019-02-25 Created: 2019-02-19 Last updated: 2019-02-25Bibliographically approved

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