Psykiatrisjuksköterskors erfarenheter av vårdande samtal med patienter som har substansmissbruk: En kvalitativ intervjustudie
2021 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE credits
Student thesisAlternative title
Psychiatric nurses’ experiences of caring conversations with patients who have substance abuse (English)
Abstract [sv]
Bakgrund: Substansmissbruk är ett globalt problem och leder till negativa konsekvenser både för personen och samhället. Antal patienter som vårdats för substansmissbruk inom hälso- och sjukvården i Sverige har ökat de senaste åren. Tidigare forskning visar att substansmissbruk kan grundas i och leda till lidande. Psykiatrisjuksköterskor ger ofta omvårdnad till patienter som har substansmissbruk. Kommunikation mellan psykiatrisjuksköterska och patient sker vanligen via samtal. Forskning har visat att vårdande samtal kan lindra lidande. Syfte: Studiens syfte var att beskriva psykiatrisjuksköterskors erfarenheter av vårdande samtal med patienter som har ett substansmissbruk. Metod: Semistrukturerade narrativa intervjuer via telefon utfördes med elva psykiatrisjuksköterskor. Data analyserades med kvalitativ innehållsanalys. Resultat: Analysen mynnade ut i elva subkategorier och fyra kategorier. Kategorierna var drogfrihet som ambition, följsam närvaro, genuin människokärlek och att möta och lindra lidandets olika skepnader. Slutsats: Vårdande samtal kan ha potential att lindra patientens lidande samt tillfrisknande från substansmissbruk. Psykiatrisjuksköterskan behöver ha ett professionellt och personcentrerat förhållningssätt. Det vårdande samtalet beskrivs vara ett samtal mellan två människor vilket för psykiatrisjuksköterskan innebär utmaning i balans mellan närhet och distans till patienten.
Abstract [en]
Background: Substance abuse is a global problem that leads to negative consequences both for the person and for society. Healthcare in Sweden has the last couple of years taken care ofan increasing number of patients with substance abuse. Research shows that substance abuse can both lead to and caused suffering. Psychiatric nurses often give nursing care to patients who have substance abuse. Communication between the psychiatric nurse and the patient is often done by conversation. Research has shown that caring conversations can alleviate suffering. Aim: The aim of the study was to describe psychiatric nurses’ experiences of caring conversations with patients who have substance abuse. Method: Semi-structured narrative interviews were conducted by phone with eleven psychiatric nurses. Data is analyzed according to qualitative content analysis. Results: The analysis resulted in eleven subcategories and four categories. The categories were drug freedom as ambition, compliant presence, genuine human love and to meet and alleviate the various forms of suffering. Conclusion: Caring conversations can have the potential to alleviate the patient's suffering as well as recovery from substance abuse. The psychiatric nurse needs to have a professional and person-centered approach. The caring conversation is described as a conversation between two people, which for the psychiatric nurse means a challenge in balancing closeness and distance to the patient.
Place, publisher, year, edition, pages
2021. , p. 22
Keywords [en]
Caring conversation, narrative interviews, psychiatric nurses’ experiences, substance abuse, suffering
Keywords [sv]
Lidande, narrativa intervjuer, psykiatrisjuksköterskors erfarenheter, substansmissbruk, vårdande samtal
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-16885Local ID: EXS801OAI: oai:DiVA.org:hv-16885DiVA, id: diva2:1582656
Subject / course
Nursing science
Educational program
Specialist nursing programme
Supervisors
Examiners
2021-08-202021-08-032021-08-23Bibliographically approved