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Faktorer som kan försvåra möjligheten för sjuksköterskor att ge personcentrerad vård – en litteraturöversikt.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Factors that can complicate the ability for nurses to provide person centred care – a literature review (English)
Abstract [sv]

Bakgrund: Enligt den nya patientlagen ska patientens delaktighet i sin egen vård utökas och förstärkas ytterligare. Som en del i detta arbete så har personcentrerad vård införts i flera svenska regioner och landsting. Positiva effekter av personcentrerad vård har kunnat bevisas både hos patienter och vårdgivare. Syfte: Att beskriva vilka faktorer som kan försvåra möjligheterna för sjuksköterskor att ge personcentrerad vård. Metod: Examensarbetet genomfördes som en litteraturöversikt. Tio vetenskapliga artiklar publicerade mellan 2010-2016 ingick i studien. Artiklarna söktes i databaserna CINAHL och PubMed samt genom fritextsökning i Google Scholar. Resultat: Det visade sig finnas flera teman med tillhörande faktorer som kunde försvåra möjligheten för sjuksköterskor att ge en personcentrerad vård. Framträdande faktorer var bland andra sjuksköterskans förhållningssätt och syn på sin profession och på patienten, bristande patientdelaktighet, bristande teamarbete och kommunikation, svagt stöd från organisation och ledning, undermålig miljö och utbildning samt hög arbetsbelastning. Slutsats: Flera faktorer som kunde försvåra för sjuksköterskan att ge personcentrerad vård framkom, där vissa upplevdes som mer avgörande än andra. För att sjuksköterskor ska kunna ge patienten en vård baserad på patientdelaktighet så är det av stor betydelse att medvetenheten om dessa försvårande faktorer ökar. Genom att redan under sjuksköterskeutbildningen arbeta med ett personcentrerat förhållningssätt så ökar sannolikheten för att implementeringen av personcentrerad vård inom svensk hälso- och sjukvård skall lyckas.

Abstract [en]

Background: According to the new patient law, patients' involvement in their own care will be expanded and strengthened further. As part of this work, personcentred care has been introduced in several Swedish regions and county councils. Positive effects of person-centred care have been proven to exist for both patients and healthcare providers. Aim: To describe factors that can complicate the ability for nurses to provide person-centred care. Methods: The thesis project was conducted as a literature review. Ten scientific articles published between 2010-2016 were included in the study. The articles were searched in the CINAHL and PubMed databases, as well as through Google Scholar free text search. Results: There were several themes with associated factors that could complicate the possibility for nurses to provide a person-centred care. Prominent factors include the attitude of the nurse and his or her view of the profession and the patient, lack of patient participation, lack of teamwork and communication, weak support from organization and management, poor environment and education, and high workload. Conclusion: Several factors that could make it difficult for the nurse to provide person-centred care were discovered, some of which were perceived to be more crucial than others. In order for nurses to be able to provide care based on patient participation, it is very important that awareness of these aggravating factors is increased. By working with a person-centred approach already during nursing education, the likelihood of successful implementation of person-centred care in Swedish healthcare increases

Place, publisher, year, edition, pages
2017.
Keyword [en]
Nurse’s role, organization, patient participation, person - centred care, teamwork.
Keyword [sv]
Organisation, patientdelaktighet, personcentrerad vård, sjuksköterskans roll, teamarbete.
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-25233OAI: oai:DiVA.org:du-25233DiVA: diva2:1112214
Available from: 2017-06-20 Created: 2017-06-20

Open Access in DiVA

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File name FULLTEXT01.pdfFile size 496 kBChecksum SHA-512
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Type fulltextMimetype application/pdf

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