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Sjuksköterskors arbetsrelaterade stress ur ett patientsäkerhetsperspektiv: 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.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurse´s workrelated stress within a patientsafety perspective : A literature review (English)
Abstract [sv]

Bakgrund: Sjuksköterskans arbete inriktas idag på att bidra med god och säker vård till alla patienter. Sjuksköterskan har det högsta omvårdnadsansvaret och ska skydda patienterna från onödigt lidande. Att arbeta evidensbaserat och personcentrerat i samråd med patienten bidrar till god och säker vård. Utöver detta omfattar omvårdnadsansvaret att leda arbetsgruppen och ”vara spindeln i nätet” som uppmärksammar och förmedlar viktig information vidare till andra yrkesprofessioner samt anhöriga.

Syfte: Att belysa orsaker till arbetsrelaterad stress hos sjuksköterskor inom slutenvården och hur det i sin tur påverkar patientsäkerheten.

Metod: En litteraturöversikt som grundas på 15 vetenskapliga artiklar. Artiklarna bygger på studier vars design varierade mellan kvantitativ, kvalitativ samt mixed-method. De databaser som användes var Pubmed och Cinahl. Alla artiklar granskades med hjälp av kvalitetsmallar. Studierna analyserades med hjälp av Fribergs (2017) tre steg.

Resultat: Resultatet belyser fyra stressfaktorer som var orsaker till arbetsrelaterad stress hos sjuksköterskan. Stressfaktorerna var; bristande teamarbete mellan professionerna, bristande bemanning, övertid och skiftarbete samt tidsbrist. Dessa stressfaktorer som ledde till arbetsrelaterad stress, visade sig i sin tur ha ett betydande samband med bristande patientsäkerhet genom att det uppstår vårdrelaterade infektioner, fallolyckor, felaktig journalföring, felaktig läkemedelshantering, oplanerad avlägsnande av endotrakealrör och bristande kontroll av medicinsk utrustning.

Slutsats: Resultatet visar att sjuksköterskor som arbetar inom slutenvården upplever en rad olika stressfaktorer som leder till arbetsrelaterad stress. Denna typ av stress har i sin tur visat ett starkt samband med försämrad patientsäkerhet då risken för vårdskador ökar. Genom att använda sig av resultat som framkommit i litteraturöversikten kan ett förbättringsarbete ske genom att kartlägga grundorsakerna till arbetsrelaterad stress och därmed förhindra kommande brister i patientsäkerheten.

Abstract [en]

Background: Today, the nurse's work focusing on contribute to a good and safe care for every patient. The highest responsibility for every nurse is to protect the patients from unnecessary suffering. By working person-centered and in consultation with the patient as well as evidencebased, this should contribute to a good and safe care. Beyond this, there is a responsibility for the nurse´s that includes leading the working group, be the spider in the web who draws attention to and mediates important information to the other professions and the family of the patients.

Aim: To illuminate reasons to work-related stress among nurses in hospital ward and how it’s impact on the patient safety.

Method: A literature review based on 15 scientific studies. The studies design varied between quantitative, qualitative and mixed method design. The databases that was used were Pubmed and Cinahl. All studies quality was reviewed by review templates. The studies were also analyzed according to Fribergs (2017) three steps.

Result: The result has shown four stressors that have been identified as the reasons of work related stress in nurses. The four stressors were; lack of teamwork between professions, staff shortage, working overtime and shift and lack of time. These stressors that contributed to work-related stress, in turn, did show a significant relationship with lack in the patient safety care that were adverse events, fall accidents, incorrect documentation, incorrect drug management, unplanned removal of endotracheal tubes and lack of control of medical equipment.

Conclusion: In the literature review it was found that nurses are experiencing a couple of stressors within the hospitals environment that lead to work-related stress. The work-related stress, in turn, is strongly linked to impaired patient safety as the risk of adverse events and other patient safety incidents increase. By using results that have emerged from the literature review, improvement work can be done by mapping the basic problems and thus preventing future lack in the patient safety.

Place, publisher, year, edition, pages
2020.
Keywords [en]
A literature review, inpatient, nurse, patient safety, work-related stress
Keywords [sv]
Arbetsrelaterad stress, litteraturöversikt, patientsäkerhet, sjuksköterska, slutenvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-31701OAI: oai:DiVA.org:du-31701DiVA, id: diva2:1387653
Available from: 2020-01-22 Created: 2020-01-22

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