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Denna studie syftade till att undersöka hur personal på grupp- och serviceboenden hanterar dilemman mellan omvårdnad och självbestämmande. Fokus låg på vilka erfarenheter personalen har av dilemman, hur de hanterar dessa samt vad som avgör hur de handlar. Datainsamlingen skedde genom sex semi-strukturerade intervjuer med personal på grupp- och serviceboenden och analyserades med tematisk analys. Resultatet visade att personalen möter många dilemman i sitt arbete där hantering av dessa utgår ifrån individens självbestämmande. Kommunikation var en betydande del av personalens sätt att hantera dessa dilemman på. Studien visade också att personalen hanterar dilemman utifrån sin egen avsikt - att främja självbestämmande och omvårdnad. Personalens handlingar påverkas av vad de moraliskt och organisatoriskt kan göra samt brukarens handlingar.

The aim of this study was to investigate how staffs at group housing and service housing manage dilemmas between nursing and self-determination. Experiences of dilemmas, how they manage these dilemmas and factors that determined their actions were explored. The data were collected through six semi-structured interviews with staffs in group housing and service housing and was analyzed using a thematic analysis. The result showed that the staff face many dilemmas, and their management of these situations is always based on self-determination. Communication was also a significant part of how they manage the dilemmas. Furthermore, the study showed that staffs deal with dilemmas based on their own intention - to promote self-determination and nursing. Their actions are based on what they can do morally and organizationally as well as the patients’ actions.