du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Distriktssköterskans arbete med att främja fysisk aktivitet: Empirisk studie med kvalitativ ansats
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The district nurse´s work to promote physical activity : Empirical study with qualitative approach (English)
Abstract [sv]

Syfte: Syftet med denna studie var att beskriva distriktssköterskans uppfattningar av sittarbete med att främja fysisk aktivitet för att förebygga ohälsa.Metod: Ostrukturerade enskilda intervjuer med åtta distriktssköterskor gjordes med hjälp aven intervjuguide. Studien gjordes med en fenomenografisk kvalitativ ansats där materialet haranalyserats utifrån sju steg enligt Dahlgren och Fallsberg (1991).Resultat: Motivation hos patienterna var viktigt för att kunna främja deras fysiska aktivitet.Det var betydelsefullt att se patienten som en individ, använda Motiverande samtal beroendepå situationen, skriva fysisk aktivitet på recept och följa upp patienten. Att ta hänsyn tillpatienternas livssituation när samtal om fysisk aktivitet inleddes uppfattades viktigt.Individuella råd gavs om fysisk aktivitet beroende på patienternas intresse, motivation ochlivssituation. Hinder och undanflykter hos patienten kunde försvåra arbetet med att motiveradem. Otillräckliga kunskaper fanns om rekommendationer av fysisk aktivitet vid vissaspecifika sjukdomstillstånd och kraftig övervikt. Tidsbrist, organisatoriska hinder ochotillräckliga resurser uppfattades försvåra arbetet. Distriktssköterskor kunde vara lämpade attarbeta med levnadsvanor och det kunde även vara en kombination av olika yrkeskategoriereller den som hade intresse av detta.Konklusion: Distriktssköterskor bör se patienten som en individ och anpassa arbetet med attfrämja fysisk aktivitet efter patientens situation och behov. Kontinuitet behövs för attuppföljning ska bli effektiv. Det förebyggande arbetet behöver prioriteras högre påorganisatorisk nivå med mer resurser, mer tid och mer utbildning. Det är även viktigt attdistriktsköterskor är intresserade av att främja hälsosamma levnadvanor för att kunna hjälpapatienterna till en bättre hälsa.

Abstract [en]

Aim: The aim of this study was to describe how Swedish district nurses perceive the task of promoting physical activity to achieve better patient health.Methodology: Unstructured individual interviews with eight different district nurses were carried out in accordance with interview guidelines. The study was carried out by a phenomenographic qualitative approach and the material was analysed by seven steps developed by Dahlgren and Fallsberg (1991).Result: Patient motivation plays an important role when it comes to promoting physical activity. It is important to see the patient as an individual, use Motivational Interviewing depending on the situation, prescribe physical activity and carry out follow up appointments with the patient. To respect the patient's lifestyle and environment in conversations about physical activity was also seen as an important aspect. Individual advice was given in regards to physical activity depending on the patient's interests, motivation and lifestyle/environment. Obstacles and excuses presented by the patient were aspects that made the task of motivating the patient more difficult. Lack of knowledge in regards to current recommendations in respect to physical activity and certain deseases and morbid obesity was found. Insufficient time, organisational hurdles and insubstantial resources were also seen to hinder the process. The professional suited to work with issues of habitual lifestyle choices may be district nurses, but this work could also be carried out by a combination of different professionals or individuals who have a specific interest in this area.Conclusion: District nurses should see the patient as an individual person and adapt the task of promoting physical activity depending on the need and situation of the patient. Continuity is needed for an efficient follow up process. Preventative health work needs to be prioritised at the organisational level through more resources, time and training. It is also important that the district nurse has a personal interest of promoting healthier life choices in order to be able help to the patient achieve better health.

Place, publisher, year, edition, pages
2014.
Keyword [en]
district nurse, physical activity, motivation, councelling, follow up
Keyword [sv]
distriktssköterska, fysisk aktivitet, motivation, rådgivning, uppföljning
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-16898OAI: oai:DiVA.org:du-16898DiVA: diva2:788783
Available from: 2015-02-19 Created: 2015-02-16 Last updated: 2015-02-19Bibliographically approved

Open Access in DiVA

No full text

By organisation
Caring Science/Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Total: 86 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf