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Sjuksköterskans erfarenhet av att arbeta med personer med Alzheimers sjukdom som uppvisar utmanande beteende: En kvalitativ intervjustudie
Dalarna University, School of Health and Welfare.
2025 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses' Experiences of Working with People with Alzheimer's Disease Exhibiting Challenging Behaviors : A qualitative interview study (English)
Abstract [sv]

Bakgrund: Demenssjukdomar innebär både medicinska och psykosociala utmaningar för sjuksköterskor, vilka ofta förstärks i mötet med personer som visar tecken på aggression, ångest eller hallucinationer. Bakgrunden ger en översikt över centrala begrepp relaterade till Alzheimers sjukdom, utmanande beteenden samt belyser personcentrerad vård och sjuksköterskans roll i dessa möten. Syfte: Syftet med denna studie var att beskriva sjuksköterskors erfarenhet av att arbeta med personer med Alzheimers sjukdom som uppvisar utmanande beteende. Metod: Studien använde kvalitativ metod med semistrukturerade intervjuer av tio legitimerade sjuksköterskor från äldreboenden i Mellansverige. Urvalet var strategiskt och intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: Resultaten visade att personcentrerat förhållningssätt, kontinuitet, trygghet och samarbete är viktiga i det dagliga arbetet, samt att reflektion, empati och kunskap främjar välbefinnande hos personer med Alzheimers sjukdom. Slutsats: Studien visade att sjuksköterskors kompetens, empati och individanpassad vård ökade välbefinnandet hos personer med Alzheimers sjukdom, och tillsammans med trygghet, kontinuitet samt samarbete med tvärprofessionella team och anhöriga hjälpte till att förebygga, identifiera och hantera utmanande beteenden.

Abstract [en]

Background: Dementia presents medical and psychosocial challenges for nurses, often intensified when caring for individuals showing aggression, anxiety, or hallucinations. The background outlines key concepts related to Alzheimer's disease, challenging behaviors, and emphasizes person-centered care and the nurse’s role. Aim: The aim of this study was to describe nurses' experiences of working with individuals with Alzheimer's disease who exhibit challenging behavior. Method: The study used a qualitative method with semi-structured interviews of ten licensed nurses from elderly care homes in Central Sweden. The sampling was strategic, and the interviews were analyzed using qualitative content analysis. Results: The results showed that a person-centered approach, continuity, safety, and collaboration are important in daily work, and that reflection, empathy, and knowledge promote the well-being of people with Alzheimer's disease. Conclusions: The study showed that nurses’ competence, empathy, and individualized care increased the well-being of people with Alzheimer’s disease, and together with safety, continuity, and collaboration with interdisciplinary teams and relatives, helped to prevent, identify, and manage challenging behaviors.

Place, publisher, year, edition, pages
2025.
Keywords [en]
Dementia, Alzheimer’s disease, challenging behaviors, BPSD, person- centered care, nurses’ experiences, nursing care, psychosocial challenges, aggression, anxiety, hallucinations, approach, healthcare staff, geriatric care
Keywords [sv]
Demenssjukdomar, Alzheimers sjukdom, utmanande beteenden, BPSD, personcentrerad vård, sjuksköterskors erfarenheter, omvårdnad, psykosociala utmaningar, aggression, ångest, hallucinationer, bemötande, vårdpersonal, geriatrisk vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-51293OAI: oai:DiVA.org:du-51293DiVA, id: diva2:1999242
Subject / course
Caring Science/Nursing
Available from: 2025-09-19 Created: 2025-09-19 Last updated: 2025-10-09

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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More styles
Language
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • asciidoc
  • rtf