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Samvetsstress på akutmottagning : Sjuksköterskans upplevelser

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Author(s)
Karlsson, Carina
Soome, Katrin
Keywords
Emergency department
ethics
experience
nurse
stress of conscience
Akutmottagning
etik
samvetsstress
sjuksköterska
upplevelse
Nursing
Omvårdnad
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URI
http://hdl.handle.net/20.500.12424/1223670
Online Access
http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62810
Abstract
Bakgrund: Sjuksköterskor på akutmottagning arbetar ofta i en oförutsägbar och stressig miljö där omprioriteringar behöver göras hela tiden. Att arbeta under dessa förutsättningar kan medföra en risk att uppleva samvetsstress. Forskning inom detta område har gjorts i flera kontexter men väldigt lite forskning är gjord hur den yttrar sig på en akutmottagning. Syfte: Syftet med denna studie var att beskriva sjuksköterskans upplevelse av samvetsstress på akutmottagningen. Metod: En kvalitativ semistrukturerad intervjustudie genomfördes med tio sjuksköterskor från två akutmottagningar med olika storlek. Resultat: Utifrån resultatet framkom sex kategorier och ett tema. Kategorierna var följande: Att medverka till vårdlidande; Bristande kollegialitet som grund för samvetsstress; Organisatoriska brister som grund för samvetsstress; Hantering av upplevd samvetsstress; Konsekvenser av samvetsstress och Lindring av samvetsstress. Temat mynnade ut i Samvetsstress- en börda att förhålla sig till. Slutsats: Tillräckliga resurser och organisatoriskt stöd är viktiga medel för att lindra samvetsstress hos sjuksköterskan. Genom att sjuksköterskan arbetar med sin etiska kompetens och nyanserar kraven på sig själv kan upplevelsen av samvetsstress lindras.
Introduction: Nurses in the emergency room are often working in an unpredictable and stressful environment where constant re-prioritizing is made. Working under these conditions could cause stress of conscience. Research in this field has been made in different contexts but there is little research made in the emergency room. Aim: The aim with this study is to describe the nurse´s experience of stress of conscience in the emergency room. Method: A qualitative semi structured interview study was carried out with ten nurses from two emergency rooms of different size. Result: Six categories and one theme emerged from the result. The categories where the following:  To contribute to care suffering; Lack of collegiality as a cause of stress of conscience; Organizational shortcomings as a reason for stress of conscience; Managing stress of conscience; Consequences for the nurse and Alleviation of stress of conscience. The theme was Stress of conscience - a burden to relate to. Conclusion: Sufficient resources and organizational support are important means to alleviate stress of conscience. If the nurse improves ethical competences and nuances the existing demands, the experience of stress of conscience can decline.
Date
2017
Type
Student thesis
Identifier
oai:DiVA.org:lnu-62810
http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62810
Copyright/License
info:eu-repo/semantics/openAccess
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