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Intensivvårds- och anestesisjuksköterskors upplevelser av sin arbetsmiljö vid ett sjukhus som saknar akutkirurgi - en intervjustudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Sammanfattning 

Bakgrund: Sjukhusvården förändras och kraven på specialistsjuksköterskor ändras. Transporter med patienter från små sjukhus blir fler och sträckorna längre. Upplevelsen av sin arbetsmiljö har visat sig viktig, inte minst vad gäller upplevelsen av patientsäkerheten.  

Syfte: Syftet var att, ur ett arbetsmiljöperspektiv, beskriva intensivvårds- och anestesisjuksköterskors upplevelse av att arbeta på ett sjukhus utan akutkirurgi.

Metod: Studien hade en kvalitativ ansats med beskrivande design. 11 semistrukturerade intervjuer utfördes med intensivvårdssjuksköterskor (n=6) och anestesisjuksköterskor (n=5). Intervjuerna analyserades med kvalitativ innehållsanalys.

Huvudresultat: Under analysen av intervjuerna framträdde sex kategorier. 1. Att uppleva vikten av att rutiner följs 2. Att samverkan och personkännedom inom sjukhuset underlättar arbetet 3. Upplevelse av nuvarande uppdrag 4. Att se vikten av närliggande vård 5. Att samverka med andra sjukhus och 6. Upplevelse av tillgång till resurser och kompetens. Anestesi- och intensivvårdssjuksköterskorna upplevde att det var viktigt att följa rutiner. Att samverkan och personkännedom inom sjukhuset kan underlätta arbetet var ytterligare en upplevelse som beskrevs. De upplevde en tillfredställelse med det nuvarande uppdraget, även om en önskan att få ett utökat uppdrag beskrevs. Vikten av att ha närliggande vård beskrevs och avståndet till närmaste akutsjukhus upplevdes som ett problem. Samarbetet med andra sjukhus beskrevs ibland fungera bra och ibland fick en kamp föregå samarbetet. Upplevelsen av tillgång till resurser och kompetens beskrevs där det framkom att resursbristen kunde skapa frustration.

Slutsats: Positiv upplevelse av nuvarande uppdrag. Vid akuta tillstånd där svårt skadade eller sjuka patienter kom in till sjukhuset upplevdes frustration med de resursbrister som fanns.

Nyckelord: Anestesisjuksköterska, Arbetsmiljö, Intensivvårdssjuksköterska

Abstract [en]

Abstract

Background: Hospital care is changing and the requirements for specialist nurses are changing. The amount of patient transports from smaller hospitals are increasing and the routes are longer. The experience of the nurses work environment has proved to be important, not least with regard to the experience of patient safety. 

Aim: To describe how intensive care and anesthesia nurses experience working in a hospital without emergency surgery, from a work environment perspective. 

Method: The study had a qualitative approach with descriptive design. 11 semi-structured interviews were conducted with intensive care nurses (n = 6) and anesthetic nurses (n = 5). The interviews were analyzed with qualitative content analysis. 

Main results: Through the analysis six categories emerged. 1. To experience the importance of following guidelines 2. That collaboration and personal knowledge within the hospital facilitates the workload 3. Experience of the current assignment 4. To see the importance of nearby care 5. The cooperation with other hospitals and 6. Experience of access to resources and competence. The anesthetic and intensive care nurses experienced that it was important to follow guidelines. The fact that collaboration and personal knowledge within the hospital can facilitate the workload was another experience that was described. They experienced a satisfaction with the current assignment, although a desire to get extended assignments was described. The importance of having nearby care was described and the distance to the nearest emergency hospital was described as a problem. The collaboration with other hospitals was sometimes described to work well and sometimes a struggle preceded the collaboration. The experience of access to resources and skills was described and it emerged that the lack of resources could create frustration. 

Conclusion: Positive experience of current assignments. In emergency situations where severely injured or sick patients entered the hospital, frustration was experienced with the lack of resources that existed.

Keywords: Intensive Care Nurse, Nurse anesthetist, Work Environment

Place, publisher, year, edition, pages
2019. , p. 33
Keywords [en]
Intensive Care Nurse, Nurse anesthetist, Work Environment
Keywords [sv]
Anestesisjuksköterska, Arbetsmiljö, Intensivvårdssjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-29635OAI: oai:DiVA.org:hig-29635DiVA, id: diva2:1319609
Subject / course
Nursing
Educational program
Specialist nursing – master’s programme (one year)
Supervisors
Examiners
Available from: 2019-06-05 Created: 2019-06-03 Last updated: 2019-06-05Bibliographically approved

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