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Samsjuklighet med missbruk/beroende inom rättspsykiatrisk vård: en intervjustudie om vårdares erfarenheter
University of Gävle, Faculty of Health and Occupational Studies.
University of Gävle, Faculty of Health and Occupational Studies.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Inom rättspsykiatrin vårdas många patienter med samsjuklighet missbruk/beroende. Patientgruppen är heterogen med komplexa och specifika vårdbehov. Vårdare är de som tillbringar mest tid med dessa patienter. Studiens syfte var att beskriva vårdares erfarenheter av att vårda patienter som lider av allvarlig psykisk störning med samsjuklighet missbruk/beroende, inom rättspsykiatrisk vård. Tio sjuksköterskor och tio skötare som arbetade på en rättspsykiatrisk regionvårdsklinik intervjuades och materialet bearbetades med kvalitativ innehållsanalys. Intervjuer gjordes med stöd av en semistrukturerad intervjuguide. Ur analysen framkom 14 subkategorier som bildade fyra kategorier; samverkan, skapa funktionellt vardagsliv, finnas kvar över tid och kunskap/kompetens. Resultatet visade att vårdares samverkan med patienter och övriga yrkeskategorier gav vårdprocessen en helhetssyn. Goda vårdrelationer kunde hjälpa patienter att bryta förnekelse av missbruksproblem. Individanpassade aktiviteter och praktisk färdighetsträning var betydelsefullt i patienters rehabilitering. Vårdprocessen kunde inte forceras och motivationsarbetet var centralt. Klinisk erfarenhet, livserfarenhet, teoretisk kunskap kombinerat med en trygg och stabil personlighet, var den kompetens som enligt vårdare behövdes för att vårda dessa patienter. Inom kunskapsområdet missbruk/beroende upplevde vårdare behov av teoretisk komplettering. 

Abstract [en]

Many psychiatric patients with comorbidity of addiction /dependence are treating in forensic mental health. The patient group is heterogenic with complex and specific health needs. Nursing care staffs are those who spent the most time with these patients. The aim of this study was to describe caregivers' experiences of caring for patients suffering from severe mental disorder with comorbidity of addiction /dependence, in psychiatric care. Ten registered nurses and ten licensed mental nurses who worked at a forensic psychiatric clinic were interviewed, and the material was processed with content analysis. Interviews were conducted with support of a semi-structured interview guide. From the analysis revealed 14 subcategories to form four categories: collaboration, create functional everyday life, persist over time and knowledge / skills. The results showed that nursing care staff´s interaction with patients and other health care professionals gave a holistic approach. Good health care relationships could help patients to break the denial of substance abuse problems. Individualized activities and practical skill training was important in patients' rehabilitation. Nursing process could not be rushed and motivational work was crucial. Clinical experience, life experience, theoretical knowledge combined with a secure and stable personality, were the skills as nursing care staff´s needed to care for these patients. In the area of knowledge abuse/dependence experienced nurses need theoretical completion.

Place, publisher, year, edition, pages
2010. , p. 46
Keywords [en]
forensic care, experience, comorbidity, qualitative content analysis
Keywords [sv]
rättspsykiatrisk omvårdnad, erfarenhet, samsjuklighet, kvalitativ innehållsanalys
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hig:diva-7724OAI: oai:DiVA.org:hig-7724DiVA, id: diva2:355174
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-10-06 Created: 2010-10-05 Last updated: 2010-10-06Bibliographically approved

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CiteExportLink to record
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