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Patienters upplevelser av att vänta på en akut neurokirurgisk operation: en kvalitativ intervjustudie
Sophiahemmet University.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Neurokirurgisk vård i Sverige är begränsad till sex olika kliniker. Klinikerna utför planerade och akuta operationer. Beroende på tillgängliga resurser kan ibland akuta operationer dröja. Fördröjning av operationer ställer krav på sjuksköterskans kunskaper om att bemöta, informera och kommunicera med den väntande patienten. Syftet med studien var att beskriva patienters upplevelser av att vänta på en akut neurokirurgisk operation. En kvalitativ metod med induktiv ansats valdes och som datainsamlingsmetod genomfördes semistrukturerade intervjuer. Sex patienter deltog i individuella intervjuer som ägde rum mellan februari och maj år 2016 på en neurokirurgisk klinik i Sverige. Materialet analyserades med hjälp av en manifest innehållsanalys. Resultatet visade att den information patienterna fick från personalen under sin väntetid var i vissa delar otillräcklig och detta skapade en ovisshet som ledde till känslor av oro. Några patienter kände sig utsatta i sin situation vilket skapade starka känslor av ensamhet, besvikenhet och ilska. Patienterna fick fasta en längre tid vilket skapade ytterligare negativa känslor under väntan. Trots oro och ilska uttryckte patienterna en acceptans av sin situation, eftersom de hade en förståelse för varför de fick vänta. Patienterna upplevde även att personalen var hjälpsam, kunnig och positiv vilket skapade en trygghet för patienterna. Slutsatsen visar på vikten av information och tydlig kommunikation mellan patient och personal för att öka patientens trygghet och välbefinnande i en utsatt situation.

Abstract [en]

In Sweden, neurosurgical patients are treated at six different clinics around the country. The neurosurgical clinics perform both scheduled and acute surgical procedures. At times, acute surgical procedures can be delayed and patients are forced to wait. This requires knowledge for the nurse who cares for these patients on how to treat, inform and communicate with the waiting patient. The aim of the study was to describe patients’ experiences of waiting for an acute neurosurgical procedure. A qualitative method with an inductive reasoning was selected. Semi-structured interviews were chosen as an approach for data collection. Six patients participated in individual interviews performed during the months of February through May 2016 at a neurosurgical clinic in Sweden. The collected data was analyzed with a manifest content analysis. The result of the study shows that the patients lacked information about their situation during the time they waited for surgery, which lead to in feelings of uncertainty and anxiety. Some patients felt exposed, leading to strong emotions such as loneliness, disappointment and anger. The long preoperative fast enhanced the negative feelings. Although the patients expressed feelings of anxiety and anger, they seemed to accept their situation as they understood the reasons for the long wait. They experienced the health professionals as helpful, proficient and with a positive attitude, which gained the patients trust. The conclusion of the study is the importance of patient information and communication between patient and health professionals to create a trusting relationship and well-being for patients in an exposed situation.

Place, publisher, year, edition, pages
2017. , 27 p.
Keyword [en]
Neurosurgery, Nursing, Waiting, Patient experience, Communication, Interview study
Keyword [sv]
Neurokirurgisk vård, Väntan, Patientupplevelse, Kommunikation, Intervjustudie
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-2732OAI: oai:DiVA.org:shh-2732DiVA: diva2:1119802
Educational program
Specialistsjuksköterskeprogrammet : inriktning akutsjukvård
Supervisors
Examiners
Available from: 2017-08-08 Created: 2017-07-04 Last updated: 2017-08-08Bibliographically approved

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CiteExportLink to record
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  • apa
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