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Patientsäkerhet under covid-19 pandemin relaterad till missad omvårdnad: en litteraturstudie
Sophiahemmet University.
Sophiahemmet University.
2022 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Patient safety during the covid-19 pandemic related to missed nursing care : a literature review (English)
Abstract [sv]

Bakgrund

Under covid-19 pandemin har förutsättningarna för omvårdnad påverkats. Patientsäkerheten är en viktig del av sjuksköterskans arbete där fokus ligger på personcentrerad vård. Om patientsäkerheten har påverkats av covid-19 pandemin kan det betyda att vården står inför en ny utmaning där förändrade rutiner och riktlinjer krävs. Omvårdnad som uteblivit helt eller delvis samt missats kan påverka omvårdnaden och patientsäkerheten kan då riskeras. Missed nursing care (missad omvårdnad) utgör en patientsäkerhetsrisk och kan med denna studie tydliggöra bakomliggande orsaker till missad omvårdnad.

Syfte

Syftet med studien var att beskriva om patientsäkerheten har påverkats under covid-19 pandemin relaterad till missad omvårdnad.

Metod

Metoden som valdes var litteraturöversikt, en systematisk sammanställning av befintlig forskning i det valda ämnet. Polit och Beck´s (2021) niostegsmodell användes som verktyg under processen. En litteraturöversikt med integrerad analys där litteratursökningen genomfördes i databaserna PubMed och CINAHL. Både kvantitativa och kvalitativa artiklar, publicerade mellan 2020–2022 inkluderades.

Resultat

Resultatet byggdes på två huvudkategorier samt sex underkategorier. Kategorier påverkan påarbetsuppgifter, med underkategorierna; fokus på livräddande åtgärder, rollförändringar, och barriärer för att utföra omvårdnaden och upprätthålla patientsäkerheten med underkategorier; underbemanning, kunskapsluckor, skyddsutrustning samt tidsbristens inverkan på patientsäkerheten. Resultatet visade att patientsäkerheten upprätthållits och att det funnits barriärer för att utföra omvårdnad under covid-19 pandemin som lett till missad omvårdnad.

Slutsats

Resultatet visar att patientsäkerheten har upprätthållits under Covid-19. Sjuksköterskornas arbete med omvårdnad har förändrats då livräddande åtgärder varit i fokus. Rollförändringen har inte påverkat upplevd bristande patientsäkerhet. Sjuksköterskor upplevde att de fick ta rollen som anhörig, och att patienter avled i ensamhet. Missed nursing care berodde på olika barriärer som skyddsutrustning, underbemanning, tidsbrist samt bristen på kunskap om covid-19.

Abstract [en]

Background

During the covid-19 pandemic, the conditions for nursing have been affected. Patient safety is an important part of the nurse's work where the focus is on person-centred care. If patient safety has been affected by the covid-19 pandemic, this may mean that healthcare is facing a new challenge where changed routines and guidelines are required. Nursing that has been completely or partially missed and missed can affect the nursing and patient safety can then be risked. Missed nursing care constitute a patient safety risk and can with this study clarify the underlying causes of missed nursing.

Aim

The purpose of the study was to describe whether patient safety have been affected during the covid-19 pandemic related to missed nursing care.

Method

The method chosen was a literature review, a systematic compilation of existing research in the chosen subject. Polit and Beck’s (2021) nine-step model was used as a tool during the process. A literature review with integrated analysis where the literature search was performed in the databases PubMed and CINAHL. Both quantitative and qualitative articles, published between 2020–2022 were included.

Result

The result was based on two main categories and six subcategories. Categories were modifiedwork tasks with the subcategories; focus on life-saving measures, changes in the work role,and barriers that affected nursing with subcategories; understaffing, knowledge gaps, protective equipment and lack of time. The results showed that patient safety was maintained and that there were barriers to performing care during the covid-19 pandemic that led to missed nursing care. 

Conclusion

The results show that patient safety has been maintained during Covid-19. The nurses' work with nursing has changed, as life-saving measures have been in focus. The role change has not affected perceived lack of patient safety. Nurses felt that they had to take on the role of relative, and that patients died in solitude. Missed nursing care was due to various barriers such as protective equipment, understaffing, lack of time and the lack of knowledge about covid-19.

Place, publisher, year, edition, pages
2022. , p. 30
Keywords [en]
Covid-19, Literature review, Missed nursing care, Nursing, Patient safety
Keywords [sv]
Covid-19, Litteraturstudie, Missed nursing care, Omvårdnad, Patientsäkerhet
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-4484OAI: oai:DiVA.org:shh-4484DiVA, id: diva2:1658162
Educational program
Specialistsjuksköterskeprogrammet : inriktning akutsjukvård
Uppsok
Medicine
Supervisors
Examiners
Available from: 2022-05-16 Created: 2022-05-13 Last updated: 2022-05-16Bibliographically approved

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