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Sjuksköterskors upplevelser av bedsiderapportering: en utvärdering av ett förbättringsarbete
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Överrapportering mellan vårdpersonal som arbetar skift utförs vanligtvis bakom, stängda dörrar på en expedition. Samhället idag kräver att vårdarbetet ska vara mer förebyggande och personcentrerat från att tidigare varit sjukdomscentrerad. Detta förutsätter en ökad delaktighet hos personen som vårdas där bland annat personberättelsen är en viktig del i informationsutbytet.  Bedsiderapportering har införts för att öka den äldres deltagande och innebär att den dagliga rapporteringen sker tillsammans med den äldre personen vid hens sängkant. Syftet med studien var att beskriva sjuksköterskornas erfarenheter av bedsiderapport vid vård av äldre.

En fokusgruppsstudie genomfördes där sjuksköterskor på en medicinavdelning i södra Sverige medverkade. Totalt genomfördes tre fokusintervjuer med totalt tio sjuksköterskor, som analyserades med kvalitativ induktiv innehållsanalys. Resultatet visar att sjuksköterskorna uppskattar grundtanken med överrapportering med bedside, men att det har förekommit problem med brist på förståelse från ledningen samt avsaknad av rutiner för vissa moment under bedsiderapporteringen. Fördelar som har setts är att patienter har varit mer delaktiga och flera sjuksköterskor har upplevt att det har varit skönt att möta personerna med dåligt allmäntillstånd redan under rapporteringen. Problem som uppkommit vid bedsiderapportering har varit när patienten har varit nedsatt kognitivt eller kommunikationsproblem uppstått. Vidare studier bör göras hur de äldre upplever bedsiderapportering.

Abstract [en]

Over-reporting between healthcare personnel has previously been carried out behind closed doors at an expedition.  Society today requires that health work should be more preventative and person-centred from previously disease-centered. This calls for an increased participation of the person being cared for, where they’re personal story is an vital part in the exchange of information.  Bedside reporting has been introduced to increase the participation of older people and means that the daily reporting takes place together with the elderly person at his/her bedside. The aim of the study was to describe the nurse’s experiences of bedside reporting in the care of elderly.

A focus group study was conducted where ten nurses on a medical department in southern Sweden participated. In total three interviews were conducted which were analyzed with qualitative inductive content analysis. The results shows that the nurses appreciate the basic idea of over-reporting of bedside, but that there have been problems during the implementation. Benefits that have been seen is that patients have been more involved and several nurses have experienced that it is good to meet the patients with poor general condition already during bedside reporting. Problems that arose while conducting bedside reporting where when the patient had impaired cognition or communications problem occurred. Further studies should be made on how older people experience bedside reporting.

Place, publisher, year, edition, pages
2017. , p. 22
Keywords [en]
Older person, nurse, bedside report, improvement
Keywords [sv]
Äldre personer, sjuksköterskor, bedsiderapportering, förbättringsarbete
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-39062ISRN: JU-HHJ-OMA-2-20180307OAI: oai:DiVA.org:hj-39062DiVA, id: diva2:1193751
Subject / course
HHJ, Nursing Science
Supervisors
Available from: 2018-04-05 Created: 2018-03-27 Last updated: 2018-04-05Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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