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Stressorer hos sjuksköterskestudenter i en simulerad akut vårdsituation: En video och Elektrisk Dermal Aktivitet (EDA) baserad innehållsanalys utförd under studenternas sjätte och sista termin i grundutbildningen
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Stressors at nursing students in a simulated emergency care situation : A video and Electrical Dermal Activity (EDA) based on content analysis conducted during the students sixth and final semester during undergraduate nursing program (English)
Abstract [sv]

Sammanfattning

Simulering inom sjuksköterskeutbildningen är vanligt förekommande och tenderar att öka i omfattning. Detta är ett sätt att öva färdigheter och vårdsituationer utan att någon patient kommer till skada. Forskning visar dock att studenterna blir stressade i simuleringssituationen relaterat till oro och otrygghet då de blev observerade, filmade eller bedömda av lärare. Vad det är som stressar finns däremot inte så mycket skrivet om. Syftet med denna studie var att beskriva vad som aktiverar fysiska stressreaktioner hos sjuksköterskestudenter under en simulerad akut vårdsituation. Sjuksköterskestudenter, 26st, under sin sista termin i grundutbildningen filmades under tiden de var delaktiga i en simulerad akut vårdsituation på aktuell högskolas Kliniska tränings centrum. Simuleringen, ett scenario där patient med bröstsmärtor skulle vårdas, utgjorde praktisk examination i kursen. De bar också trådlös utrustning i form av ett armband som registrerade Elektrisk Dermal Aktivitet (EDA). De situationer som påvisade stressreaktion noterades som fältanteckning och materialet kondenserades, med hjälp av innehållsanalys, ner till olika kategorier: Närvaro av facilitator på patientrummet, Brister i simuleringslogistiken, Problem med simulerings- och salsutrustningen, Identifiering av en försämring hos patienten, Samtal med läkaren, Administrering av läkemedel, Bli störd i sin tankegång, Låsningar i tankebana och oro som kräver tanketid. Studien visar att studenterna inte känner sig rustade för simulerade eller verkliga akuta vårdsituationer. Den stress studenten visar kan minskas genom att simuleringsövningar introduceras tidigt i sjuksköterskeutbildningen, att inte i onödan ha facilitator på rummet samt genom att öka antalet simuleringstillfällen under utbildningstiden. Detta kan leda till att studenten blir mer trygg i miljö och situation.

Abstract [en]

Summary

The use of simulation in nursing education is commonplace and tends to increase. This is a way to practice skills and care situations without injuring any patient. Research shows that the students get stressed in simulation situations related to anxiety and insecurity when they were observed, filmed and graded by the teacher. However, what is stressing them is not much written about. The purpose of this study was to describe what triggers physical stress responses in nursing students during a simulated emergency care situation. Nursing students, 26, during their final semester of undergraduate education, were filmed while they were involved in a simulated emergency care situation at the current college's Clinical Training Center. The simulation, a situation in which a patient with chest pain should be cared for, was a practical examination in the course. They also had a wearable wireless device that registered Electro Dermal Activity (EDA). The situations that demonstrated stress response were noted as field notation and the material was condensed, using content analysis, down to different categories such as: Facilitator in the patient room, Lack of Simulation Logistics, Problems with the simulation equipment, The patient getting worse, Call the physician, Manage drugs, Be disturbed in their mind, Get stuck in their thoughts and need time to recover. The study shows that the students do not feel prepared for simulated or real emergency care situations and the stress student shows can be reduced by introducing simulation exercises early in nursing education, not having unnecessary room facilitator and increasing the number of simulation opportunities during the training period. This can lead to the student becoming more confident in the environment and situation.

Place, publisher, year, edition, pages
2018. , p. 30
Keywords [en]
simulation, EDA, nursing education, stress
Keywords [sv]
simulering, EDA, sjuksköterska, studenter, stress
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-40423OAI: oai:DiVA.org:hj-40423DiVA, id: diva2:1219224
Subject / course
HHJ, Nursing Science
Supervisors
Examiners
Available from: 2018-06-18 Created: 2018-06-15 Last updated: 2018-06-18Bibliographically approved

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