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Sjuksköterskors akuta bedömningar av sköra äldre: En intervjustudie med sjuksköterskor i kommunal hemsjukvård
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses emergency assessments of frail elderly people : An interview with nurses in municipal home care (English)
Abstract [en]

Background: The number of frail elderly people is increasing in society which places great demands on the health system. In municipal homecare nurses often work alone which can lead to uncertainty in emergency assessments. To make informed decisions about continuing care of the frail elderly is vital. From an economic aspect is the correct care at the right level also significant.

Aim: The aim of this study is to highlight nurses' experiences of acute assessment of frail elderly persons with deteriorating health in municipal home care.

Method: The method used was qualitative with an inductive approach where data was analyzed with a qualitative content analysis. There were 11 registered nurses/district nurses working in municipal home care interviewed.

Results: From the analysis of the data emerged three categories; to make informed, long-term planning, collaboration on patient involves with seven subcategories.

Conclusion: For nurses to experience good support in the acute assessment requires effective cooperation especially with doctors. The result shows that insecurity in the assessment often leads patients to be sent to the hospital. The medical care plans have proven to be a great help in the assessments and needs to be implemented on many frail elderly persons in municipal homecare.

Abstract [sv]

Bakgrund:Antalet sköra äldre ökar i samhället vilket ställer stora krav på sjukvården. Inom den kommunala hemsjukvården arbetar sjuksköterskor många gånger ensam vilket kan leda till osäkerhet i akuta bedömningar. Att fatta välgrundade beslut om fortsatt vård av den sköra äldre är viktigt. Ur samhällsekonomiskaspekt är rätt vård på rätt nivå också betydelsefullt.

Syfte: Syftet med studien var att belysa sjuksköterskors erfarenheter av akuta bedömningar av sköra äldre vid försämrat hälsotillstånd inom kommunal hemsjukvård.

Metod: I denna studie användes kvalitativ metod med induktiv ansats där datamaterialet analyserades med kvalitativ innehållsanalys. Data insamlades genom individuella intervjuer med 11 sjuksköterskor/distriktssköterskor inom kommunal hemsjukvård.

Resultat: Ur analysen av datamaterialet framträdde tre kategorier; att fatta välgrundade beslut, långsiktig planering skapar trygghet i den akuta bedömningen, samverkan kring patienten med sju underkategorier.

Konklusion: För att sjuksköterskor ska uppleva ett bra stöd i akuta bedömningen krävs ett fungerande samarbete framförallt med läkarna. Resultatet visar att otrygghet i bedömningen ofta leder till att patienten skickas in till sjukhus. De medicinska vårdplanerna har visat sig vara en stor hjälp i bedömningarna och behöver implementeras på många sköra äldre i den kommunala hemsjukvården.

Place, publisher, year, edition, pages
2015. , 25 p.
Keyword [en]
emergency assessments, frail elderly, home care, health, nurses
Keyword [sv]
akuta bedömningar, hemsjukvård, hälsotillstånd, sjuksköterskor, sköra äldre
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:his:diva-11941OAI: oai:DiVA.org:his-11941DiVA: diva2:905242
Subject / course
Nursing/Nursing Science
Educational program
Primary Health Care - Specialist Nursing Programme
Supervisors
Examiners
Available from: 2016-02-25 Created: 2016-02-22 Last updated: 2016-02-25Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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Output format
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