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Vårdpersonals erfarenheter av att bedriva vård utifrån ett personcentrerat förhållningssätt
Kristianstad University, School of Health and Society.
Kristianstad University, School of Health and Society.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Health professionals’ experiences with providing health care from a person-centered approach (English)
Abstract [sv]

Bakgrund: Sveriges kommuner och landsting beslutade 2015 att information och kunskap angående personcentrerad vård ska spridas i kommuner, landsting och regioner för implementering i hälso- och sjukvården. Personcentrerad vård innebär att det professionella vårdteamet och patienten är partners vilka planerar vården tillsammans. Syfte: Syftet med studien var att beskriva vårdpersonals erfarenheter av att bedriva vård utifrån ett personcentrerat förhållningssätt. Metod: Fyra fokusgruppsintervjuer genomfördes med vårdpersonal på en medicinsk vårdavdelning där personcentrerad vård praktiserats under en tolvmånaders period. Homogena grupper med undersköterskor, sjuksköterskor och läkare samt en mixad grupp ingick i studien. Datamaterialet analyserades med konventionell kvalitativ innehållsanalys. Resultat: Resultatet av de fyra fokusgruppsintervjuerna sammanfattas i fem kategorier; Införande och kunskap: Deltagarnas uppfattning av begreppet personcentrerad vård varierade mycket och flera deltagare ansåg sig inte veta vad personcentrerad vård innebar. Pulstavla som arbetsredskap: Pulstavla och pulsrond tydliggjorde planeringen av patienterna och gav mer struktur i arbetet. Enkelrum och sekretess: Deltagarna ansåg att sekretess var likställt med personcentrerad vård och att enkelrum var en förutsättning för sekretess. Relationer och delaktighet: Uppfattningen var att patienterna var delaktiga när de fick information om sin vård och behandling. Teamarbete, kontinuitet och tid: Kontinuitet bland personal och tillräckligt med tid för att lära känna patienterna var förutsättningar för att kunna arbeta personcentrerat. Diskussion: Resultatet diskuterades utifrån teoretiska ramverk och modeller för personcentrerad vård. Deltagarna ansåg att sekretess var det samma som personcentrerad vård. Sekretess diskuterades inte i modeller och ramverk för personcentrerad vård. Slutsats: Personalen erfor att de arbetade personcentrerat utifrån den modell som genomförts på avdelningen. Resultatet av studien visade att personalens erfarenheter av personcentrerad vård inte är i överensstämmelse med förekommande teoretiska modeller. Personcentrerad vård med kontext slutenvård behöver studeras och utvecklas.  

Abstract [en]

Background: In 2015 municipalities and county administrative councils in Sweden concluded that, information and knowledge regarding person-centered care should be distributed through municipalities, county councils as well as local district administration for the purpose of implementation in health care. Person-centered care implies that the professional health care team and the patient should work in unison so that they may facilitate the care collectively. Objective: The object of the study was to illustrate the health professionals’ experiences with a person-centered approach to managing care. Method: Qualitative research through focus group interviews. Health professionals on a medical care unit where person-centered care practiced during a twelve month period were included. Four focus group interviews were conducted with various nursing assistants, registered nurses, doctors and a mixed group. The collected data was assessed with conventional qualitative content analysis. Results: The results from the four conducted focus group interviews were divided into five categories; Introduction and knowledge: The participant´s perception of the concept of person-centred care varied greatly and several participants considered themselves not knowing the meaning of person-centered care. Puls-board as a working tool: Puls-board and puls-rounds made the planning of patients clear and provided more structure in the work. Singular room and confidentiality; Participants felt that confidentiality was equated with person-centered care and that singular room was provided confidentiality.  Relationships and participation: The perception was that the patients were involved when they received information about their care and treatment. Teamwork, continuity and time: Continuity among staff and enough time to get to know the patients were prerequisites for working person-centred. Discussion: The results were discussed based on theoretical frameworks and models of person-centered care. Participants felt that confidentiality was the same as person-centred care. Confidentiality is not discussed in the models and frameworks for person-centred care. Conclusion: The conclusion of the study is that the health professionals’ considered their way of working person-centered as seen from their own point of view, and their knowledge of what the method entails. Results of the study showed that the health professionals’ interpretation of person-centered care do not correlate with the theoretical models. Person-centered care with inpatient care context needs to be studied and developed.

Place, publisher, year, edition, pages
2017. , 49 p.
Keyword [en]
Person-centred care, healthcare professionals, patients, experience, nursing care, medical care unit
Keyword [sv]
Personcentrerad vård, vårdpersonal, patienter, erfarenheter, omvårdnad, medicinsk vårdavdelning
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-16685OAI: oai:DiVA.org:hkr-16685DiVA: diva2:1091741
Educational program
Graduate Programme in specialist nursing medical care
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-05-02 Created: 2017-04-27 Last updated: 2017-05-02Bibliographically approved

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Vårdpersonals erfarenheter av att bedriva vård utifrån ett personcentrerat förhållningssätt(928 kB)15 downloads
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