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Intensivvårdssjuksköterskors upplevelser av att vårda patienter med oavsiktlig intoxikation efter att ha intagit droger
Luleå University of Technology, Department of Health Sciences, Nursing Care.
Luleå University of Technology, Department of Health Sciences, Nursing Care.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
ICU nurse’s experience of treating patients with accidental intoxication after intake of drugs (English)
Abstract [sv]

Olika typer av intoxikationer är ett världshälsoproblem. En akut intoxikation efter intag av droger orsakar ofta organsvikt som leder till ett behov av intensivvård. Kostnaderna för olika former av intoxikationer uppgår i Sverige till miljardbelopp. Syftet med studien var att beskriva intensivvårds-sjuksköterskors upplevelser av att vårda patienter som oavsiktligt intoxikerat sig efter intag av droger. Studien utfördes med en kvalitativ ansats och åtta intensivvårdssjuksköterskor, verksamma i norra Sverige har intervjuats. Den kvalitativa innehållsanalysen resulterade i fyra teman; ’att känna bristande empati och negativitet i krävande situationer’, ’att vilja behandla alla likvärdigt, känna empati och bli berörd’, ’att känna maktlöshet och frustration’ och ’att ha bristande kunskap om en komplex och utmanande situation’. Sammanfattningsvis visade resultatet att intensivvårdssjuksköterskor upplevde det som svårt att vårda patienter som oavsiktligt intoxikerat sig. Att patienterna ofta var aggressiva i sitt beteende och våldsamma var något som intensivvårds-sjuksköterskor beskrev som påfrestande och frustrerande. Dem hade dock en vilja och vision om att behandla alla likvärdigt och respektfullt. Ur ett samhällsperspektiv är det viktigt att resurser satsas på dessa patienter som ofta är unga, med livet framför sig. Mer utbildningsinsatser behövs i form av bland annat träning i kommunikation, både inom utbildningarna till specialistsjuksköterska inom akutsjukvård och på intensivvårdsavdelningar. Mer forskning behövs för att tydligare visa intensivvårdssjuksköterskors upplevelser och erfarenheter av att vårda denna patientgrupp.

Abstract [en]

Different sorts of intoxication are a worldwide health problem. Critical intoxication after consumption of drugs often causes organ failure that leads to the need for intensive care. The financial costs of the different kinds of intoxications in Sweden reaches millions. The purpose of this study was to describe intensive care nurses’ experience in taking care of patients who have unintentionally become intoxicated after consumption of drugs. The study was conducted qualitatively and eight intensive care nurses, working in northern Sweden, have been interviewed. The qualitative content analysis of the material resulted in four themes: ‘feeling a lack of empathy and negativity in demanding situations’, ‘wanting to treat everyone equally, feel empathy and compassion’, ‘feeling a sense of powerlessness and frustration’ and ‘having a lack of knowledge about a complex and challenging situation’. In summary, the study showed that intensive care nurses experienced difficulty caring for patients who had become intentionally intoxicated. Aggressive and violent patients were described as challenging and frustrating. Intensive care nurses had however, a will and a vision to treat everyone equally and respectfully. From a societal perspective, it is important to invest in resources for these patients who are often young, with their lives ahead of them. More educational efforts are needed in regard to, among other things, communication, both within educational degrees to become a specialist nurse within emergency care as well as in intensive care units. More research is therefore needed to more clearly show the observations and experiences of intensive care nurses in treating these patients.

Place, publisher, year, edition, pages
2018. , p. 27
Keywords [en]
Intoxication, Intensive care, intensive care nurse, qualitative content analysis, nursing, overdose, drugs, abuse
Keywords [sv]
Intoxikation, intensivvård, intensivvårdssjuksköterska, kvalitativ innehållsanalys, omvårdnad, överdos, droger, missbruk
National Category
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-69852OAI: oai:DiVA.org:ltu-69852DiVA, id: diva2:1223628
Subject / course
Student thesis, at least 15 credits
Educational program
Specialist Nursing, Intensive Care
Supervisors
Examiners
Available from: 2018-06-27 Created: 2018-06-25 Last updated: 2018-06-27Bibliographically approved

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