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Specialistsjuksköterskans omvårdnadsansvar och patientsäkerhetsarbete i samband med intrahospitala transporter: En litteraturstudie
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Specialist nurse’sresponsibility of caring and patient safety work in connection with intrahospital transports (English)
Abstract [sv]

Intrahospitala transporter (IHT) kan rädda liv men är en logistisk utmaning och ett riskfyllt moment. IHT av intensivvårdspatienten innebär en ökad risk för patienten att råka ut för en transportrelaterad komplikation. Omvårdnad utanför intensivvårdsavdelningen och under transporter ingår i specialistsjuksköterskans arbetsområde. Sjuksköterskans omvårdnadsansvar vid transport av patienten inkluderar alla aspekter av omvårdnad, medicinsk behandling, övervakning, underhåll av apparatur samt dokumentation. Höga krav ställs på specialistsjuksköterskans kompetens och ansvar vilket påverkar både arbetsmiljö och patientsäkerhet. För att förebygga och förhindra komplikationer i samband med IHT behöver specialistsjuksköterskan ökade kunskaper. Syftet med litteraturstudien var att beskriva specialistsjuksköterskans arbetsmiljö och patientsäkerhetsarbete i samband med intrahospitala transporter. En allmän litteraturstudie genomfördes och resultatet baserades på nio vetenskapliga artiklar. Kompetensnivån inom teamet varierade och flera faktorer påverkade säkerheten i utförandet. Användandet av checklistor och riktlinjer ökar patientsäkerheten samt riskmedvetenheten hos specialistsjuksköterskan. För att upprätthålla god arbetsmiljö och patientsäkerhet i samband med IHT krävs kontinuerlig utbildning samt att checklistor och riktlinjer implementeras och efterföljs. Inom området rekommenderas mer forskning som beskriver specialistsjuksköterskans upplevelser gällande arbetsmiljö och patientsäkerhetsarbete med syfte att öka riskmedvetenheten, vårdkvalitén samt patientsäkerhetsarbetet i samband med IHT.

Abstract [en]

Intrahospital transports (IHT) can save lives but is a logistical challenge and a risky moment. The IHT of intensive care patient involves an increased risk for the patient with transport related adverse events. Responsibility of caring outside the intensive care unit and during transport is part of the specialist nurse's work. The nurse responsibility for transporting the patient includes all aspects of nursing, medical treatment, monitoring and maintenance of equipment as well as documentation. High demands are placed on the specialist nurse's competence and responsibility, which affects both the working environment and patient safety. To prevent and avoid complications associated with IHT, the specialist nurse needs increased knowledge. The purpose of the literature study was to describe the specialist nurse's work environment and patient safety work in connection with intrahospital transport. A general literature study was conducted. The result was based on nine scientific articles. Level of competence within the team was varied and several factors affected the safety and performance. Using checklists and guidelines increases patient safety and increase the risk awareness of the nurse. In order to maintain a good working environment and increase patient safety awareness in connection with IHT, continuous training is required and that implementation of checklists and guidelines to be followed is required. Within this field, more research that describes the specialist nurse's experiences current working environment and patient safety is recommended. The purpose for further research would be to increase risk awareness, health quality and patient safety work in connection with IHT.

Place, publisher, year, edition, pages
2019. , p. 14
Keywords [sv]
Intrahospitala transporter, omvårdnadsansvar, patientsäkerhet, specialistsjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-38861OAI: oai:DiVA.org:hh-38861DiVA, id: diva2:1286820
Subject / course
Nursing
Supervisors
Examiners
Available from: 2019-02-12 Created: 2019-02-07 Last updated: 2019-02-12Bibliographically approved

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