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Katastrofen, den komplexa vårdmiljön: En litteraturstudie om sjuksköterskors upplevelser av att vårda i ett katastrofområde
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2022 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Disaster, the complex care environment : A literature study about nurses experiences of providing care in a disaster zone (English)
Abstract [sv]

Bakgrund: Katastrofer orsakar stor skada på samhällen och människor samt är svåra att förebygga helt. Trycket på sjukvården ökar markant till följd av katastrofer. Sjuksköterskorna är den professionen som blivit synonym med katastrofvård. Syfte: Syftet med litteraturstudien var att belysa sjuksköterskors upplevelser av att vårda i ett katastrofdrabbat område. Metod: Studien genomfördes som en allmän litteraturstudie med induktiv ansats. Underlaget blev åtta kvalitativa resultatartiklar som bearbetades genom en innehållsanalys. Resultat: Studiens resultat påvisade att vårda i en katastrofvar mer komplext och hade fler dimensioner än vården i en icke katastrofmiljö. Sjuksköterskorna upplevde påfrestningar i form av yttre faktorer som farliga miljöer, bristande resurser, utmattande arbetsförhållanden och kulturella skillnader. Sjuksköterskorna mötte moraliska dilemman och tvingades till ställningstaganden med direkt påverkan på egen och patientens hälsa. En ökad emotionell och fysisk belastning på sjuksköterskorna förekom under katastrofen Konklusion: Sjuksköterskornas upplevelser grundade sig i de yttre faktorerna som i sin tur skapade moraliska dilemman. De upplevelserna la grunden till de emotionella och fysiska påfrestningarna som sjuksköterskorna upplevde. Det finns behov av vidare forskning kring omvårdnad i katastrofer för att möjliggöra bättre förberedelser vilket skulle stärka sjuksköterskornas resiliens och därav öka kvalitén på vården. 

Abstract [en]

Background: Disasters cause great damage to communities as well as people and arehard to entirely prevent. The amount of workload on healthcare is heavily increased as aresult of a disaster. The nursing profession has become synonymous with disaster care. Aim: The aim of this study was to illustrate nurses' experiences of caring in a disasterstricken area. Method: The method used in this study was a general literature study with an inductive approach. Eight qualitative articles became the basis of this study and these were processed through a content analysis. Result: The result in this study showedthat caring in a disaster was more complex and featured additional dimensions compared to that of a non disaster-stricken environment. The nurses experienced strains from external factors such as dangerous environments, lack of resources, exhausting working conditions and cultural differences. The nurses were caught in ethical dilemmas and were forced to make the hard choices which had a direct impact on theirown and the patients health. An increase in emotional and physical load on the nurseswas apparent throughout the disaster. Conclusion: The nurses' experiences were based on external factors which in turn created ethical dilemmas. These experiences lay the foundation for the emotional and physical strains on the nurses. There is a need forfurther research of disaster nursing to improve the preparations which would in turn strengthen the nurses resilience and thereby increase the quality of care.

Place, publisher, year, edition, pages
2022. , p. 22
Keywords [en]
Disaster, Disaster management, Disaster nursing, Nurse experience
Keywords [sv]
Katastrof, Katastrofhantering, Omvårdnad i katastrofer, Sjuksköterskans upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-46706OAI: oai:DiVA.org:hh-46706DiVA, id: diva2:1654235
Subject / course
Nursing
Educational program
Nursing Programme, 180 credits
Supervisors
Examiners
Available from: 2022-03-24 Created: 2022-04-26 Last updated: 2022-04-26Bibliographically approved

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