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The importance of participation for children in the anaesthesia situation
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2014 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Betydelsen av delaktighet för barn i anestesisituationen (Swedish)
Abstract [sv]

Alla barn har rätt att delta i beslut som berör dem och har rätt att uttrycka sina åsikter i alla frågor som rör dem . Trots detta , är barnen inte delaktiga så mycket som de vill . Forskning betonar vikten av att barn är involverade i vården ,  det är av stor betydelse för deras upplevelse av hälsa . Syftet med studien var att beskriva barns ( 8-11 år ) erfarenhet av delaktighet i relation till anestesi . Studien genomfördes med en deskriptiv kvalitativ design och en induktiv metod . Data samlades in genom narrativa intervjuer med 10 barn med erfarenhet av anestesi . Kvalitativ innehållsanalys valdes för att beskriva variationer, skillnader och likheter i barns upplevelse av delaktighet avseende anestesi . Resultatet visade att de uppgifter som barnet fått , interaktionen med vårdpersonal och miljö och förhållanden  på avdelningen påverkar barnens upplevelser av delaktighet . Barnens upplevelser av delaktighet var relaterade till före, under och efter anestesi vid dagkirurgi . Barn i denna studie upplever en stor lucka när det gäller information om pre - , per - och postoperativ vård . De beskriver de negativa effekterna av väntan och vikten av att det finns goda åldersanpassade aktiviteter för distraktion . Barnen beskriver också att den fysiska miljön i operationssalen har stor betydelse för deras upplevelse av välbefinnande . Resultaten tyder på att barns möjligheter att delta i samband med anestesisjukvård behöver förbättras för att möta behoven från ett barnperspektiv . Det finns behov av ytterligare forskning om vilka interventioner anestesisjuksköterska kan använda för att öka barns delaktighet i det dagliga arbetet.

Abstract [sv]

All children have the right to participate in decision that affects them and have the right to express their views in all matters concerning them. Despite this, children are not involved as much as they want. Research emphasise the importance of children being involved in health care, this is of great importance to their experience of health. The aim of the study was to describe children’s (8-11 years) experience of participation in relation to anaesthesia. The study was conducted with a descriptive qualitative design and an inductive approach. Data was collected by narrative interviews with 10 children experienced anaesthesia. Qualitative content analysis was chosen to describe the variations, differences and similarities in children's experience of participation regarding anaesthesia. The result showed that the information the child received, the interaction with the health care professionals and the environment and circumstances in the operating ward influences the children’s experiences of participation. The children’s experiences of participation were related to before, during and after  anaesthesia and day surgery. Children in this study experiences a major gap regarding information about pre-, per- and postoperative care. They describe the negative effects of waiting and the importance of the existence of good age-appropriate activities for distraction. The children also describe that the physical environment of the operating theatre has great importance to their experience of well-being. The findings indicate that children’s opportunities for participation in the context of anaesthetic care needs to be improved in order to meet the needs from a child’s perspective. There is need for further research on which interventions nurse anaesthetist could use in order to increase children's participation in the daily work.

Place, publisher, year, edition, pages
2014.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-23937OAI: oai:DiVA.org:hh-23937DiVA: diva2:706673
Subject / course
Nursing
Supervisors
Examiners
Available from: 2014-03-24 Created: 2013-11-07 Last updated: 2014-03-24Bibliographically approved

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CiteExportLink to record
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