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Sjuksköterskans upplevelser av moralisk stress: Med maktlöshet i centrum
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
The nurse’s experiences of moral distress : With powerlessness in center (English)
Abstract [sv]

Sjuksköterskor upplever stora krav och stor belastning i sitt dagliga arbete, dels från patienter, dels från kollegor och dels från sig själva vilket gör att de ofta känner sig otillräckliga. Den stora fysiska och psykiska belastningen leder till att sjuksköterskor känner oro över kvaliteten på vården vilket ger upphov till moralisk stress. Sjuksköterskor upplever moralisk stress i högre grad än andra professioner och är en betydande orsak till att sjuksköterskor avslutar sin anställning. I tidigare forskning har få studier moralisk stress som huvudsyfte. Därför syftar denna allmänna litteraturstudie till att undersöka närmare vad sjuksköterskan upplever i sin moraliska stress. Syftet var att beskriva sjuksköterskans upplevelser av moralisk stress. För att besvara syftet valdes 13 kvalitativa vetenskapliga artiklar ut. I resultatet framkom sex kategorier: Maktlöshet, Frustration, Vånda, Ilska, Självtvivel och Skuld. Maktlöshet har en betydande roll och många av de andra känslorna bottnar i maktlösheten. Maktlöshet beror framförallt på att sjuksköterskan inte känner sig delaktig i beslutsfattandet kring patienten. För att minska sjuksköterskans moraliska stress kan samverkan mellan professioner främjas. Vidare svensk forskning kan behövas för att identifiera om moralisk stress är en bidragande orsak till rådande sjuksköterskebrist.

Abstract [en]

Nurses are experiencing huge demands and big loads in their daily work, both from patients and from colleagues and from themselves so that they often feel inadequate. This great physical and psychological workload means that nurses are concerned about the quality of care which gives rise to the moral distress. Nurses are experiencing this moral distress at greater extent than other professions and is a major reason why nurses quit their jobs. In previous research, few studies have moral distress as their main purpose. Therefore this general literature review intends to look more closely at what the nurse is experiencing in his or her moral distress. The purpose was to describe the nurse's experiences of moral distress. For this purpose, 13 qualitative research articles were selected and the results revealed six categories: Powerlessness, Frustration, Agony, Anger, Self-doubt and Guilt. Powerlessness has a significant role and contributed to many of the other emotions listed. Powerlessness is mainly due to the nurse not feeling involved in decision-making regarding the patient. To reduce the nurse's moral distress collaboration between professions could be encouraged. Further Swedish research could be needed to identify whether moral distress is a contributing factor to the current nursing shortage.

Place, publisher, year, edition, pages
2015.
Keyword [en]
Experiences, Feelings, Moral distress, Nurses
Keyword [sv]
Känslor, Moralisk stress, Sjuksköterskor, Upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-28207OAI: oai:DiVA.org:hh-28207DiVA, id: diva2:810019
Subject / course
Nursing
Supervisors
Examiners
Available from: 2015-05-08 Created: 2015-05-06 Last updated: 2015-05-08Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • sv-SE
  • Other locale
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Output format
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