Publikationer från Röda Korsets Högskola
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Kvinnors upplevelse av bemötande i samband med gynekologisk undersökning
No full textBackground: Gynecological examination can be both physically and psychologically challenging experience for women. Nurses play a central role in establishing a sense of safety and contributing to a positive care experience during the examination. Aim: The aim of this literature review was to explore young adult women’s experiences of nursing support during their first gynecological examination. Method: A general literature review was conducted, including the qualitative scientific articles were analysed using thematic analysis. Results: The study resulted in two main themes: A holistic perspective in the care encounter and The importance of participation. These included four subthemes: Feeling vulnerable, Feeling secure with accurate information, Feeling seen, and Feeling trust. Conclusion: Women’s experiences of nursing support during their first gynecological examination are influenced by nurses´ approach, the quality of interaction, communication, and involvement in care. Insufficient information, cultural factors, and previous sexual experiences may increase feelings of vulnerability, while respectful encounters and clear information promote a sense of safety and trust. Person-centered care is therefore essential, and further research is needed to improve communication and interactions in the context of gynecological examinations. Keywords: Gynecological examination. Young women, nurse, support, pain.
Nurse’s experiences of caring for children and their families in palliative care : A general literature study within palliative care units
No full textBackground: Palliative care should be provided regardless of age or diagnosis and is based on principles such as autonomy, justice, and relieving care. Children are particularly vulnerable and require developmentally appropriate care in which parents must be considered. Nurses have an important mission in pediatric palliative care, which demands both medical knowledge and emotional competence. Aim: To synthesize and summarize qualitative studies that have explored nurses’ experiences of caring for families with children in palliative care. Method: A qualitative literature review was conducted, following Polit and Beck’s nine-step model. Searchers were performed in databases such as CINAHL and PubMed, and ten scientific articles were selected. The articles were analyzed using Braun and Clarke’s thematic analysis to identify and analyze patterns in the data. Results: Two main themes were identified: providing safety for families with children in palliative care and creating a professional encounter with families in pediatric palliative care. Four subthemes were identified: to offer professional care, to build trusting relationships, to offer a safe dying process, and to experience challenges with the ability to recover. Conclusion: Caring for children in palliative care is emotionally demanding for nurses and requires safety, trust and adapted communication. To support nurses’ work in pediatric palliative care, education, supervision, emotional support, and a sustainable healthcare organization are needed.
Nurses´experiences of caring for patients in forensic psychiatric care : A literature review
No full textBakgrund: Rättspsykiatrisk vård riktar sig till personer som begått brott under påverkan av allvarlig psykisk störning. Vården bedrivs ofta i miljöer med hög säkerhet och begränsad autonomi, vilket skapar komplexa vårdsituationer för sjuksköterskor. De förväntas ge personcentrerad vård inom ramarna för juridik, säkerhet och etiska utmaningar. Syfte: Att belysa sjuksköterskors erfarenheter av att vårda patienter inom rättspsykiatrisk vård. Metod: En litteraturöversikt med induktiv ansats baserad på kvalitativa studier. Totalt inkluderades 13 artiklar publicerade mellan 2012 och 2023. Resultat: Visar på att sjuksköterskor inom rättspsykiatrisk vård ofta befinner sig i en komplex och emotionellt krävande kontext. De uttrycker en ständig balansgång mellan att upprätthålla säkerhet och att erbjuda en vård präglad av empati och respekt. Flera upplever etiska dilemman, känslor av otillräcklighet samt en brist på stöd från organisationen. Samtidigt beskrivs också en stark vilja att göra skillnad för patienterna och skapa meningsfulla relationer trots de restriktioner som råder. Slutsats: För att stärka sjuksköterskors möjligheter att ge god vård krävs ökad förståelse, organisatoriskt stöd och utrymme för reflektion. Background: Forensic psychiatric care is provided to individuals who have commited a crime under the influence of a severe mental disorder. This type of care is often carried out in high- security environments with limited patient autonomy, creating complex care situations for nurses. They are expected to deliver person centered care within legal, safety related, and ethical boundaries. Aim: To explore nurses ‘experiences of caring for patients within forensic psychiatric care. Method: A literature review with an inductive approach based on qualitative studies. A total of 13 articles published between 2012 and 2023 were included. Results: The findings show that nurses in forensic psychiatric care often work in complex and emotionally demanding contexts. They describe a constant balancing act between maintaining safety and providing care characterized by empathy and respect. Many report ethical dilemmas, feelings of inadequacy, and lack of organizational support. At the same time, there is a strong desire to make a difference for patients and to build meaningful relationships despite existing restrictions. Conclusion: To support nurses in delivering high quality care, increased understanding of their role, improved organizational support, and opportunities for reflection are needed
Sjuksköterskors upplevelser av kontinuerlig parenteral antimikrobiell behandling för patienter inom öppenvården med infektion
No full textBakgrund: Outpatient parenteral antimicrobial therapy [OPAT], intravenös antimikrobiell behandling via elastomeriska infusionspumpar, möjliggjorde behandling av komplicerade infektioner i en öppenvårdsmiljö. Patienterna upplevde att behandlingen främjande frihetskänsla och självständighet. Dock förelåg hos vissa patienter en oro över det ansvar som upplevdes medfölja med antibiotikabehandling utanför sjukhuset. Behandlingen ansågs vara kostnadseffektiv, minska behovet av inneliggande vård samt låg 30-dagars återinläggning vilket gjorde att OPAT-behandling ansågs vara trygg och effektiv. Syfte: Syftet var att undersöka sjuksköterskors upplevelser av OPAT: kontinuerlig antimikrobiell behandling i öppenvårdsmiljö för patienter med infektionssjukdom. Metod: Semistrukturerade intervjuer med en kvalitativ innehållsanalys enligt Elo och Kyngäs (2008). Sammanlagt intervjuades tio stycken sjuksköterskor från tre infektionskliniker där inte alla sjuksköterskor arbetade med OPAT, samt en ortopedklinik där alla sjuksköterskor jobbar med OPAT. Två sjuksköterskor som intervjuades var specialistsjuksköterskor inom infektionssjukvård, en specialistsjuksköterska inom anestesi och sju stycken grundutbildade sjuksköterskor. Resultat: Sjuksköterskorna upplevde att OPAT var tryggt, effektivt och hade en gynnsam inverkan på patientens vardag. OPAT-behandlingens framgång var till stor del beroende av fastlagda rutiner och en välfungerande organisatorisk struktur. Sjuksköterskor upplevde att trygghet, tydliga rutiner och teamarbete var betydelsefullt i arbetet med OPAT. Slutsatser: Fortsatt forskning gällande sjuksköterskors upplevelser av OPAT skulle kunna generera mer kunskap som gagnar en fortsatt utveckling av behandlingsstrategin. Betydelse: Även om evidensen som påvisas av tidigare forskning är övervägande positiv kunde även oro hos patienter under OPAT behandling belysas. Avsaknad av evidens av sjuksköterskors upplevelser anses påverka patient-sjuksköterska relationen negativt. Med studien önskar författarna att utforska aspekter av sjuksköterskors upplevelser som kan stärka samarbete mellan sjuksköterska och patient.
When a loved one has a first episode psychosis : A relative perspective
No full textBakgrund: Psykossjukdom är ett av de mest allvarligas psykiatriska tillstånden och trots det får inte alla den hjälp de är i behov av. Att inkludera närstående bidrar till bättre prognos för återhämtning och specialistsjuksköterskan har en viktig roll i att inkludera närstående för att bättre få en helhetsbild och på så sätt kunna bedriva en personcentrerad omvårdnad. Syfte: Syftet var att belysa närståendes upplevelse av att ha en anhörig som insjuknar i psykos för första gången Metod: Strukturerad litteraturöversikt med en tematisk analys enligt Braun och Clarke. Resultat: Resultat består av fem teman: “Närståendes första möte med sjukdomen”, “Närståendes kamp för att få rätt hjälp”, “En känslosam resa”, “Bemötande och stöd i vården” och “Barriärer för närståendes delaktighet i vården”. Slutsats: Att vara närstående till någon som insjuknar i psykos innebär en emotionellt påfrestande tid, där hjälpsökandet ofta präglas av ovisshet och vårdupplevelserna varierar från stödjande till otillräckliga. Stigmatiseringen kring psykisk ohälsa skapar ytterligare hinder, vilket leder till maktlöshet och sämre tillgång till god vård. Specialistsjuksköterskan har en central roll i att bemöta dessa utmaningar genom att inkludera och stärka närståendes position, vilket kan bidra till bättre återhämtning och minskat lidande. Background: Psychotic illness is one of the most serious psychiatric conditions, and despite this, not everyone receives the help they need. Involving relatives contributes to a better prognosis for recovery, and the specialist nurse plays an important role in including relatives to gain a more comprehensive understanding and thereby provide person-centered care. Aim: The purpose was to highlight the experiences of relatives of a family member who is experiencing a first episode of psychosis. Method: Structured literature review with a thematic analysis based on Braun and Clarke. Results: The results consist of five themes: “Relatives’ first encounter with the illness”, “Relatives’ struggle to get the right support”, “An emotional journey”, “Interaction and support within healthcare” and “Barriers to relatives’ involvement in healthcare” Conclusions: Being a close relative of someone experiencing their first psychotic episode is an emotionally challenging time, often marked by uncertainty and varying experiences of care, ranging from supportive to lacking. The stigma surrounding mental illness creates additional barriers, leading to feelings of powerlessness and reduced access to quality care. The psychiatric specialist nurse plays a key role in addressing these challenges by including and empowering relatives, which can contribute to better recovery and reduced suffering.
Vårdresan med hiv : En litteraturstudie om hälso- och sjukvårdsupplevelse hos vuxna personer som lever med hiv
No full textBackground: Despite major medical advances, stigma remains a significant barrier in the healthcare of people living with HIV (PLHIV). Stigmatization occurs both through individual actions and structural barriers that affect patients’ right to equitable and respectful care. Aim: The aim of this study was to explore experiences of stigma in nursing care among PLHIV within healthcare settings. Method: The study was conducted as a general literature review based on nine qualitative research articles retrieved from CINAHL and PubMed. The data were analyzed using thematic analysis according to Braun and Clarke (2006), applying an inductive approach. Results: Three main themes and seven subthemes were identified: Enacted and judgmental stigma in healthcare encounters, Structural and systemic barriers, and Resistance, coping, and restoration. The findings revealed that stigma manifests through discriminatory attitudes, breaches of confidentiality, and unequal healthcare structures, while patients actively develop coping strategies to regain dignity and autonomy. Conclusion: HIV-related stigma within healthcare remains a global and ethical concern. Enhancing knowledge, reflection, and education in person-centred care can help reduce stigma and promote equitable and compassionate nursing care for people living with HIV.Bakgrund: Trots stora medicinska framsteg kvarstår stigma som en betydande barriär i vården av personer som lever med hiv (PLHIV). Stigmatisering kan ta sig uttryck både i direkta handlingar och i strukturella hinder som påverkar patienters rätt till jämlik och respektfull vård. Syfte: Syftet med studien var att belysa upplevelser av stigma i omvårdnaden hos vuxna PLHIV inom hälso- och sjukvården. Metod: Studien genomfördes som en allmän litteraturstudie baserad på nio kvalitativa vetenskapliga artiklar hämtade från databaserna CINAHL och PubMed. Materialet analyserades genom tematisk analys enligt Braun och Clarke (2006), med en induktiv ansats. Resultat: Tre övergripande teman och sju subteman identifierades: Utagerat och dömande stigma i vårdmötet, Strukturella och systemiska hinder samt Motstånd, hantering och återupprättelse. Resultatet visar att stigma ofta yttrar sig i diskriminerande bemötande, bristande sekretess och ojämlika vårdstrukturer, men även i patienters motstånd och strategier för att återfå kontroll och värdighet. Slutsats: Hiv-relaterat stigma i vården kvarstår som en global och etisk utmaning. Ökad kunskap, reflektion och utbildning inom personcentrerad vård kan bidra till att minska stigmatisering och främja jämlik vård för personer som lever med hiv
Nurses' experiences in somatic emergency care of encountering and caring for individuals suffering from mental illness : A general literature review
No full textBackground: Mental illness is a growing public health issue that often encounters limited understanding within somatic emergency care. Individuals suffering from mental illness frequently report not being taken seriously and experiencing inadequate treatment. Nurses play a central role in providing equitable, safe, and person-centered care, but encounters with this patient group are often perceived as challenging. Aim: The aim of the study was to describe nurses’ experiences of encountering and caring for individuals suffering from mental illness in somatic emergency care. Method: The study was conducted as a general literature review based on ten qualitative articles published between 2015 and 2025. The material was analyzed thematically according to Braun and Clarke to identify patterns in nurses’ experiences of caring for individuals with mental illness in somatic emergency care. Results: Five subthemes were identified: nurses’ experiences of fear and uncertainty, time constraints and high workload, nurses' experiences of resource shortages, need for competence development, and communication and relationship with the patient. These factors affect safety, quality of care, and the work environment. Conclusion: To improve care, increased psychiatric competence, organizational support, and a person-centered approach that promotes empathy, respect, and safety in the nurse–patient encounter are needed.
Nurses' experiences of meeting and caring for people with dementia within inpatient care : A literature review
No full textBakgrund: Personer som lever med demenssjukdom är ett växande problem som förväntas öka med tiden. Det ställer höga krav på sjuksköterskans kompetens för att kunna vårda dessa personer. Det blir extra svårt för personer med demens när de behöver sjukvård inom slutenvården eftersom vårdmiljön inte är anpassad för personer med demenssjukdom. Anhörigas perspektiv är viktigt. Syfte: Att beskriva sjuksköterskors erfarenhet av att möta och vårda personer med demens inom slutenvården. Metod: En allmän litteraturstudie med sökningar i CINAHL och PubMed som analyserades med hjälp av tematisk analysmetod. Resultat: Studien presenteras enligt två teman, Sjuksköterskans kliniska förståelse i omvårdnadsprocessen och Arbetsmiljö & vårdmiljö samt fyra subteman, arbetssätt, personcentrerad vård, vårdkvalitet och patientsäkerhet. Slutsats: Sjuksköterskor upplever vården av personer med demenssjukdom som komplicerad. Tid och resursbrist är ett övergripande problem. Personcentrerad vård och vårdkvalitet är beroende av en god vårdmiljö. Sjuksköterskor vill bidra mer i den personcentrerade omvårdnaden av personer med demenssjukdom än vad de organisatoriska förutsättningarna tillåter. Fortsatt forskning: Kulturella skillnader och religiösa aspekter. Background: People living with dementia are a growing problem that is expected to increase over time. This places high demands on the skills of nurses to care for these people. It becomes especially difficult for people with dementia when they need healthcare in inpatient care because the care environment is not adapted for people with dementia. The perspective of relatives is important. Purpose: To describe nurses' experience of meeting and caring for people with dementia in inpatient care. Method: A general literature study with searches in CINAHL and PubMed which was analyzed using thematic analysis method. Results: The study is presented according to two themes, the Nurse's clinical understanding in the nursing process and Work environment & care environment and four subthemes, working methods, person-centered care, quality of care and patient safety. Conclusion: Nurses experience the care of people with dementia as complicated. Time and resource shortages are an overarching problem. Person-centered care and quality of care depend on a good care environment. Nurses want to contribute more to the person-centered care of people with dementia than the organizational conditions allow. Further research: Cultural differences and religious aspects.
Nurse’s experiences of meeting women who have undergone female genital mutilation (FGM) : A general literature review
No full textBackground: Female genital mutilation, FGM, is an ancient custom often regarded as a rite of passage. Over 230 million girls and women have undergone FGM, which primarily occurs in the Middle East, North Africa, and Asia. FGM is most often practiced when the girl is newborn up to 15 years old and is considered normal in the countries where it occurs. The tradition lacks medical purposes, which violates human rights. Aim: The aim was to investigate nurses' experiences in interacting with women who have undergone FGM. Method: The method was a general literature review in which articles with a qualitative approach were collected from the databases CINAHL and PubMed. Results: Two main themes emerged: “Dynamics and challenges of the care relationship” and “Support and development for healthcare staff” and three subthemes: “Communication and interaction”, “Patient centered care and transcultural understanding” and “emotional and personal challenges in the care relationship”. Conclusion: Lack of cultural competence and communication among nurses in developed countries negatively impacts healthcare, creating fear, prejudice, and ethnocentric thinking. This can lead to complications in care and deteriorated relationships with patients. There is a need for education and clearer guidelines on how to approach women who have undergone FGM.
Nurses' experiences of caring for adult persons with mental illness in emergency department : A literature review
No full textBackground: Health is more than just absence of illness. In 2019, 970 million people worldwide were living with some form of mental health condition. Nurses have a significant role in providing care and support to people with mental health problems who visit emergency departments. To provide adequate care for these people, increased knowledge about nurse’s experience of caring for people with mental health problems in emergency departments is required. Aim: The aim of this study was to describe nurses' experiences of caring for adoult people with mental illness in the emergency department. Method: This is a general literature review structured using Polit and Beck’s nine-step model. Systematic searches of qualitative articles were conducted in the databases PubMed and Cinahl, where nine scientific articles were included and analyzed using Braun and Clake thematic analysis with an inductive approach. Result: The study identified two themes followed by five sub-themes. Under the main theme of organizational challenges in nursing, subthemes were identified as lack of knowledge, healthcare environment and lack of time. Under the main theme of nursing meetings, subthemes were identified as challenges in communication and emotional experiences. Conclusion: Nurse’s experiences highlighted that increased competence about mental health and improved care environments in emergency departments can facilitate the care of people witch mental illness. Lack of knowledge affects nurse’s confidence in their own abilities and impacts on nursing. Investigation of nurses' experiences of caring for people with mental illness in emergency departments after nurses have undergone training is a suggestion for continued research.