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Anestesisjuksköterskors upplevelser av att söva oroliga barn
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurse anaesthetists' experiences with inducing general anesthesia in anxious children (English)
Abstract [sv]

Att söva barn kan vara en utmaning för anestesisjuksköterskan då barn ofta är oroliga inför en operation. Oron kan orsaka lidande hos barnet och väcka ett medlidande hos anestesisjuksköterskan vilket kan orsaka en värdekonflikt mellan önskan att respektera barnets ovilja att sövas och viljan att hjälpa barnet. Syftet med studien var att undersöka anestesisjuksköterskors upplevelser av att söva oroliga barn. Metoden var semistrukturerade intervjuer som sedan analyserades med kvalitativ innehållsanalys med induktiv ansats. Detta ledde fram till fyra kategorier och tio subkategorier. Kategorierna var Känsla av att ta hand om hela familjen, Betydelsen av att skapa kontakt med barnet, Känsla av att förutsättningar påverkar sövningen och Den etiska utmaningen i att söva oroliga barn.

Resultatet visar att det upplevs viktigt att ta hand om hela familjen och inte bara barnet. Anestesisjuksköterskan behöver lugna oroliga föräldrar och etablera en god kontakt med barnet, anpassad efter barnets individuella behov. Goda förutsättningar, såsom gott teamarbete och erfarenhet, är viktiga aspekter som underlättar sövningen av oroliga barn. Anestesisjuksköterskan kan uppleva misslyckanden om det inte går att lugna barnet och att behöva tvångssöva ett barn kan orsaka skuldkänslor och stress. Om operationen är nödvändig och barnet måste sövas mot sin vilja upplevs det viktigt att ha gjort sitt bästa och med barnets bästa i fokus.

Abstract [en]

Inducing general anesthesia in pediatric patients can be challenging as pediatric patients often experience anxiety before undergoing surgery. Anxiety can be distressing for the child that in turn might affect the nurse anesthetist causing stressful emotions. It might also cause a conflict of values between the nurse anesthetist’s desire to respect the child’s wish to avoid undergoing anesthesia and the desire to care for the child. The objective of the study was to investigate nurse anesthesiologists’ experiences of inducing general anesthesia in anxious pediatric patients. The method was semi-structured interviews with qualitative content analysis and inductive approach. Four categories and ten subcategories emerged. The categories were: The notion of providing care for the whole family, The importance of establishing a nurse-patient relation with the child, The notion that working under proper conditions affects the induction of anesthesia and Ethical challenges in inducing a state of general anesthesia in anxious children.

Results show that the nurse anesthetists feel it important to provide care for the whole family and not just to the child. The nurse anesthetist needs to calm anxious parents while establishing a beneficial patient relation, tailored after the needs of the child. Working under favorable conditions facilitates inducing general anesthesia in anxious children. The nurse anesthetists experience feelings of failure when they do not succeed in calming anxious children. Failing to calm the patient can also cause stress and feelings of guilt. In the case of non-elective surgery where a state of general anesthesia must be induced against the will of the child, the nurse anesthetists experience that it is important to do the best of their ability while focusing on what is best for the child.

Place, publisher, year, edition, pages
2020.
Keywords [en]
nurse anaesthetist, experiences, anxiety, children, moral distress
Keywords [sv]
anestesisjuksköterska, upplevelser, oro, barn, värdekonflikt
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-23178OAI: oai:DiVA.org:hb-23178DiVA, id: diva2:1428537
Subject / course
Vårdvetenskap - Specialistsjuksköterska
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Examiners
Available from: 2020-05-06 Created: 2020-05-05 Last updated: 2020-05-06Bibliographically approved

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3839404142434441 of 45
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