Att möta patienter med ett självskadebeteende på en allmän akutmottagning: Ett sjuksköterskeperspektiv
: En litteraturstudie

Translated title of the thesis: Meeting patients with self-harm in a general emergency room: A nurse's perspective: A literature review
  • Jonna Mårtensson
  • Lovisa Nilsson

Student thesis: Bachelor

Abstract

Background: Nurses in a general emergency unit are largely those who initially encounter patients with self-harm who seek care for their self-inflicted injuries. Nurses perceive the care of patients with self-harm as difficult and that the emergency unit is not adapted for the patient group. Purpose: The purpose was to describe nurses' experiences and perceptions of meeting patients with self-harm in a general emergency unit. Method: A literature review with a mainly qualitative approach was conducted based on eleven scientific articles. The article search was done in Cinahl Complete, PubMed and PsycINFO. The articles were quality reviewed with the HKR review template for qualitative articles. The articles were analyzed based on Friberg's (2012) three-step model. Results: Four categories were identified, Reason for the behavior, Attitude to the patient's behavior, inappropriate care environment and Lack of knowledge and need for education. Discussion: In the method, the qualitative concepts of credibility were discussed and accounted for; Credibility, reliability, affirmability and transferability. In the results, three findings were found, which were identified in the categories Reason for the behavior, Attitude to the patient's behavior and Lack of knowledge and need for education. The various findings were linked among several to the UN's global goals (2021), McCormack and McCance's (2016) nursing model, the Health Care Act (2017) and the International Council of Nurses (ICN), 2016. Conclusion: Nurses largely had a negative attitude towards the patient group and also perceived the care of the patients as difficult and complex. With mandatory education in self-harm, the knowledge of nurses in the general emergency unit can be improved. The nurse should have a holistic perspective in the meeting with the patient to promote health and reduce suffering in the vulnerable patient group.
Date of Award2022-Dec
Original languageSwedish
SupervisorAnna Pålsson (Supervisor) & Ann-Christin Janlöv (Examiner)

Educational program

  • Study Programme in Nursing

University credits

  • 15 HE credits

Swedish Standard Keywords

  • Nursing (30305)

Keywords

  • self-injurious behavior
  • deliberate self-harm
  • emergency nursing
  • emergency unit
  • nurse experience and perceptions

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