umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Hälsosamtal kan vara såväl stärkande som stjälpande: Patienters upplevelser av hälsosamtal med distriktssköterskan inom ramen för Västerbottens hälsoundersökningar (VHU)
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Health conversations can be supporting as well as the reversed : Patients' experiences of health conversations with primary health care nurses in the context of Västerbotten Intervention Programme (VIP) (English)
Abstract [sv]

Syfte: Att belysa patienters upplevelser av hälsosamtal med distriktssköterskan inom ramen för Västerbottens Hälsoundersökningar (VHU).

Bakgrund: Sedan 1995 erbjuds 40-, 50- och 60-åringar hälsosamtal vid hälsocentraler i Västerbottens län. Hälsosamtal syftar till att personen ska förbättra sin hälsa genom att få vetskap om sina sjukdomsrisker och bli motiverade till livsstilsförändringar. Det finns inga publicerade studier som handlar om patienters upplevelser av hälsosamtal inom ramen för VHU.

Design: Vi valde kvalitativ ansats för vår studie. Metod: Under 2017 genomförde vi intervjuer med sju personer som medverkat vid hälsosamtal inom ramen för VHU vid tre hälsocentraler i Västerbottens inland. För att analysera den erhållna datan använde vi kvalitativ innehållsanalys.

Resultat: Resultatet visade att patienterna upplevde hälsosamtalet såväl stärkande som stjälpande. Hälsosamtalet kunde beskrivas som empowermentstödjande, personcentrerat samt informativt och pedagogiskt då det upplevdes vara stärkande. I motsats till detta visade resultatet att om hälsosamtalet beskrevs som paternalistiskt upplevdes det vara stjälpande.

Slutsats: Vår slutsats är att distriktssköterskor vid hälsosamtal bör arbeta personcentrerat och ha kunskap om begrepp som empowerment och health-literacy.  Vidare är det viktigt med professionell utveckling för distriktssköterskan såväl som verksamhetsutveckling för att säkerställa personcentrerad vård (PCV) inom hälsofrämjande arbete.

Abstract [en]

Aim: To shed light on patients' experiences of health conversations with primary health care nurses in the context of Västerbotten Intervention Programme (VIP).

Background: Since 1995, 40-, 50- and 60-year-olds are offered health conversations at health centers in Västerbotten County. Health conversations aim at improving patients’ health by acquiring awareness of their health risks and being motivated for lifestyle changes. There are no published studies of patients’ experiences of health conversations within in the context of the VIP.

Design: We chose a qualitative approach for our study. Method:  During 2017 we conducted interviews with seven individuals that had been attending a health conversation at three health centers in the inland of Västerbotten county. In order to analyze the data obtained, we used qualitative content analysis.

Results: The result showed that patients experienced that health conversations can be supporting as well as the reversed. The health conversation could be described as empowerment support, person centered, informative and educational as it was felt to be strengthening. In contrast to this, the result showed that if the health conversation was described as paternalistic, it could counteract a successful outcome of the health conversation.

Conclusion: Our conclusion is that primary health care nurses should work in a  person centered manner and possess knowledge of concepts such as empowerment and health literacy when conducting health conversations. Furthermore to ensure person centered care (PCC) in the context of health promotion, the process of professional role development for the primary health care nurses are important as well as organizational improvements.

Place, publisher, year, edition, pages
2018. , p. 25
Keyword [en]
health conversation, nurse, primary health care nurse, patient, experience, primary health care, risk assessment
Keyword [sv]
hälsosamtal, sjuksköterska, distriktssköterska, patient, upplevelse, primärvård, sjukdomsrisker
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-143855OAI: oai:DiVA.org:umu-143855DiVA, id: diva2:1172822
External cooperation
Västerbottens Läns Landsting
Educational program
Graduate Programme in Primary Health Care
Supervisors
Available from: 2018-03-14 Created: 2018-01-10 Last updated: 2018-03-14Bibliographically approved

Open Access in DiVA

No full text in DiVA

By organisation
Department of Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 40 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf