Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE credits
"The need of support in difficult nursing situations –
Reflections from the perspective of registered nurses’ and assistant nurses"
Annica Bengtsson & Lena Olofsson
Institutionen för omvårdnad
Omvårdnad självständigt arbete/D-uppsats 15 hp
Background: This study was conducted at surgical wards at a hospital located in northern Sweden. The broad array of cases range from; clinical, emergency, elective, and even routine examinations. Many of the patients are diagnosed with cancer. The registered nurses’ and assistant nurses’ meet people in chock, people in crisis and people in a palliative state.
Aim: The aim of the study was to describe how the registered nurses’ and assistant nurses’ reflect about the need for support in difficult nursing situations.
Methods: Group interviews, "focus groups" were conducted. Three interviews were made. Three to four individuals where included in each group. The participants in the focus groups were registered nurses’ and assistant nurses’ at the wards. Both written and oral information about the study was given out together with a written consent for those participating in the study. The interviews lasted 45, 53 and 61 minutes. These were recorded and later analyzed by using content analysis. "Open-ended questions" were used. Effort was used in conducting the interviews, so that no biased or predetermined result could be attained.
Result: This study brings to light the many different areas affected within the occupational role due to encounters with patients. Feelings like frustration and powerlessness occurs and they sometimes feel being alone in situations with insufficient support. The registered nurses’ and assistant nurses’ need increased support from the physicians in some situations, increased organizational support and improved possibilities for reflection. Support from colleagues is considered good. When support is present in and after difficult situations the registered nurses’ and assistant nurses’ can develop in their profession, become more secure and make the working environment safer.
Conclusion: It is important to set up a process/routine in order to provide the correct form of support in what is regarded as difficult situations for the registered and assistant nurses’. Situations that lead to an open discussion or a forum for feedback strengthens the registered nurses’ and assistant nurses’ and improve the working environment.
Keyword: support, reflection, supervision, registered nurses’, assistant nurses’, work related stress, nursing, content analysis
2015. , 32 p.
support, reflection, supervision, registered nurses’, assistant nurses’, work related stress, nursing, content analysis