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Implementering av evidensbaserad omvårdnad – en intervjustudie med specialistsjuksköterskor inom medicinsk vård
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Implementation of Evidence Based Nursing – an Interview Study with Medical Nurse Specialists (English)
Abstract [sv]

Bakgrund: När hälso- och sjukvårdens kliniska arbete baseras på evidens medför det att vården blir mer patientsäker, mer kostnadseffektiv, behandlingsresultaten förbättras och patienternas livskvalitet ökar. Dagens sjukvård präglas dock av högt arbetstempo och hög arbetsbelastning vilket försvårar implementering av evidens. Specialistsjuksköterskor anses vara de som kan ta utökat ansvar för att utveckla den evidensbaserade omvårdnaden. Syfte: Syftet var att beskriva specialistsjuksköterskors erfarenheter av implementering av evidensbaserad omvårdnad inom medicinsk vård. Design: Kvalitativ intervjustudie med induktiv och deskriptiv ansats genomfördes. Metod: Semistrukturerade intervjuer genomfördes med åtta specialistsjuksköterskor inom medicinsk vård om implementering av evidensbaserad omvårdnad utifrån specialistsjuksköterskans kompetens, ansvar, omgivning och möjligheter att öka implementering. Resultatet analyserades enligt Krippendorffs innehållsanalys. Resultat: Implementering av evidensbaserad omvårdnad inom medicinsk vård beskrivs genom fyra kategorier: Förväntningar, Attityd och engagemang, Implementering, en process samt Säker och trygg omvårdnad. Konklusion: Specialistsjuksköterskor inom medicinsk vård förväntas ha kompetens för implementering av evidensbaserad omvårdnad, de kan ta ansvar för att driva en implementering framåt men då behövs stöd från medarbetare och organisation. När evidensbaserad omvårdnad implementeras inom medicinsk vård kan det leda till ökad patientsäkerhet och ökad trygghet för sjuksköterskor. En förutsättning är dock att implementeringsprocessen ges tid och resurser och att den är relevant för vårdkontexten.

Abstract [en]

Background: When healthcare's clinical work is based on evidence patient safety increases, healthcare becomes more cost-effective, treatment outcomes and patients' quality of life improves. Today's healthcare is characterized by high work rate and high workload, which complicates the implementation of evidence. Nurse specialists are considered to be those who can take responsibility for developing evidence-based nursing. Aim: The purpose was to describe nurse specialists’ experiences of implementing evidence based nursing in medical care. Design: Qualitative interview study with inductive and descriptive approach was performed. Method: Semi-structured interviews were conducted with eight Medical nurse specialists. The result was analyzed according to Krippendorffs´ content analysis. Results: Medical nurse specialists’ experiences of implementation of evidence based nursing in medical care is described by four categories: Expectations, Attitude and engagement, Implementation, a process and Safe and secure nursing. Conclusion: Medical nurse specialists are expected to have a higher competence for implementing evidence based nursing, they can take responsibility for actuating an implementation forward, but support from employees and organization is needed. When evidence based nursing is implemented, patient safety and safety for nurses in their profession increases, provided that the implementation process is given time and resources and is relevant to the healthcare context.

Place, publisher, year, edition, pages
2017. , p. 31
Keywords [en]
Evidence based nursing, Implementation, Nurse specialist, Quality of health care.
Keywords [sv]
Evidensbaserad omvårdnad, Implementering, Specialistsjuksköterska, Vårdkvalitet.
National Category
Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:liu:diva-144585OAI: oai:DiVA.org:liu-144585DiVA, id: diva2:1178193
Subject / course
Specialist Nursing Programme in Medical Care
Presentation
2017-10-05, Karljohan, Onkologhuset, ing 34, plan 10. Universitetssjukus, Linköping, 08:15 (Swedish)
Supervisors
Examiners
Available from: 2018-11-27 Created: 2018-01-29 Last updated: 2018-11-27Bibliographically approved

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