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<\/p>\n<\/p>\n
Af Camilla Harder Nurmisto,<\/span> Katja Marie Friis Andersen, VIA University College, Sygeplejerskeuddannelsen i Viborg. <\/span>BA-projekt afleveret 02.01.24. Vejleder: Malene Hangaard Alstrup. Download Resume som pdf<\/a><\/p>\n Download BA-projektet<\/a><\/span><\/strong><\/p>\n Resume Metode Resultater Diskussion Konklusion Implikationer for praksis Kontaktoplysninger Abstract Methods Results Discussion Conclusion Relevance to clinical practice Contact Information <\/span><\/p>\n","protected":false},"excerpt":{"rendered":" Af Camilla Harder Nurmisto, Katja Marie Friis Andersen, VIA University College, Sygeplejerskeuddannelsen i Viborg. BA-projekt afleveret 02.01.24. Vejleder: Malene Hangaard 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\n<\/span><\/p>\n
\nIntroduktion
\n<\/span><\/strong>I 2007 formulerede regeringen id\u00e9en om oprettelsen af supersygehuse. Supersygehusene rummer f\u00e6rre sengepladser, hvilket bl.a. skyldes, at pladsen anvendes til ensengsstuer. Dog anvendes der fortsat flersengsstuer p\u00e5 nogle hospitaler. Omsorg ses som en grundl\u00e6ggende v\u00e6rdi i sygeplejen, hvorfor projektet unders\u00f8ger, hvordan omsorgen formes og konstrueres i interaktionen mellem patienterne og sygeplejersken p\u00e5 en flersengsstue.<\/span><\/p>\n
\n<\/span><\/strong>Projektet har en socialkonstruktivistisk tilgang, hvortil der blev udf\u00f8rt 8 observationer. <\/span>Analysen er udarbejdet ud fra Virginia Braun og Victoria Clarkes tematiske analyse.<\/span><\/p>\n
\n<\/span><\/strong>Tre temaer blev fremanalyseret:
\n<\/span>Fysiske og organisatoriske rammer som udfordring p\u00e5 en flersengsstue
\n<\/span>Forventet adf\u00e6rd p\u00e5 en flersengsstue
\n<\/span>Forhandling af relationer p\u00e5 en flersengsstue.<\/span><\/p>\n
\n<\/span><\/strong>Sygeplejersken p\u00e5 en flersengsstue m\u00e5 konstant forhandle mellem egne, patienters og kollegers behov, hvilket kan udfordre den professionelle omsorgsud\u00f8velse. Faktorer som forstyrrelser kan skabe situationer, hvor de mest larmende patienter indirekte f\u00e5r magt til at p\u00e5virke sygeplejerskens opm\u00e6rksomhed. Omsorg er en social konstruktion, hvor den \u201csvage part\u201d afh\u00e6nger af interaktioner og kontekst, hvilket rejser sp\u00f8rgsm\u00e5let om retf\u00e6rdig fordeling af omsorg og sygeplejerskens etiske ansvar.<\/span><\/p>\n
\n<\/span><\/strong>Sygeplejerskens omsorg besta\u030ar ikke kun af vedkommendes handlinger og intentioner om at yde omsorg, men i lige s\u00e5 h\u00f8j grad evnen til at forhandle med andet personale og patienterne.<\/span><\/p>\n
\n<\/span><\/strong>Flersengsstuer medf\u00f8rer \u00f8gede krav til sygeplejerskens evne til at forhandle mellem de forskellige akt\u00f8rer p\u00e5 stuen, og det kan udfordre sygeplejerskens etiske ansvar og patientsikkerheden. Manglende viden g\u00f8r det vanskeligt at sammenligne og konkludere, hvorvidt hospitalsdesignet rent faktisk medf\u00f8rer et helt andet s\u00e6t af normer og regler, og l\u00e6gger derfor op til yderligere forskning omhandlende hospitalsdesignets p\u00e5virkning p\u00e5 sygeplejerskens omsorg.<\/span><\/p>\n
\n<\/span><\/strong>Camilla Harder Nurmisto, sygeplejerske, <\/span>millaharder@gmail.com<\/a>
\nKatja Marie Friis Andersen, sygeplejerske, <\/span>katja.marie.andersen@gmail.com<\/a><\/p>\nThe construction of care in a multi-bed room <\/span>– A social constructivist observational study
\n<\/span><\/h2>\n
\n<\/span><\/strong>In 2007, the government introduced the concept of establishing super hospitals. These hospitals have fewer beds, partly because space is used for single-bed rooms. However, multi-bedrooms are still used in some hospitals. Care is considered a fundamental value in nursing, which is why this project investigates how care is shaped and constructed in the interaction between the nurse and patients in a multi-bedroom.<\/span><\/p>\n
\n<\/span><\/strong>The study has a social constructivist approach, for which 8 observations were conducted. The analysis is based on Virginia Braun and Victoria Clarke\u2019s thematic analysis.<\/span><\/p>\n
\n<\/span><\/strong>The analysis led to three themes:
\n<\/span>Physical and organizational framework as challenges in a multi-bed room
\n<\/span>Expected behavior in a multi-bed room
\n<\/span>Negotiation of relationships in a multi-bed room.<\/span><\/p>\n
\n<\/span><\/strong>The nurse in a multi-bedroom must constantly negotiate between their own, patients\u2019 and colleagues\u2019 needs, which can challenge the professional provision of care. Factors such as disturbances can create situations where the loudest patients are indirectly given the power to influence the nurse\u2019s attention. Care is a social construction, and the \u201cweaker party\u201d depends on interactions and context, which raises the question about the fair distribution of care and the nurse\u2019s ethical responsibility.<\/span><\/p>\n
\n<\/span><\/strong>The project concludes that the nurse\u2019s care does not only consist of her actions and intentions to provide care, but just as much in her ability to negotiate with other staff and patients.<\/span><\/p>\n
\n<\/span><\/strong>Multi-bedrooms increase the demands on the nurse\u2019s ability to negotiate between the various actors in the room, which can challenge the nurse\u2019s ethical responsibility and patient safety. The lack of knowledge makes it difficult to compare and conclude whether the hospital design actually leads to a different set of norms and rules, highlighting the need for further research on hospital design\u2019s impact on the nurse\u2019s care.<\/span><\/p>\n
\n<\/span><\/strong>Camilla Harder Nurmisto, RN, <\/span>millaharder@gmail.com<\/a>
\nKatja Marie Friis Andersen, RN, <\/span>katja.marie.andersen@gmail.com<\/a><\/p>\n <\/span><\/h2>\n