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Viðfangsefni hjúkrunarfræðinga á hjúkrunarheimilum - að hafa alla þræði í hendi sér.

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Ritrýnd fræðigrein
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Authors
Jónabjörg Sigurjónsdóttir
Helga Jónsdóttir
Birna G Flygenring
Helga Bragadóttir
Issue Date
2013

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Other Titles
The contribution of nurses to the care of resident of nursing homes - keeping all strings in one's hand.
Citation
Tímarit hjúkrunarfræðinga 2013, 89(1):50-6
Abstract
Til að tryggja þau gæði, sem eru grundvallaratriði fyrir vellíðan heimilismanna á hjúkrunarheimilum, er nauðsynlegt að greina framlag hjúkrunarfræðinga til hjúkrunar aldraðra. Tilgangur þessarar eigindlegu rannsóknar var að varpa ljósi á viðfangsefni hjúkrunarfræðinga á hjúkrunarheimilum og lýsa því í hverju störf þeirra eru fólgin. Tekin voru fjögur rýnihópaviðtöl við samtals 22 hjúkrunarfræðinga frá fimm hjúkrunarheimilum. Notaður var hálfstaðlaður viðtalsrammi. Viðtölin voru þemagreind. Niðurstöður sýndu fjölþætt og flókin viðfangsefni hjúkrunarfræðinga. yfirþemað var að hafa alla þræði starfseminnar í hendi sér. Undirþemun voru árvekni, að hafa yfirsýn og vera vakandi yfir öllu og að vera greinandi og sjá hlutina í öðru ljósi. Á grundvelli þess fjárhagslega umhverfis, sem hjúkrunarfræðingar starfa nú í, eru þeir hins vegar í ákveðnu öngstræti við að tryggja gæði hjúkrunarinnar. Markviss stjórnun og fagleg forysta skiptir þá sköpum fyrir gæði hjúkrunar á hjúkrunarheimilum. Styrkur hjúkrunarfræðinga liggur í þekkingu þeirra og hinni heildrænu nálgun sem þeir beita. Niðurstöður þessarar rannsóknar geta nýst sem grunnur fyrir frekari rannsóknir á viðfangsefninu auk þess að vera mikilvægt framlag þekkingar til hjúkrunarfræðinga, hjúkrunarstjórnenda og ráðamanna öldrunarmála.
To ensure quality care in nursing homes for the elderly there is a need to identify what registered nurses contribute to the quality of long-term care. The purpose of this qualitative study was to shed light on the undertakings of registered nurses in nursing homes and what their work entails. Four focus group interviews were done with a total of 22 nurses from five nursing homes. A semi-structured interview framework was used. Data were analyzed into themes. Findings reveal manifold and complex undertakings of registered nurses in nursing homes. The main theme identified was keeping all strings in one’s hand. The subthemes identified were vigilance, overview and constant surveillance and being analytical and seeing things from a new perspective. However, with the current tight economic situation in which nurses are now bound to carry out their work, they are so to speak located in a dead end street in seeking ways to ensure quality nursing care. Purposeful management and professional leadership in nursing is thus crucial for quality care in nursing homes. The strength of the work of registered nurses in nursing homes lies in their knowledge and their holistic work approach. Study findings may be used as ground for further studying the matter besides being valuable knowledge for nurse clinicians, managers, and policy makers who are in charge of the care of the elderly.
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Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn
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