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SIESTA PÅ INTENSIVEN: Patientvila under dagtid
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
SIESTA IN THE ICU : Quite time during daytime (English)
Abstract [sv]

Bakgrund. Miljön på intensivvårdsavdelningen är fylld av olika stimuli i form av ljud och ljus. Sjuksköterskorna arbetar bedside och täta omvårdnadsåtgärder är nödvändiga för dessa kritiskt sjuka patienter. Denna miljö lämnar en liten möjlighet för sömn och vila. För att patienterna ska få möjlighet till vila under dagtid har vissa intensivvårdsavdelningar lagt in en period med mindre aktivitet, tysta timmen, också kallat patientvila. Målet med patientvilan är att erbjuda patienterna en timme med ostörd vila under dagtid.

Syfte. Att undersöka patienternas möjlighet till vila under dagtid genom att observera antal utförda omvårdnadsåtgärder enligt VIPS sökordsmodell.

Metod. En icke-deltagande strukturerad observationsstudie utfördes. Observationsprotokoll utformades med VIPS-sökordsmodell. Studien utfördes på två intensivvårdsavdelningar i Mellansverige, IVA 1 och IVA 2. Observationerna utfördes under åtta dagar. Observatörerna registrerade allt som skedde runt patienterna mellan klockan 12.00 – 13.00, då patientvilan ägde rum.

Resultat. Totalt observerades 19 patientplatser på IVA 1 och IVA 2. Under de åtta tillfällen som observerades registrerades totalt 158 störningar, 101 av dessa störningar skedde på IVA 2 och 57 störningar skedde på IVA 1. Antalet störningsmoment per patient under patientvilan varierade från en till 18 stycken. På IVA 1 var de vanligaste störningsmomenten läkemedelshantering samt speciell omvårdnad. Miljö fick mest punktmarkeringar på IVA 2. Den enda åtgärden som inte förekom var träning. Totalt 152 störningsmoment utfördes av vårdpersonal.

Slutsats. Patienterna blir störda under patientvilan med en mängd olika omvårdnadsåtgärder. Vissa åtgärder är nödvändiga och svåra att undvika, andra åtgärder hade kunnat prioriteras annorlunda.

Klinisk betydelse. Att öka medvetenheten hos personalen angående betydelsen av sömn och vila för patienterna på intensivvårdsavdelning.

Abstract [en]

Background. The environment at the ICU (Intensive Care Unit) is filled with different stimuli of sound and light. Nurses work bedside for the critically ill patients, and frequent nursing interventions are required. This environment gives little possibility for sleep and rest.

It is important to make sure that the patients will have the possibility to get sufficient amount of rest during the day. Some ICUs have addressed this by applying less activities during one hour per day, patient resting or quiet time.

Purpose. To investigate patients' ability to rest during the day, by observing the number of performed nursing interventions according to the VIPS-model.

Method. A non-participating structured observational study was performed. The observation protocol was designed with the VIPS-model. The study was conducted in two ICUs in central Sweden, ICU 1 and ICU 2. The observations were carried out during eight days. Observers registered everything that happened around the patients between the hour of 12:00 to 13:00, when the quiet time took place.

Results. A total of 19 patients were observed on ICU 1 and ICU 2. A total of 158 interruptions were observed, 101 of these interruptions occurred in the ICU 2 and 57 interruptions occurred in the ICU 1. The number of interruptions during the quiet time varied from one to 18 distractions. The most common interruptions, for the ICU 1, were medication and special care. The environment was the most common distraction at the ICU 2. The only intervention that didn´t occur was training. A total of 152 distractions were performed by health professionals.

Conclusions. The patients are disturbed during quiet time, with a variation of nursing interventions. Some interventions could have been prioritized differently, but other interventions were necessary and difficult to avoid.

Relevance to clinical practice. To increase awareness among staff regarding the importance of sleep and rest for patients in ICU.

Place, publisher, year, edition, pages
2012. , 25 p.
Keyword [en]
Sleep, rest, distraction, nursing interventions and the VIPS-model
Keyword [sv]
Vila, sömn, störningsmoment, omvårdnadsåtgärder och VIPS-modellen
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-282OAI: oai:DiVA.org:rkh-282DiVA: diva2:539192
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Available from: 2012-07-03 Created: 2012-07-03 Last updated: 2017-07-07Bibliographically approved

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