Patienters upplevelser av att drabbas av en vårdrelaterad infektion : En litteraturstudie

Sammanfattning: Introduction: In Sweden, approximately 57,000 people suffer from Healthcare associated infection (HAI) annually, of which half of the infections are estimated to be avoidable. This can lead to consequences such as extended treatment time, increased costs for the patient and increased patient mortality as well as increased care costs. Today, there is a large scientific base on prevention and the cause of HAI from a healthcare perspective. However, there is a lack of evidence regarding patients' experience of having suffered a HAI. Attention to patients' experiences contributes to increased knowledge among healthcare personnel, which can enable improved care that can be adapted to the patient's needs. Aim: The aim of the literature study was to investigate patients' experiences of being affected by a healthcare-associated infection. Method: The study has a literature study as a method with a descriptive design and a qualitative approach, which was based on eleven original scientific articles. Result: The analysis of the articles resulted in two categories with four subcategories each. The category An inner perspective of HAI described patients' experiences of HAI on a personal level, where patient experiences of being affected, isolated, limitation, impact on social relationships, new routines and behaviors were identified. The category An external perspective of HAI describes patients' experience of HAI influenced by factors from the environment where experiences in information, communication, care management, finances and the accusation have been identified. Conclusion: Many and different dimensions of experiences emerged throughout the HAI course that affected the quality of life physically, emotionally and socially. Patients' experiences could be traced to various causes that could have been addressed. The result indicated a lack of care management in the form of substandard communication, information, knowledge and hygiene routine. Also a lack of care management regarding person-related care with a lack of awareness that patients had emotional experiences and how these could be responded to. Keywords: Literature study, nursing, patient perspective, healthcare-associated infection, care science