Personcentrerad vård-kärnkompetens som grund för utveckling inom psykiatrisk öppenvård : En kvalitativ intervjustudie

Sammanfattning: Background: Person-centered care is one of the nurse's core competencies where the nurse's role is to enable the patient's care based on participation and self-determination. According to research, person-centered care has positive effects such as higher quality of life, reduced cost and satisfaction in both patients and care staff. Despite this, the implementation of personcentered care is slow, which is most often referred to various obstructive factors such as lack of time and shortcomings in the work environment. Aim: The aim of the study was to investigate how nurses describe their experiences of person-centered care in psychiatric outpatient care. Method: The study was done with a qualitative design and the data collection took place through semi-structured interviews of eleven nurses at a psychiatric outpatient clinic. These interviews analyzed by inductive content analysis. Results: The overall category Person-centered care - opportunities and challenges shows that nurses' experiences of person-centered care are complex. The results of this study are presented through four subcategories. 1. With patient in focus. 2. Collaboration as a prerequisite for Participation. 3.To adapt and strive for good communication. 4. Organizational work and knowledge. Conclusion: Joint responsibility is required to provide person-centered care. Nurses cannot provide person-centered care on their own, but greater organizational change work is needed. On the other hand, specialist nurses in psychiatric care, with their in-depth care scientific knowledge, must be able to lead the nursing work based on the person-centered approach. Suggestions for further research: This study is important as it sheds light on knowledgegaps based on the nurses' previous experiences, while at the same time it sheds light on the specialist nurse's opportunities to develop person-centered care. Finally, more knowledge is requested in person-centered care, including communication, collaboration, participation and documentation with a focus on care plans.