Vårdrelationer utan gemensamt språk : Kvalitativ intervjustudie

Sammanfattning: ABSTRACT                                                                                                        Background. Within a health care context, communication is a crucial basis in order to give a patient the care he or she deserves. In a society with an ever-growing cultural diversity, the health care system in Sweden now faces new challenges to uphold a safe and patient centred care even when nurse and patient lack a common language.                                        Purpose. The purpose was to explore nurse’s experiences of working with patients with whom they do not share a common language, in order to understand which tools they request to aid the everyday care.  Method. This study has a qualitative design. The respondents were selected out of convenience. Seven nurses were interviewed with a semi structured method. The results were then transcribed and analysed by through a content analysis method.  Result. Eight categories were identified: communication, boundaries in nursing, person centring, working environment, the nurse’s experiences, interpreter, alternative means of communication and areas of development and risk-factors. The nurses described a feeling of insufficiency facing these situations. The nursing care often became shallow and less person centred. The tool most commonly used by the respondents was body language alongside the help of a bilingual person close to the patient. Professional interpreters are rarely used in the adult departments as they were perceived as inaccessible and unreliable to use. The tool most requested from the nurses was an easily accessible yet medically accurate translation app or service especially developed for a health care context. Conclusion. The tool most commonly used by nurses in their communication with patients with whom they do not share a common language was body language. The tool most frequently requested was an easily accessible translation service or application developed specifically for a healthcare context to aide their every day care. Keywords: Caring relations, communication difficulties,  language barrier, nursing, communication aids.