Belysa sjuksköterskors erfarenheter av att vårda patienter med psykiatriska diagnoser inom somatisk vård : En kvalitativ litteraturstudie

Sammanfattning: Background: The prevalence of psychiatric diagnoses is increasing in society and nurses in somatic care frequently encounter patients with psychiatric diagnoses in their work. Psychiatric- and somatic multimorbidity is common and the nurse is expected to care with aperson-centered and holistic approach for patients in accordance with established documents and laws. Previous research indicates a stigmatization of these patients in society and by the nurses themselves. Aim: The aim of this study was to illustrate nurses’ experiences of caring for patients with psychiatric diagnoses in somatic care. Method: A qualitative literature-based study with eight scientific articles were included and analyzed with Friberg´s description of the five-step model. Results: Three main themes were identified with seven additional subthemes. The nurse’s personal challenges: nurses felt fear and anxiety when caring for patients with psychiatric diagnoses with psychiatric and somatic multimorbidity in a somatic care setting because of the lack of knowledge and trust for the patients. Organizational Barriers: inadequate teamwork and collaboration on and between the units made it difficult. Perceptions of patients: stigmatization and preconceptions by the nurses influenced the care of the patients. Conclusion: It indicates that nurses experience uncertainty in caring for patients with psychiatric diagnoses in somatic care. There is a substantial knowledge gap in the field, and further research is needed for nurses to feel more confident working with patients with psychiatric diagnoses in somatic care.