Att sträva mot en allians : Sjuksköterskors erfarenheter av att stödja ungdomar med anorexia nervosa till att vara delaktiga i sin vård

Sammanfattning: Background:To be struck down with anorexia nervosa as an adolescent means that their everyday life is all about avoiding meals in order to starve themselves and often do long sessions of physical activity. The illness can quickly develop into an identity in the adolescent's life. Anorexia nervosa is a serious illness that can become life-threatening. An ambivalence to receive care often arises related to, among other things, the difficulty to break the compulsive behavior. To involve the adolescents in their own care poses a challenge for health care providers.  Aim:To describe nurses' experiences with supporting adolescents with anorexia nervosa to be involved in their own care within the Department of Child and Adolescent Psychiatry.  Method:A descriptive design with a qualitative inductive approach. Five nurses have been interviewed, these have been analyzed with a qualitative content analysis.  Results:The nurses support the adolescents to involvement in their own care by being together with them in a two-sided alliance. This is described as: The nurses support the adolescent to involvement in their own care by aiming for an alliance. This is described as to use information as a tool to get the adolescent to dare change, to bring attention to the adolescent's individual needs and motivation, and to make their own commitment possible and encouraged.   Conclusion: In order for nurses to support patients to participate, information about how the illness works has to be given, and they have to clearify which model of treatment is used, and bring attention to and encourage the adolescent's former interests and life story and part of their own treatment. To, as a nurse, get support from the undertakings and skills that are described in the Tidal Model can make starting from the adolescents' needs and wishes easier and consequently also the possibility of supporting them to involvement. Keywords: Adolescents, Anorexia nervosa, Participation, Nurses, Qualitative content analysis