Bortom orden : Att möta patienter som inte talar svenska

Detta är en Uppsats för yrkesexamina på avancerad nivå från Högskolan Väst/Avdelningen för omvårdnad - avancerad nivå

Sammanfattning: Background: An increased migration in Sweden has led to language differences, which makes high demands on nurses’ communication skills. Previous research shows that language barriers are the main cause of communication difficulties, which could increase the risk of incorrect treatment or lack of care. Furthermore, it has been reported that nurses experience stress from not being able to communicate appropriately with patients. Studies have also shown that lack of communication limits the ability to create satisfactory relations with patients. Aim: The study aimed to highlight nurses’ experiences when encountering patients who do not speak Swedish. Method: A qualitative descriptive design was used in this study. Eight nurses all over Sweden participated and were individually interviewed. The data were abstracted into three themes using qualitative content analysis. Results: The results were abstracted and interpreted into three themes with seven subthemes; (1) A unifying force in the conversation (being dependent on an interpreter to be able to work, using relatives as an interpreter can be a risk), (2) Dare to stay when it gets difficult (creating a relationship takes time, wanting to understand the unspoken, not to give up until the patients understand), (3) A demanding assignment (to feel inadequate, to carry the responsibility is heavy but necessary). Conclusion: The nurses found it to be a complex task with several difficulties and responsibilities to encounter patients who do not speak Swedish. To have enough time, listening and trying to understand were important conditions in their work with the patients as well as having a cultural competence. However, strategies to overcome language barriers were identified, such as speaking slowly, using simple language, and using body language. 

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