Bakgrund: Tidigare forskning visar att traumapatienter oftast känner sig oförberedda inför hemgång. Detta beror bland annat på bristande patientinformation vid utskrivningen. Tydlig och saklig information som ges till traumapatienter vid utskrivningen kan bidra till att traumapatienter känner sig trygga och mer förberedda inför hemgång. Syfte: Syftet med denna studie är att belysa vilken information traumapatienter upplever att de får inför hemgång, om de är tillfredsställda med den information som givits och om informationen kan förbättras. Metod: Sju deltagare som hade varit traumapatienter under år 2014-2015 på ett universitetssjukhus i Sverige rekryterades. Deltagarna var i varierande åldrar, kön och hade en varierad skadebild. Semistruktuerade telefonintervjuer utfördes efter kontakt med deltagare via brev och telefon. Insamlad data har analyserats via kvalitativ innehållsanalys.   Resultat: Resultatet av denna studie har visat att en del traumapatienter fått muntlig information om hjälpmedel, känslor och reaktioner som kan uppstå efter ett trauma, läkemedel som de får med sig vid utskrivningen, nedtrappningsschema för starka opioider, skadan de blivit utsatta för samt vidare uppföljning. Den information som deltagarna fick inför hemgång bidrog till att de kände sig införstådda, tillfredsställda och trygga. Deltagare uppgav att de fått otillräcklig information om aktivitet, hygien, infektionstecken, läkemedel och biverkningar, känslor och krisreaktioner, nedtrappningsschema för starka opioider, normalt läkmönster, skada, smärta, stöd - var kan man vända sig om man har frågor och vid eventuell försämring eller utebliven förbättring, sårvård, uppföljning och återbesök. Detta gjorde att deltagarna uttryckte besvikelse, missuppfattning, oro, ovisshet, osäkerhet och önskade mer information. Slutsats: Studiens resultat visar att vissa traumapatienter önskar mer och tydligare information vid utskrivning. / Background: Previous studies have shown that trauma patients often feel unprepared at discharge due to a lack of patient information. Explicit and relevant information that is given to trauma patients at discharge can contribute to trauma patients feeling more secure when going home from a hospital. Aim: The aim of this study is to demonstrate what information trauma patients perceive they are getting when going home from hospital, if they are satisfied with the information that is given, and if the information can be improved. Method: Seven participants who had been trauma patients during 2014-2015 at a university hospital in Sweden were recruited. The participants varied in age, gender and trauma (injury). Semi structured telephone interviews were implemented after being in contact with the participants by letter and phone. All the collected data has been analyzed through qualitative content analysis. Results: The result of this study has shown that some trauma patients received verbal information about mobility aids and equipment, feelings and reactions that can occur after trauma, new medicines and how and when to stop taking them, their injury, and follow-ups. The information the participants got made them feel informed, secure and satisfied. Participants also reported that they had received insufficient information regarding activity, hygiene, signs of infection, medicines and its potential side-effects, how and when to stop taking strong painkillers, feelings and reactions of crisis, their injury, a normal healing process after an injury, pain control, support - where to seek information, support in case of deterioration or absence of improvement despite medication and treatment, how to take care of wounds and planned follow-ups. The lack of this information contributed to the fact that participants felt disappointed, poorly informed, anxious, uncertain and insecure. Furthermore participants reported that they would appreciate more explicit information. Conclusion: The result of this study shows that some trauma patients need more explicit information at discharge.

The A&E unit is a unique environment with unique problems, including those problems pertaining to the documentation of the nursing care provided to the critically ill or injured patient. In such a hectic and turbulent environment where minutes can be the decider between life and death, saving the patient’s life takes priority over record keeping, and crucial information is not recorded. The aim of this study was to develop a nursing record tool to record the management of critically ill or injured patients in an accident and emergency (A&E) unit. The researcher used the collaborative inputs of three different groups of experts in the field of A&E nursing and record keeping to reach this aim. The study was descriptive, explorative and contextual in nature, and a qualitative approach was used. The A&E nurse practitioners views were incorporated into a final nursing record tool that could be used in the A&E unit for critically ill or injured patient for the first six hours of resuscitation. The compiled nursing record tool was comprehensive and included a prehospital management section to ensure the continuity of care in the emergency environment. Although more comprehensive as the current tool, the use of tick-off prompts shortened the time spend to complete this nursing record tool and, in doing so, increased the retaining of crucial information that could enhance the quality and ensure the continuity of care pertaining the critically ill or injured patient in the changing emergency environment. / Dissertation (MCur)--University of Pretoria, 2009. / Nursing Science / unrestricted