| 1. |
- Björn, Catrine, 1961-, et al.
(författare)
-
Theatre Nurses Understanding of their Work : A phenomenographic study at a hospital theatre
- 2008
-
Ingår i: Journal of Advanced Perioperative Care. - Harrogate, UK : Associations for Perioperative Practice. - 1470-5664. ; 3:4, s. 149-155
-
Tidskriftsartikel (refereegranskat)abstract
- The operating theatre is a place where people work together in a multidisciplinary team. It has a very high patient through-put, and use of advanced technology and surgical routine. Working in an operating theatre has been described as dynamic and challenging. The nurse’s perspective of her/his practice role in the operating theatre department is poorly identified, a fact that makes it necessary for the theatre nurses themselves to define their role as nurses in the multidisciplinary team.The aim of this study was to begin the work of describing the theatre nurses’ work using a qualitative descriptive design with a phenomenographic approach. A purposeful sample from two hospitals in Sweden was employed to select the 15 theatre nurses, the interviews formed the basis of this study.As in several other phenomenographic studies three specific questions guided the data collection: What aspect of your practice do you find the easiest? What aspect of your practice do you find the most challenging? What do you think is the most important aspect of your practice? To deepen the interview, what and how questions were used to probe the responses.The interviews were audio-taped and transcribed verbatim. The interviews were read several times, after which an analysis was undertaken.The analysis revealed the following three understandings of the phenomenon of “the work of the theatre nurse”: Theatre nurses achieve control of the situation referred to having the appropriate equipment prepared in advance for the operation, the hygienic aspect, for example keeping the operation area, surgical instruments and people involved sterile, and to control patient, instrument and implant logistics by advance planning and being one step ahead.The possibility of good teamwork is enhanced by being attentive to the spoken and unspoken wishes and needs of the patient as well as all members of the team, especially the surgeon; and Theatre nurses develop their professional practice through practical experience.All three understandings that emerged in present study are useful for both competence development and quality improvement.
|
|
| 2. |
- Lagerström, Ewa, 1948, et al.
(författare)
-
The care given when undergoing operations and anaesthesia the patients´ perspective
- 2006
-
Ingår i: Journal of Advanced Perioperative Care. - 1470-5664. ; 2:4, s. 183-192
-
Tidskriftsartikel (refereegranskat)abstract
- In Sweden patients undergoing operation and anaesthesia do not normally have any opportunity for contact with the theatre/anaesthetic nurse before their operation. The first contact is immediately before anaesthesia when the patient may be affected by pre-medication drugs. How the patient is cared for during the intraoperative phase, from the patients´ perspective, is important for the development of perioperative nursing care. The aim of this study was to describe and examine the meaning of taking care of during the surgical episode from the patients´ perspective. Six patients scheduled for general elective surgical procedures were interviewed twice: the day before admission to the operating department and the day following the operation. Patients´ preconceptions, expectations and wishes of how to be taken care of were focused upon the first interview while the second interview focused on the patients´ experiences of how they were taken care of compared to their previous preconceptions and expectations. A hermeneutic approach was used when interpreting and analysing the texts. Six themes were identified: 1. not to be left alone; 2. whatever happens will happen; 3. in control let it happen; 4. to be cared for by skilled staff; 5: a positive atmosphere; 6. and not to have to ask for help. These were discussed in relation to the framework of caring relationships. The findings indicate that the relationship between the nurse and patient is essential in being taken care of. This is based on patients´ expectations and previous experience of being treated by professionals who have skills and competence in the use of equipment and routines, and who can also show respect, sympathy and cheerfulness and have the will to take responsibility for the protection of the patient during the intraoperative period. This study has some limitations, and should therefore be seen as only an initial step in research concerning taking care of patients in the perioperative context.
|
|
| 3. |
|
|
| 4. |
- Nilsson, Ulrica, 1960-, et al.
(författare)
-
Experience of postoperative recovery before discharge : patients’ views
- 2006
-
Ingår i: Journal of Advanced Perioperative Care. - 1470-5664. ; 2:3, s. 93-102
-
Tidskriftsartikel (refereegranskat)abstract
- This study focuses on a subgroup of a larger group of patients included in a double-blind,randomised trial with music, music in combination with therapeutic suggestions or controlintervention during hysterectomy under general anaesthesia (Nilsson et al 2001).Thepurpose of this study was to describe patients’ experiences of postoperative recovery beforedischarge from hospital, in two intervention-with-music groups in relation to experience ofthe patients in a control group.Thirty-one women who underwent abdominal hysterectomyunder general anaesthesia were interviewed on their last postoperative day at the hospital.The interviews were analysed with thematic and manifest content analysis.The findingsshowed that patients experienced recovery in terms of a ‘sense of caring’, a ‘sense ofrecovery’ and a ‘sense of coping’.When comparing the three intervention groups there wasno difference in patients’ experiences of caring, recovery or coping.There was, however, asignificant difference gained from the manifest content analysis in experience of fatigue,with the patients in the music group experiencing it more positively.The patients describedcaring in terms of being either cared for or not cared for, which created either positive ornegative feelings such as security and calmness, or isolation and loneliness.‘Sense ofrecovery’was shown as a physical and physiological recovery process in terms of pain,nausea and fatigue. In comparing frequencies of reported pain, nausea and fatigue in allthree groups together it was found that pain was described positively more often thannegatively while the opposite was true for nausea and fatigue.The women also revealeddifferent ways of coping during the recovery process, such as trying to look at the problemobjectively, positive thinking, distraction and use of supportive resources. In conclusion theresults of the present study show that intraoperative music therapy can make theexperience of postoperative fatigue more positive and this finding, together with the resultsfrom the main study (Nilsson et al 2001), gives a more complete view of patients’experiences of postoperative recovery after presence or absence of intervention.
|
|
| 5. |
- Rosén, Helena, et al.
(författare)
-
Symptoms following day surgery : a review of the literature
- 2009
-
Ingår i: Journal of Advanced Perioperative Care. - : Association for Perioperative Practice. - 1470-5664. ; 4:1, s. 7-18
-
Forskningsöversikt (refereegranskat)abstract
- Aim: The purpose of this paper is to provide a broad-based overview of the current literature regarding patients’ experiences of symptoms following day surgery. Background: The advent of new anaesthetic and anti-emetic agents, advanced surgical techniques and the need for reduced costs for inpatient hospital services, has resulted in about 70% of all surgical procedures being undertaken as day surgery (Mattila et al 2005, Qureshi et al 2006) in many countries such as the United Kingdom (UK) (Aylin et al 2005) and Europe, Australia and North America (Jarrett 2001). As more and more types of surgery, including increasingly complex procedures, are undertaken as day surgery and with the expansion of day surgery for patients who are older, frail or who have multiple co-morbidities, there is a need to expand the knowledge base regarding patients’ symptom experience at home following day surgery. In particular, there is a need to examine the patients’ experience of symptoms longitudinally and to examine the impact of these on the return to activities of daily living (Gudex et al 2006). Method: Nursing and health care papers published in English between 1992 and April 2008 were sought, using the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database. Thirty six papers were selected and critiqued. A checklist was used to review the included studies for their type of method and the way they were designed and implemented (Goodman 1993). Findings: The wide range of studies reviewed provided further understanding of incidence, intensity and duration of symptoms experienced by patients after day surgery. Patients almost invariably report that pain and other symptoms were at their peak up to 24 hours after discharge and frequently persisted for six days or more. However, a clear picture of the symptom experience following day surgery failed to emerge because methodological differences make comparison across studies difficult. While there has been little exploration of the symptom experience longitudinally, those studies that have examined symptoms over time suggest that the patient's experience of them does have a significant impact on their ability to function in their normal social and work roles for a prolonged period of time following day surgery. In the studies reviewed when day surgery patients´ activity levels were reduced postoperatively, return to usual activity was delayed and activities of daily living were reported as difficult to manage. Conclusion: This review demonstrates that patients' experience of symptoms in the recovery period at home following day surgery is more profound than clinicians expect, lasts for a longer period and interferes with the ability to return to normal activities. However there are still gaps in knowledge particularly concerning the extent to which patients continue to experience symptoms after six days and beyond. Further research needs to explore multidimensional perspectives on symptoms together with an additional and more thorough evaluation of the impact of symptoms on daily living. Recommendations: Further research regarding these gaps in knowledge is necessary in order to develop a deeper understanding of patients’ symptom experience following day surgery and to develop appropriate assessment and intervention strategies for this population. The perioperative nurse with his or her specialised knowledge is well suited to face these challenges.
|
|
| 6. |
- Rudolfsson, Gudrun, 1948-, et al.
(författare)
-
The nurse has time for me : the perioperative dialogue from the perspective of patients
- 2003
-
Ingår i: Journal of Advanced Perioperative Care. - 1470-5664. ; 1:3, s. 77-84
-
Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of this study was to describe patients' experience of the perioperative dialogue. METHOD: Semi-structured interviews were carried out with 18 patients, seven men and 11 women aged 20 to 76 years, with whom perioperative dialogues had been held. Data were collected and analysed according to grounded theory. FINDINGS; A core category: 'making time for me'; two main categories: 'comforting me' and 'becoming involved'; with three subcategories each: 'easing my mind by talking with the nurse', 'instilling faith within me', and 'having confidence in the nurse'; and 'being considered a resource', 'establishing a sense of communion', and 'making me feel that I am a human being', emerged from the data. The time with the nurse was experienced as comforting and made the patients feel involved in the perioperative procedures. When the nurse made time to talk with them they felt eased, were made more confident and gained faith in the success of their operation. When the patients were considered to be a resource, they felt that they were unique human beings, and this helped to establish a sense of communion with the nurses. CONCLUSION: The perioperative dialogue allowed the patients time with the nurse and was experienced by them as having a positive effect on the healing process and recovery.
|
|
| 7. |
- Sundell, Yvonne, 1958-, et al.
(författare)
-
Perioperative care for older patients: a hermeneutical study
- 2010
-
Ingår i: Journal of advanced perioperative care. - Harrogate : NATN. - 1470-5664. ; 4:2, s. 86-93
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to capture and describe what older patients undergoing the surgical process wished to talk about during perioperative dialogue with nursing staff. Background: For older people preparing for surgery is potentially a time of particular vulnerability and they may find it helpful to talk about the situation with a healthcare professional. Although other studies illustrate aspects of perioperative dialogue with patients such studies have not specifically focused on older patients. The perioperative dialogue is described as a nurse anaesthetist´s or theatre nurse´s pre-, intra-, and postoperative dialogue with the patient about the surgery. Method: The study has a hermeneutic approach. Six nurse anaesthetists and three theatre nurses from five diffrent hospitals in western Sweden documented their perioperative dialogue with a total of forty-two patients. The text from the perioperative dialogue was interpreted using hermeneutic text interpretation. Findings: During the perioperative dialogue the older patients discussed their hopes, joys and sorrows in everyday life, their body underging surgery and life after surgery. The nurses cared for these patients by providing time to talk, and by doing so, allowed the patients to express their unique individual concerns and needs. Conclusion: Facilitation of perioperative dialogue creates opportunities for nurse anaethetists and theatre nurses to care for older patients by giving them the time to talk about their lives and their concerns. The perioperative dialogue is both a means and an opportunity for nurses to care for patients.
|
|
| 8. |
- Svensson, M, et al.
(författare)
-
Local warming to reduce pain on peripheral intravenous cannula insertion : a randomised controlled study
- 2006
-
Ingår i: Journal of advanced perioperative care. - 1470-5664. ; 2:3, s. 107-111
-
Tidskriftsartikel (refereegranskat)abstract
- Insertion of intravenous cannulas (IVCs) is one of the most commonly used invasive procedures in healthcare and can be perceived as very painful by the patient.The aim of this study was to evaluate whether venous dilatation produced by local warming (LW) reduces pain on peripheral IVC insertion.The study with a sample size of 125 patients was undertaken in a day care unit.Patients were randomised to an experimental group (n = 61) or a control group (n = 64).The experimental group received LW during 60 seconds before cannula insertion.The control group received no treatment.The intravenous catheter used was optiva, an 18 gauge over-the-needle catheter.Pain was measured with a 10cm visual analogue scale (VAS) with a possible pain score of 0–10.The results showed no statistical significance between the groups in mean pain, with 1.74 measured in the LW group versus 2.01 scored in the control group.The percentage of patients who had a VAS >3 was 15.6% in the LW group versus 22.9% in the control group.However, this difference was not statistically significant. In conclusion, LW before peripheral IVC insertion appears not to have any pain-reducing effect. Altogether 20% of all the participants experienced the insertion as a painful procedure.
|
|
| 9. |
|
|
