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- Almerud Österberg, Sofia, 1969-, et al.
(författare)
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I saw myself as an important piece of a jigsaw puzzle : Parents experiences of their child's anaesthesia induction
- 2023
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Ingår i: Journal of Child Health Care. - : Sage Publications. - 1367-4935 .- 1741-2889.
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Tidskriftsartikel (refereegranskat)abstract
- Anxiety in children, as well as their parents, is common in high-tech environments such as an operating room. This study aimed to describe parents' experiences of being present when their child is being anaesthetised. Twenty-four parents were interviewed and data were analysed using a descriptive phenomenological approach. Findings show that being present at a child's anaesthesia and surgery is a long, continuous process that begins at home. Parents struggle to face strong emotions in a special and frightening environment, focussing on their child's well-being while trying to remain control in this situation. Security and trust are vital, but it's challenging to relinquish control in an uncertain situation. Professional caregivers can promote trust and participation, but an awareness that something can go wrong affects parents on a deep level. In conclusion, parental presence at induction of anaesthesia is important but can be overwhelming and anxiety-inducing for some parents. Parents should be seen as a resource rather than a disturbance. Overall, the healthcare system should prioritise parents' involvement and seek to create an environment where they feel supported and included.
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| 2. |
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| 3. |
- Andersson, Lisbet, et al.
(författare)
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I'm afraid! Children's experiences of being anesthetized
- 2020
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Ingår i: Pediatric Anaesthesia. - : John Wiley & Sons. - 1155-5645 .- 1460-9592. ; 30:9, s. 998-1005
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Children experience anesthetization as stressful, and many preoperative measures have been tested for reducing their anxiety. There is, however, little research about children's own experiences and thoughts about being anesthetized. Aims The aim of the present study was thus to explain and understand the meaning of being anesthetized as experienced by children. Methods A qualitative lifeworld hermeneutic approach was used. Data were collected through nonparticipant video observations, field notes, and interviews. The participants were children (n = 28) aged 4-13 years who required general elective minor surgery performed in four Swedish hospitals. Results The four interpreted themes describe the children's experiences of being anesthetized: Being powerless, Striving for control, Experiencing an ambiguous comprehensibility, and Seeking security. The children struggled with anxiety as a result of their inability to protect themselves from perceived external threats while being anesthetized. In order to meet their needs, it would be beneficial for them to receive appropriate information in a calm, supportive, and protective environment. Conclusion The reasons for children experiencing anxiety when being anesthetized are multifaceted, and this study highlights the importance of listening to each child's own voice and striving to create an individually adapted caring and safe environment with as much protection as possible.
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| 4. |
- Andersson, Lisbet
(författare)
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Med dig vid min sida : -det vårdande mötets betydelse när barn genomgår anestesi i en högteknologisk operationsmiljö
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aim: The overall aim of this thesis was to contribute with knowledge of and gain a greater understanding of the encounter between children, parents, and anesthesia staff in a high-technological surgical environment.Methods: This thesis is based on four studies with descriptive, interpretive and cross-sectional designs. Study I includes 28 children with a focus on the meaning of being anesthetized. Data were collected with non-participant video observations, field notes, and interviews. Data were analyzed using a lifeworld hermeneutical approach according to Dahlberg et al. Study II includes six parents with a focus on the meaning of being a parent at one’s child’s first anesthesia in day surgery. The data analysis was carried out with a phenomenological perspective according to Giorgi’s human science method. Study III includes 809 questionnaires completed by nurse anesthetists about the importance of Families’ in Nursing Care (FINC-NA). Data were analyzed with descriptive statistics and multiple linear regression analysis. Finally, study IV includes 27 non-participant observations when children are being anesthetised. The data analysis was carried out with an observational design with a hermeneutic approach grounded in the philosophy of Gadamer and further described by Ericsson et al.Results: The children’s experiences of being anesthetized are: like being powerless, striving for control, experiencing ambiguous comprehensibility, and they are seeking security. They struggle with anxiety as a result of their inability to protect themselves. Their parents experience ambivalence between worry and relief, and a feeling of losing control. They need to be prepared, be present, and have emotional support. The nurse anesthetists generally had a positive attitude towards the importance of parental presence. Working in a district hospital, working only with children, having routines, being a woman, and allowing both parents to be present and greather experience of children’s anesthesia were associated with a more positive attitude. However, the operating room is not designed for children or the parent’s comfort during the child’s anesthesia induction, and there is a need to be inviting and to be invited, a need for varying compliance, there is a need for mutual dependence, and a need to give and receive emotional support.Conclusions: The reasons children experience anxiety are multifaceted. It is thus essential to listen to the voice of each child and each parent, support them, strive to create an individually adopted caring with so much protection as possible, and see parents as a resource and a conversational partner. The caring encounter is essential when children undergo anesthesia in a high-technical surgical environment. The anesthesia staff can be a powerful resource depending on their demeanour.
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| 5. |
- Andersson, Lisbet, et al.
(författare)
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Nurse anesthetist attitudes towards parental presence during anesthesia induction- a nationwide survey
- 2022
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Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 78:4, s. 1020-1030
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Tidskriftsartikel (refereegranskat)abstract
- Aims To describe nurse anesthetists' attitudes towards the importance of parental presence during their child's anaesthesia induction and to explore associating factors. Design A cross-sectional design. Methods Nurse anesthetists from 55 Swedish hospitals were asked to participate (n = 1,285). A total of 809 completed the questionnaire, Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) during 2018. Data were analysed by descriptive statistics and multiple linear regression analysis. Results Nurse anesthetists generally had a positive attitude towards the importance of parental presence. They reported a more positive attitude in family as a resource in nursing care (median = 40) followed by family as a conversational partner (median = 25), family not as a burden (median = 17) and family as its own resource (median = 13). Multiple linear regression analyses showed that working in a district hospital, working only with children, having routines/memorandum about parental presence, being a woman, allowing both parents to be present in their child's anaesthesia and greater experience of children's anesthesia, were associated with a more positive attitude. Conclusion This nationwide survey contributes important knowledge for understanding nurse anesthetists' attitudes and the result shows that nurse anesthetists generally have a positive attitude towards the importance of parents. Areas of improvement were, however, identified; the nurses tend to not value family as its own resource and family as a conversational partner highly. Impact Nurse anesthetists have a crucial role in children's anesthesia care since the quality of parental presence experience depends on a positive attitude from the nurses. Parental involvement is important to establish a child-centered anaesthesia care, which should be highlighted in the education of nurse anesthetists. Parental involvement should also be addressed in healthcare policies and routines should be established.
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| 6. |
- Andersson, Lisbet, et al.
(författare)
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Parents' experiences of their child's first anaesthetic in day surgery
- 2012
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Ingår i: British Journal of Nursing. - : Mark Allen Group. - 0966-0461 .- 2052-2819. ; 21:20, s. 1204-1210
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Tidskriftsartikel (refereegranskat)abstract
- Background: Parents play an important part in their child’s anaesthesia. When a child has to receive anaesthesia, it is of great importance that parents are there by his/her side as children depend on them for support. Many parents worry and experience fear before their child’s anaesthesia and studies show that there is a correlation between a worried parent and a worried child. Aim: The purpose of this study was to illustrate the meaning of being a parent at one’s child’s first anaesthesia in day surgery. Method: Six parents were interviewed and data were analysed using a descriptive qualitative approach inspired by phenomenology.Result: The phenomenon, ‘a child’s first anaesthesia in day surgery as experienced by parents’ is based on the following components: ambivalence between worry and relief, a feeling of losing control, needing to be prepared, being able to be present and a need of emotional support. Conclusion: Specific individually-adapted information with a compulsory preoperative visit, presence and participation from, if possible, both parents at their child’s anaesthesia but also designated staff from the anaesthetic team to focus solely on supporting the parents at their child’s anaesthesia induction can improve the conditions for security.
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| 7. |
- Andersson, Lisbet, et al.
(författare)
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The interplay between children, their parents and anaesthesia staff during the child's anaesthesia - An observational study
- 2022
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 31:15-16, s. 2240-2251
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives To interpret and understand the interplay between children, their parents, and anaesthetic staff to gain a greater understanding of children being anaesthetised. Background Anaesthesia induction is a stressful procedure for the child and parents in the technologically advanced environment in the operating room (OR). Anaesthesia staff are a key resource for ensuring safety and interplays, but the meeting is often short, intensive, and can affect the child and the parent. Design A qualitative observational design with a hermeneutic approach. Methods Twenty-seven non-participant observations were conducted and videotaped when children were being anaesthetised. The SRQR checklist was used. Results The result is presented as a theatre play with three headings; the scene, the actors, and the plot. The scene was not designed for the child or the parent's comfort and could lead to anxiety and insecurity. Four themes described the interplays: The need to be inviting and to be invited, The need for varying compliance, The need for mutual dependence, and The need to give and to receive emotional support. The plot could lead to uncertainty, and the interplay could change between being caring and uncaring depending on the actors. Conclusions The technologically advanced environment in the OR constituted an emotional obstacle, but the anaesthesia staff themselves can be a powerful resource creating a caring environment. The outcome of the plot may depend on the anaesthesia staff's bearing. Relevance to clinical practice A caring approach in the OR requires a willingness from the anaesthesia staff to invite the child to participate and find a balance between helping the parents to find their place in the OR and support them in supporting their child. The findings can start reflections in the unit on how to create a more caring environment.
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| 8. |
- Goebel, Andreas, et al.
(författare)
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Passive transfer of fibromyalgia symptoms from patients to mice
- 2021
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Ingår i: Journal of Clinical Investigation. - : American Society For Clinical Investigation. - 0021-9738 .- 1558-8238. ; 131:13
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Tidskriftsartikel (refereegranskat)abstract
- Fibromyalgia syndrome (FMS) is characterized by widespread pain and tenderness, and patients typically experience fatigue and emotional distress. The etiology and pathophysiology of fibromyalgia are not fully explained and there are no effective drug treatments. Here we show that IgG from FMS patients produced sensory hypersensitivity by sensitizing nociceptive neurons. Mice treated with IgG from FMS patients displayed increased sensitivity to noxious mechanical and cold stimulation, and nociceptive fibers in skin-nerve preparations from mice treated with FMS IgG displayed an increased responsiveness to cold and mechanical stimulation. These mice also displayed reduced locomotor activity, reduced paw grip strength, and a loss of intraepidermal innervation. In contrast, transfer of IgG-depleted serum from FMS patients or IgG from healthy control subjects had no effect. Patient IgG did not activate naive sensory neurons directly. IgG from FMS patients labeled satellite glial cells and neurons in vivo and in vitro, as well as myelinated fiber tracts and a small number of macrophages and endothelial cells in mouse dorsal root ganglia (DRG), but no cells in the spinal cord. Furthermore, FMS IgG bound to human DRG. Our results demonstrate that IgG from FMS patients produces painful sensory hypersensitivities by sensitizing peripheral nociceptive afferents and suggest that therapies reducing patient IgG titers may be effective for fibromyalgia.
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| 9. |
- Kaminsky, Elenor, et al.
(författare)
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Registered nurses' views on telephone nursing for patients with respiratory tract infections in primary healthcare : a qualitative interview study
- 2020
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Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Telephone nursing in primary healthcare has been suggested as a solution to the increased demandfor easy access to healthcare, increased number of patients with complex problems, and lack of generalpractitioners. Registered nurses’ assessments may also be of great importance for antibiotic prescriptions accordingto guidelines. The aim of this study was to describe registered nurses’ views of telephone nursing work with callerscontacting primary healthcare centres regarding respiratory tract infections.Methods: A descriptive, qualitative study was performed through interviews with twelve registered nurses inSwedish primary healthcare.Results: The overarching themes for registered nurses’ views on telephone nursing were captured in two themes:professional challenges and professional support. These included three and two categories respectively:Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with callerexpectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping callersymptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missingsomething serious. Professional support used in work, were for example guidelines and decision support tool.Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewedregistered nurses.Conclusions: The study deepens the understanding of telephone nursing as an important factor for decreasingrespiratory tract infection consultations with general practitioners, thus contributing to decreased antibiotic usagein Sweden. To cope with the challenges of telephone nursing in primary healthcare centres, it seems important tosystematically introduce the use of the available decision support tool, and set aside time for inter- andintraprofessional discussions and feedback. The collegial support and team collaboration asked for is likely to getsynergy effects such as better work environment and job satisfaction for both registered nurses and generalpractitioners. Future studies are needed to explore telephone nursing in primary healthcare centres in a broadersense to better understand the function and the effects in the complexity of primary healthcare.
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