| 1. |
- Bergbom, Ingegerd, 1947, et al.
(författare)
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Göteborgs universitet
- 2014
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Ingår i: När omvårdnad blev vetenskap. - Stockholm : Liber. - 9789147114047 ; , s. 199-125
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Abdalrahim, Maysoon S, 1962, et al.
(författare)
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Documentation of Postoperative pain by Nurses in Surgical Wards
- 2008
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Ingår i: Acute Pain. - : Elsevier BV. - 1366-0071. ; 10:2, s. 73-81
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Tidskriftsartikel (refereegranskat)abstract
- Purpose To describe nursing documentation of pain assessment and management in the first 72h postoperatively in surgical wards. Methods A retrospective approach was used to collect data on nurses’ documentation from patients’ records. A total sample size of 322 records at six hospitals in Jordan were audited using three audit instruments; Pain and Anxiety Audit Tool, the North American Nursing Diagnosis Association (NANDA) form for characteristics of acute pain, and comprehensiveness assessment tool. Results There was no evidence of pain assessment documentation on the first day of surgery in 113 (35%) of patient's records. Pain location was the most recorded information for pain assessment in 197 (61%) notes, and only 14 (4.3%) nurses used a pain scale. More than 53% of the records lacked information about medication for pain management. There was a significant difference (p<0.05) in all the categories of pain documentation between the first day and the subsequent days. Nurses documented patients’ self-report of pain [297 (92.3%)], and patients’ crying [200 (62.1%)]. More than 80% (273) of the records were ranked below the minimum score for a satisfactory documentation. Conclusion The results indicate the need to improve postoperative pain assessment and documentation, and the establishment of acute pain service.
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| 3. |
- Abdalrahim, Maysoon S, 1962, et al.
(författare)
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Jordanian surgical nurses' experiences in caring for patients with postoperative pain
- 2010
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Ingår i: APPLIED NURSING RESEARCH. - 0897-1897. ; 23:3, s. 164-170
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Tidskriftsartikel (refereegranskat)abstract
- This qualitative study aimed to describe surgical nurses' experiences in caring for patients with postoperative pain. Twelve expert Jordanian surgical nurses participated to provide data for this study. Texts were analyzed using Kvale's guidelines for analyzing qualitative data. Five themes emerged from the texts: being faced with patients' suffering, being caught between ideals and work conditions, facing neglect and misconceptions, being confronted with families' concerns and hostility, and facing the feelings of the necessity to change. Results suggested that health care organizations need to understand and empower nurses so that effective quality care can be delivered to patients.
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| 4. |
- Abdalrahim, Maysoon S, 1962, et al.
(författare)
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The effect of postoperative pain management program on improving nurses’ knowledge and attitudes toward pain
- 2011
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Ingår i: Nurse Education in Practice. - : Elsevier BV. - 1471-5953. ; 11:4, s. 250-255
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Tidskriftsartikel (refereegranskat)abstract
- Effective postoperative pain treatment is an essential component to good quality of care. The purpose of this study was to explore nurses’ knowledge of and attitudes toward pain in surgical wards before and after implementation of a postoperative management program at a university hospital in Jordan. The program consisted of an education program for nurses, and its effect was evaluated by using a pre- and post-intervention design. Sixty five registered nurses were asked to respond to a 21 items questionnaire, and a total of 240 patients’ records were audited. After implementation of the program, the mean scores for all the questionnaire items were found to increase to 75%, with an average of 16/21 for the correct answers. There was a statistically significant difference (p < 0.05) between the number of correct answers between nurses’ responses in the pre-intervention phase and their responses in the post-intervention phase for most of the questionnaire items. Also, there was a statistically significant improvement in the documentation of patients’ care in 85% of the audited patients’ records. It was recommended to introduce an acute pain services (APS) using a well established and safe pain management routines to increase the quality of care.
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| 5. |
- Adriansson, Camilla, 1962, et al.
(författare)
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The use of topical anaesthesia at children´s minor lacerations: an experimental study
- 2004
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Ingår i: Accident and Emergency Nursing. - 0965-2302. ; 12:2, s. 78-84
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Tidskriftsartikel (refereegranskat)abstract
- In a great many situations within health care and treatment, children are subjected to unnecessary pain and suffering. When local anaesthetics is to be administered the child can experience this as incomprehensible especially when the nursing staff assures the child that no pain would be felt, only to discover soon after, that it actually did hurt at the moment of anaesthetic infiltration. The soothing of pain during the suturing of wounds in emergency wards can be reduced. In order to prevent this (subjection to unnecessary pain), and by improving accepted practice, it was interesting to investigate whether children felt pain at the time of infiltration anaesthesia following the initial topical anaesthesia. The aim of the present study was to investigate the effects of introductory topical anaesthesia using Xylocain solution dropped in the wound prior to a definitive infiltration-anaesthesia. An experimental prospective design was used where children were included in either an experimental (10) or control (10) group. The experimental group was given a Xylocain solution while eth control group received physiological Sodium solution. Pain was estimated by using VAS and by interviews. The study shows that a certain alleviation of pain does occur when using Xylocain, but not statistically significant difference exists between the two groups. Irrespective of whether the children received an introductory topical anaesthesia with Xylocain or Sodium solution at the time of infiltration anaesthesia, they expressed pain in connection with infiltration. Many children expressed fear and anxiety. Current research highlights the difficulties involved in offering children a really satisfactory form of pain relief in connection with infiltration anaesthesia and suturing of wounds. It is urgent to throw more light on children´s pain both from a nursing and from a medical point of view. No statistically significant differences was found in children´s reported pain, after treatment with Xylocain but the solution can have a positive effect at the time of the infiltration jab, but a larger study needs to be done in order to establish this firmly.
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| 6. |
- Alpers, Lise-Merete, et al.
(författare)
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Experiences of inner strength in critically ill patients - a heremenutical approach
- 2012
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Ingår i: Intensive & Critical Care Nursing. - : Elsevier BV. - 0964-3397. ; 28:3, s. 150-158
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Tidskriftsartikel (refereegranskat)abstract
- Becoming critically ill and in need of ventilator treatment is a considerable burden. Fear and anciety are natural reactions and it is not uncommon for patients to experience hopelessness, withdrawal and depression. In situations like these the possession of inner strength can be of vital importance. Objectives: To gain knowledge on what factors contribute to inner strength in critically ill patients cared for in an intensive care unit. The depth interviews were conducted with six former ventilator-treated patients aged 60-72 years. Setting: The informants were recruited through the ICU at an urban hospital in Norway. Research methodlogy/design: The study has an exploratory an d descriptive design. A hermeneutic approach was used to interpret the data, in which Kvale's self-perception, critical common sense and theoretical levels were applied. Results: The study clearly demonstrates that there are certain factors that promote the inner strength of patients undergoing ventilator treatment. These are: "To have the support of next of kin", The wish to go on living", "To be seen" and "Signs of progress". Amongst these patients it appears that the presence of one's next of kin has prime significance in promoting inner strength.
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| 7. |
- Bazzi, May, 1979, et al.
(författare)
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Collaboration in the Hybrid Operating Room: A Focus Group Study From the Perspective of the Nursing Staff
- 2021
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Ingår i: Journal of Radiology Nursing. - : Elsevier BV. - 1546-0843 .- 1555-9912. ; 40:3, s. 259-267
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Tidskriftsartikel (refereegranskat)abstract
- Technical advancements in the operating room setting continue, and the concept of the hybrid operating room is promoted and accepted worldwide. The hybrid setting means inclusion of radiology in the already complex environment of a traditional operating room. Collaboration in this type of environment becomes essential and investigating how the nursing staff experiences this collaboration in the hybrid operating room is needed. The aim of the study was to investigate how the nursing staff from the specialties of surgery, anesthesiology, and radiology experienced collaborating in a hybrid operating room. Explorative qualitative design was used. Five focus groups consisting of operating room nurses, operating room assistant nurses, nurse anesthetists, assistant nurse anesthetists, and radiographers were included in the study. Interviews using semistructured questions were conducted. Directive content analysis was used for the data analysis. The following categories revealed: (1) different patient safety perspectives; (2) responsibilities being shared and divided; (3) collaboration becoming better over time; (4) uneven division of labor in a strained work situation and different terms of employment; (5) lack of education and joint meetings; and (6) environmental constraints for satisfying collaboration. The nursing staff in the hybrid operating room highlighted they worked toward a common goal but prioritized their own specific tasks rather than the procedure as a whole. This, together with the uneven task distribution and unclear responsibilities, could create tension between the different staff categories, impacting procedures negatively. The results revealed the importance of proper preparation of the staff to work in the hybrid operating room. Having team building activities, common meetings, relevant training to meet educational needs, and adjusting the team composition could improve hybrid operating room collaboration and improve patient safety and outcomes. © 2021 Association for Radiologic & Imaging Nursing
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| 8. |
- Bazzi, May, 1979, et al.
(författare)
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Patients' lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study
- 2020
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 29:5-6, s. 810-820
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives The overall aim of the study was to illuminate the patients' lived experiences of waiting for and undergoing an endovascular aortic repair (EVAR) in a hybrid operating room (OR). Background The hybrid OR is an example of the technological advancements within hospitals. The environmental impact on humans is well recognised but is rarely taken into account when hospitals are designed or rebuilt. The patient's experience of a hybrid OR is not earlier described. Design A qualitative design based on hermeneutic phenomenology was implemented. Methods Interviews were conducted with 18 patients. A thematic interpretation based on van Manen's approach was then used to analyse the findings. The consolidated criteria for reporting qualitative studies (COREQ) were used (Data S1). Results The following three themes emerged from the interviews: (a) being scheduled for surgery induced both anxiety and hopefulness; (b) feeling watched over and surrendering to others in the technology intense environment and (c) feeling relief but unexpected exhaustion after surgery. In the discussion, the results were additionally reflected upon out from the four lifeworld existentials: lived body, lived space, lived time and lived others. Conclusions The hybrid OR technology did not frighten the patients, but it was also not an environment that promoted or was conductive to having a dialogue with the staff. The disease and surgery brought feelings of anxiety, which was largely associated with the uncertainty of the situation. We suggest that continuity in contact with staff and patient-centred information could be solutions to further calm the patients. Relevance to clinical practice The hybrid OR environment itself did not seem to frighten the patient, but the way the high-tech environment increased the distance between the patient and the multiple staff members needs further investigation.
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| 9. |
- Bazzi, May, 1979, et al.
(författare)
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Team composition and staff roles in a hybrid operating room: A prospective study using video observations
- 2019
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:3, s. 1245-1253
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of the study was to evaluate team composition and staff roles in a hybrid operating room during endovascular aortic repairs. Design Quantitative descriptive design. Methods Nine endovascular aortic repairs procedures were video-recorded between December 2014 and September 2015. The data analysis involved examining the work process, number of people in the room and categories of staff and their involvement in the procedure. Results The procedures were divided into four phases. The hybrid operating room was most crowded in phase 3 when the skin wound was open. Some staff categories were in the room for the entire procedure even if they were not actively involved. The largest number of people simultaneously in the room was 14.
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| 10. |
- Bazzi, May, 1979, et al.
(författare)
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The drama in the hybrid OR: Video observations of work processes and staff collaboration during endovascular aortic repair
- 2019
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Ingår i: Journal of Multidisciplinary Healthcare. - 1178-2390. ; 12, s. 453-464
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: A hybrid operating room (OR) is a surgical OR with integrated imaging equipment and the possibility to serve both open surgery and image-guided interventions. Aim: This study aimed to investigate the work processes and types of collaboration in a hybrid OR during endovascular aortic repair (EVAR). Methods: Data consisted of video recordings from nine procedures, with a total recording time of 48 hrs 39 mins. The procedures were divided into four episodes (Acts). A qualitative cross-case analysis was conducted, resulting in a typical case. The type of collaboration during specific tasks was discussed and determined based on Thylefors' team typology. Results: An extensive amount of safety activities occurred in the preparation phase (Acts 1 and 2), involving a number of staff categories. After the skin incision (Act 3), the main activities were performed by fewer staff categories, while some persons had a standby position and there were persons who were not at all involved in the procedure. Discussion: The different specialist staff in the hybrid OR worked through different types of collaboration: multi-, inter-and transprofessional. The level of needed collaboration depended on the activity performed, but it was largely multiprofessional and took place largely in separate groups of specialties: anesthesiology, surgery and radiology. Waiting time and overlapping tasks indicate that the procedures could be more efficient and safe for the patient. Conclusion: This study highlights that the three expertise specialties were required for safe treatment in the hybrid OR, but the extent of interprofessional activities was limited. Our results provide a basis for the development of more effective procedures with closer and more efficient interprofessional collaboration and reduction of overlapping roles. Considerable waiting times, traffic flow and presence of people who were not involved in the patient care are areas of further investigation. © 2019 Bazzi et al.
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