| 1. |
- Gustafsson, Birgitta Åkesdotter, et al.
(författare)
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The lived body and the perioperative period in replacement surgery: older people´s experiences
- 2007
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 60:1, s. 20-28
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Tidskriftsartikel (refereegranskat)abstract
- Aim. This paper is a report of a study to explore older people´s expereinces of their lived bodies during the perioperative period of hip or knee replacement.Background. replacement surgery of a major joint for older people suffering from osteoarthtitis is an established treatment in developed countries. Scientific knowledge is awailable on replacement surgery from several perspectives, but not about older people´s experiences of the entire perioperative period of replacement procedure.Method. A qualitative longitudinal study was conducted between 2002 and 2004. Audiotaped interviews were carried out with 12 older people, on five different occasions during the perioperative period. The data was analysed using latent qualitative content analysis.Findings. The perioperative period of a hip or knee replacement can be regarded as a process of transition which includes six critical phases. The transition was supported with a dream of becoming as able-bodied as previously in life, by having surgery. In addition, our findings revealed that the care recipients lacked knowledge about the surgical intervention as a whole.Conclusion. The meaning of having joint replacement surgery was to overcome the confinement of living with a painful and unreliable body. Furthermore, care recipients struggled to regain a body in charge and control of their lives, yet from a new starting point. The care recipients were not prepared for the transitional changes through the perioperative period. Further research is needed to develop an appropriate programme for patient care during the perioperative period, in order to facilitate the process of transition.
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| 2. |
- Gustafsson Åkesdotter, Birgitta, et al.
(författare)
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In the hands of formal caregivers: older patients' expereinces of care across the perioperative period for hip and knee replacements
- 2010
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Ingår i: International Journal of Orthopaedic and Trauma Nursing. - : Elsevier BV. - 1878-1241 .- 1878-1292. ; 14:2, s. 96-108
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Tidskriftsartikel (refereegranskat)abstract
- Summary Total joint replacements of the hip or knee have become standard surgicalprocedures and lately more focus has been placed on the patient’s perspective.Aim: The aim of this study was to illuminate the meaning of care from all formalcarers before, during, and after joint replacement surgery of the hip or knee. Study design: A qualitative longitudinal design was chosen to capture thepatients’ experiences from the time they were placed on the waiting list untilone year after the operation. Analysis revealed that, initially, the operation itselfwas regarded as the key for reaching the goal of independence in every-day life.Patients became aware that all care related to the operation was essential. Themeaning of care from formal carers appeared to be: wanting to be ‘in safe hands’with competent formal carers across the entire perioperative period for thereplacement surgery. Conclusion: Our findings indicate that for a good outcome care characterized bycontinuous guidance from formal carers with expert knowledge of care and jointreplacement surgery (competent) was necessary for patients to feel that they were‘in safe hands’ across the perioperative period. This requires organisation of carethat can offer guidance across the perioperative period.
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| 3. |
- Gustafsson Åkesdotter, Birgitta, et al.
(författare)
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The hip and knee replacement operation: : a throrough life event
- 2010
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 24:4, s. 663-670
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Tidskriftsartikel (refereegranskat)abstract
- Background: A total hip replacement and a total knee replacement have shown to effectively reduce pain and disability in patients with osteoarthritis of the hip and knee joint despite associated risks. Even though the intervention primarily concerns older people with additional health problems, the patients stand on their feet the day after the operation and are discharged a few days later. Previous research indicates that reflections about life are related to the operation.Aim: The aim of this study was to illuminate the meaning of reflections related to hip and knee replacement surgery.Method: A phenomenological hermeneutical approach with a longitudinal design was chosen in order to study the participants’ experiences of the hip and knee replacement intervention across the entire perioperative period.Findings: Four themes emerged from the structural analysis; choosing the challenge, past memories connect to the current situation, moving from happiness to ordinary everyday life and moving from despair towards reluctant acceptance of unexpected bad conditions for everyday life. There was inner negotiations about having surgery or not, and existential anxiety that reminded people that life cannot be taken for granted.Conclusion: Our findings indicate the operation was seen as an extensive life event including reflections about life and death and about hope and fear. Previous bad experiences of care seemed to influence the way patients dealt with fear and hope. Fear had to be overcome by inner negotiations about undergoing surgery or not. Relief was expressed about surviving the actual operation, but soon after fears arose about how to manage on the actual road to recovery. Hope for a good life grew either stronger or weaker, depending on the progress following the operation. The outcome eventually generated a transition from happiness to ordinary everyday life, or a transition from despair towards reluctant acceptance of unfulfilled expectations.
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| 4. |
- Kelvered, Monica, 1951, et al.
(författare)
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Operating theatre nurses' experience of patient-related, intraoperative nursing care.
- 2012
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Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 26:3, s. 449-457
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Tidskriftsartikel (refereegranskat)abstract
- Scand J Caring Sci; 2011 Operating theatre nurses' experience of patient-related, intraoperative nursing care The way patient-related, intraoperative nursing care is performed by operating theatre nurses' has not been elucidated in any great detail. The aim of this study therefore was to describe theatre nurses' experience of patient-related, intraoperative nursing care. The study draws on qualitative, interpretive description methodology. Sixteen specialists in operating theatre nursing care, working in rural or metropolitan hospitals in Sweden, were included in the study. Data were collected by means of interviews and analysed using an inductive, qualitative, descriptive analysis technique. The data analysis resulted in 15 overarching nursing care procedures and three motives for nursing care procedures in the field of intraoperative nursing care with the goal of achieving the best surgical outcome for the patient. The operating theatre nurses' experience of patient-related, intraoperative nursing care was described as procedures to create a continuous, confidence-based relationship and situation-related well-being; procedures to guarantee patient safety and well-being by keeping a watchful eye; and procedures to create a secure environment that promotes wound healing, recovery and well-being.
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| 5. |
- von Vogelsang, Ann-Christin, et al.
(författare)
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Operating theatre nurse specialist competence to ensure patient safety in the operating theatre : A discursive paper
- 2020
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 7:2, s. 495-502
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To discuss specialist operating theatre nurses' competence in relation to the general six core competencies and patient safety.Design: A discursive analysis of legal statutes and scientific articles.Methods: Swedish legal statutes and an overview of scientific articles on operating theatre nursing were deductively analysed and classified into healthcare providers' general six core competencies.Results: All healthcare professionals should possess the general core competencies, regardless of their discipline. The specific content within these competencies differs between disciplines. The specialized operating theatre nurse is the only healthcare professional having the competence to be responsible for asepsis, instrumentation, infection and complication, control and management of biological specimens during the surgical procedure. Besides operating theatre nurses, no other healthcare profession has the formal education, competence or skills to perform operating theatre nursing care in the theatre during the surgical procedure. Operating theatre nurse competence is therefore indispensable to ensure patient safety during surgery.
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| 6. |
- Åkesdotter Gustafsson, Birgitta
(författare)
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Att genomleva den perioperativa perioden vid akut och planerad ortopedisk kirurgi
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the present thesis is to illuminate the meaning of the patients experiences of acute or planned orthopaedic surgery. The thesis comprises four studies (I-IV) which are all based on data collected from interviews with participants living through acute (I) or planned surgery within an urban region of Sweden (II-IV). The first study (I). The role of interactive affirmation in psychosocial rehabilitation following orthopaedic injuries was conducted in order to conceptualize the process of recovering from injuries. A constant comparative analysis of the transcribed interviews (16) revealed that confirmation of self-identity was important for taking an active role in recovery and rehabilitation. The second study (II) explored older people s experiences of their lived bodies during the perioperative period for hip or a knee replacement. A qualitative longitudinal study was conducted. Audio taped interviews were carried out with 12 older people, on five different occasions during the perioperative period. The data was analysed using a latent qualitative content analysis. The perioperative period of a hip or knee replacement can be regarded as a process of transition, which includes six critical phases. Although the recipients of care were at a new starting point, they struggled to regain a physical state where they were in charge and control of their lives. The third study (III). In the hands of formal carers: older patients experiences of care across the perioperative period for hip and knee replacement was aimed to highlight the meaning of care provided by formal carers in relation to a replacement intervention of the hip or knee. A phenomenological hermeneutical approach was selected to capture the patients experiences (12) from the time they were placed on the waiting list until one year after the operation (5 interviews/person). Initially, the operation itself was regarded as the key for reaching the goal of a good self-ruling every-day life. The findings indicate that provision of care characterized by continuous guidance from formal carers with expert knowledge of care and replacement interventions across the entire perioperative period was desired. The fourth study (IV) focuses on twelve patients contemplations related to the hip or the knee replacement operation. A phenomenological hermeneutical approach was chosen in order to illuminate the meaning of contemplations related to the hip and knee replacement intervention (5 interviews/person). The findings indicate that the operation was a thorough life event including contemplations about life and death and about hope and fear. The overall conclusions of the thesis were living through the perioperative period for an acute or planned orthopaedic surgical intervention as a transition in life including different phases. Across the period the need of autonomy, continuity and mutual relationship with formal carers emerged within the phenomenon living through the perioperative period for acute or planned orthopaedic surgery. To support individuals across this period a perioperative education for the patients could be of importance. To know what the operation realistically will bring about, and about the care offered for support across the perioperative period with accessible guidance by competent formal carers appears to be significant information for the patients.
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