Conscious surgery: influence of the environment on patient anxiety

Mitchell, Mark

doi:10.1111/j.1365-2648.2008.04769.x

Cited by 82 publications

(52 citation statements)

References 57 publications

(75 reference statements)

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“…In contrast, some patients were very calm, appearing to have no anxieties about their surgery. Staff found that patients were worried in particular about the anaesthetic, a finding that resonates with Mitchell's studies on anxiety and local and general anaesthesia [36,39,40], and which appeared to be the most prominent fear on the day of surgery. Staff discussed how they addressed patients' needs, describing interventions that they applied to their perceptions of their patients' needs.…”

Section: Fears and Anxietiesmentioning

confidence: 70%

“…Miner-Williams [34], for example, asserts that spiritual care can be given in a spiritual manner through establishing a caring relationship and practising the art of being present, listening and supporting the patient's beliefs and values and through making a connection with the patient. Connecting with the patient, particularly in times of stress has been identified as significant in supporting the patient to cope [35,36]. Among many other writers, Clarke [37] supports the fact that spiritual care is not to be separated from care, but that it is based on relationships with patients and within the context of providing for physical care needs.…”

Section: Holismmentioning

confidence: 99%

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Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

Pike

2017

Religions

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Recent healthcare literature has shown an increasing interest in spiritual care and the way in which it supports patients as they deal with illness; but; as the body of evidence grows in many areas; the spiritual aspects of day surgery have been under-researched. The aims of this interpretive phenomenological study were to identify the patients' spiritual needs and concerns prior to surgery both from the patients' and surgical healthcare staffs' perspectives and to investigate whether there was congruence between the groups. The results of the staff focus groups are presented here. A purposive; convenience sample of 13 staff (nurses; consultants and pharmacists) attended one of three focus groups. Data were analysed utilising interpretive phenomenological analysis in order to discover the meaning for participants derived from their own contexts. Caring for spiritual and existential concerns was expressed through staff's relationships with patients; by a caring attitude and connection with them; helping patients to cope. Results show that spiritual care can be embedded in day surgery practice; and can be given during fleeting care episodes; though awareness is needed of the way in which this can be achieved.

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Section: Fears and Anxietiesmentioning

confidence: 70%

Section: Holismmentioning

confidence: 99%

Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

Pike

2017

Religions

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“…Patients who had previous positive experiences during contact with healthcare professionals appeared informed and well prepared for what would happen during surgery and therefore have a tendency to be less anxious (Gardner et al, 2005). According to Mitchell (2008) people who are to be operated on for the first time are the most anxious. This anxiety might be due to perceptions about what will happen in the operating theatre; fear of feeling pain when the anaesthesia is given and fear of pain in general are salient.…”

Section: Discussionmentioning

confidence: 93%

“…According to Mitchell (2008) a number of patients were noted as having high concerns when entering the operating theatre. They felt uncomfortable about the narrow operating table, the sounds of saws and drills, the temperature, the darkness of the rooms and the unfamiliar equipment.…”

Section: Discussionmentioning

confidence: 99%

The experience of being awake during orthopaedic surgery under regional anaesthesia

Bergman

Stenudd

Engström

2012

International Journal of Orthopaedic and Trauma Nursing

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“…Zjawisko lęku przedoperacyjnego może pojawić się pod wpływem obaw związanych z ryzykiem obudzenia się w trakcie operacji lub też nieobudzenia się w ogóle [22]. Implikować niepokój może również niechęć do zakrywania twarzy maską w czasie znieczulenia ogólnego czy też obawa przed igłami oraz brakiem kontroli nad ciałem [23]. Lęk pacjentów wielokrotnie wiąże się z przewidywaniem wystąpienia bólu pooperacyjnego.…”

Section: Podsumowanieunclassified

Obawy pacjentów operowanych w systemie chirurgii jednego dnia — przegląd literatury

Turbiarz¹,

Babiarczyk²

2015

Problemy Pielęgniarstwa

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bawy pacjentów operowanych w systemie chirurgii jednego dnia -przegląd literaturyThe concerns of patients undergoing same-day surgery -a review of the literature STRESZCZENIE Wstęp. Okres okołooperacyjny, bez względu na czas jego przebiegu, dla większości pacjentów przygotowywanych do zabiegu jest sytuacją budzącą lęk. W systemie operacyjnym krótkoterminowym, określanym mianem "chirurgii jednego dnia", pacjent przebywa w jednostce leczniczej maksymalnie do 72 godzin. Skrócony czas przygotowania do operacji, okresu operacyjnego i opieki pooperacyjnej niesie ze sobą wiele obaw. Cel pracy. Wskazanie aspektów i różnorodności obaw wpływających na poziom lęku pacjentów operowanych w systemie chirurgii krótkoterminowej. Materiał i metody. W opracowaniu skorzystano z bazy danych jaką stanowiły elektroniczne zasoby EBSCO, Elsevier, Wiley--Blackwell oraz Głównej Biblioteki Lekarskiej. Zakresem czasowym objęto publikacje z lat 2006-2013. W wyszukiwaniu bibliografii zastosowano kilka deskryptorów między innymi: pacjent, chirurgia jednego dnia, komunikacja, lęk, oczekiwania, okres okołooperacyjny. Wnioski. W przebiegu całego okresu okołooperacyjnego w chirurgii jednego dnia u pacjenta może się pojawić wiele obaw. Personel medyczny powinien zwrócić szczególną uwagę na rodzaj obaw i poziom lęku oraz oczekiwania pacjentów poddawanych zabiegowi w systemie chirurgii jednego dnia. Rozpoznanie i uwzględnienie obaw i przyczyn lęku wpływa na jego zmniejszenie i wzrost poczucia bezpieczeństwa osoby operowanej.Problemy Pielęgniarstwa 2015; 23 (1): 265-268 Słowa kluczowe: lęk; chirurgia jednego dnia; informacja; pielęgniarka; pacjent ABSTRACT Introduction. The perioperative period, regardless of its duration, presents a fear situation for most patients prepared for surgery. In one-day surgery system, referred to as "same-day admission surgery," the patient spends a maximum of 72 hours in the treatment unit. Reduced time to prepare for the operation, operational period and post-operative care involves a series of concerns. Aim of the study. An indication of the aspects and diversity of concerns affecting the level of anxiety in patients undergoing surgery in the one-day surgery system. Material and methods. In preparing the study, the database consisting of electronic resources of EBSCO, Elsevier, Wiley--Blackwell and Central Medical Library was used. Time range covered by publications between 2006 and 2013. In bibliography search, a variety of descriptors were used, such as: patient, same-day admission surgery, communication, anxiety, expectations, the perioperative period. Conclusions. During the entire perioperative period in the single-day surgery patient may suffer from a number of fears. Medical personnel should pay particular attention to the type and level of anxiety and expectations of patients undergoing surgical procedures under same-day admission system. Recognition and consideration of the causes of anxiety affects its reduction, increased sense of security and a higher level of satisfaction from care and treatment.Nursing T...

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Conscious surgery: influence of the environment on patient anxiety

Cited by 82 publications

References 57 publications

Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

Searching for the Hidden: A Phenomenological Study Exploring the Spiritual Aspects of Day Case Surgery from Staff Perspectives

The experience of being awake during orthopaedic surgery under regional anaesthesia

Obawy pacjentów operowanych w systemie chirurgii jednego dnia — przegląd literatury

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