Interaction Between Nurse Anesthetists and Patients in a Highly Technological Environment

Aagaard, Karin; Laursen, Birgitte Schantz; Rasmussen, Bodil Steen; Sørensen, Erik Elgaard

doi:10.1016/j.jopan.2016.02.010

Cited by 8 publications

(8 citation statements)

References 14 publications

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“…This is one of many examples in which the theme is obvious, and NAs clearly show how they face and embrace their responsibility for the patient and providing safe anesthesia care. This is in line with earlier research findings [36][37][38][39].…”

Section: Discussion Of Resultssupporting

confidence: 93%

Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study

et al. 2021

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Purpose To describe nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care. Methods Data was collected through individual semi-structured interviews with seven nurse anesthetists who had used smart glasses, with a customized application for monitoring vital signs, during clinical anesthesia care. Data was analyzed using thematic content analysis. Results An overarching theme became evident during analysis; Facing and embracing responsibility. Being a nurse anesthetist entails a great responsibility, and the participants demonstrated that they shouldered this responsibility with pride. The theme was divided in two sub-themes. The first of these, A new way of working, comprised the categories Adoption and Utility. This involved incorporating smart glasses into existing routines in order to provide safe anesthesia care. The second sub-theme, Encountering side effects, consisted of the categories Obstacles and Personal affect. This sub-theme concerned the possibility to use smart glasses as intended, as well as the affect on nurse anesthetists as users. Conclusion Smart glasses improved access to vital signs and enabled continuous monitoring regardless of location. Continued development and improvement, both in terms of the application software and the hardware, are necessary for smart glasses to meet nurse anesthetists’ needs in clinical practice.

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Section: Discussion Of Resultssupporting

confidence: 93%

Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study

et al. 2021

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“…The hygienical preparation of the patient, staff and the room could be categorized as multiprofessional, but, in a way, this could also be interprofessional when the OR nurse and the radiographer collaborated and the boundary between their activities was not strict. Ensuring patient safety has been reported as the main focus for the OR nurse31 and nurse anesthetist,32 and our study also found this to be accurate. Radiation protection was mainly a multiprofessional activity where the radiographer had a clear responsibility, both for the staff and for the patient 33.…”

Section: Discussionsupporting

confidence: 77%

<p>The drama in the hybrid OR: video observations of work processes and staff collaboration during endovascular aortic repair</p>

Bazzi¹,

Lundgren²,

Hellström³

et al. 2019

JMDH

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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.

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“…Through the lived body, anxiety and fear for life, but also calmness, was expressed, which is in line with the findings from other research (Lundén et al, ). Before surgery, any patient is frightened of the anaesthetic, being unconscious, the surgical outcome and the potential of postoperative pain (Aagaard, Laursen, Rasmussen, & Sorensen, ), and patients’ experiences during surgery is often characterised by anxiety and stress (Bergs et al, ). For the patients in our study, the fear was mostly associated with the disease itself, but there was also some fear associated with the surgical procedure and the outcomes.…”

Section: Discussionmentioning

confidence: 99%

Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study

Bazzi

Lundén

Ahlberg

et al. 2019

Journal of Clinical Nursing

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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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Interaction Between Nurse Anesthetists and Patients in a Highly Technological Environment

Cited by 8 publications

References 14 publications

Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study

Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study

<p>The drama in the hybrid OR: video observations of work processes and staff collaboration during endovascular aortic repair</p>

Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study

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