Intraoperative Nursing Care as Experienced by Surgical Patients

Hankela, Sirpa; Kiikkala, Irma

doi:10.1016/s0001-2092(06)63231-6

Cited by 30 publications

(45 citation statements)

References 26 publications

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“…Experiencing safety and support has been described as essential for giving the patient an opportunity to achieve a sense of control during the preoperative phase [31]. The caring culture in this study was characterized by the nurse being prepared which gave her/him a chance to convey a sense of control to the patient.…”

Section: Discussionmentioning

confidence: 98%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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Establishing a purposive interaction with a patient who is in a vulnerable situation prior to coronary artery bypass graft (CABG) surgery poses a challenge for the nurse anesthetist. The aim of this study was to identify and describe the interaction between the patient and nurse anesthetist immediately prior to elective CABG surgery. An observational study including 11 situations where the patient and the nurse anesthetist interacted was performed. A theoretical selection of patients and nurse anesthetists was made and data were analyzed using constant comparative method. The core category, Reassurance, emerged from the categories Continuity, Confirmation and Control. Continuity was characterized by expedient anesthesia nursing of high quality, Confirmation was related to communication in a trusting atmosphere and Control was associated with skilled nursing interventions in the thoracic operating theatre.In conclusion, reassurance can be achieved through a well-structured anesthesia nursing performance at the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation.

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Section: Discussionmentioning

confidence: 98%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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show abstract

“…Patients were able to control their feelings, behavior, and environment by becoming introspective and acting indifferent to the situation. 13 Control was participation, communication, and a thought process used to minimize the environment and their surroundings.…”

Section: Perianesthesia Experience From the Patient's Perspectivementioning

confidence: 99%

A Concept Analysis of Control in the Perianesthesia Period

Wildman¹,

Secrest²,

Keatley³

2008

Journal of PeriAnesthesia Nursing

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“…Although it is anticipated that the patient will remain awake during the procedure, the patient may require conscious sedation, which means that the patient is sedated, but is still able to respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation [7]. According to Hankela and Kiikkala [9] the perioperative care expectations and perceptions of conscious patients are different than those of general anaesthesia patients. Being awake during a surgery process has been described as a threat against both the body and the ego [10] and this stress that occurs in the awake patient could alter intraoperative care conditions.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory

Brodin¹,

Häggström²

2017

OJN

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Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category "achieve and maintain ethical treatment of patients" in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team's behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.

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Intraoperative Nursing Care as Experienced by Surgical Patients

Cited by 30 publications

References 26 publications

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

A Concept Analysis of Control in the Perianesthesia Period

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory

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