Patient-Nurse Anesthetist Interaction During Regional Anesthesia and Surgery Based on Video Recordings

Karlsson, Ann‐Christin; Ekebergh, Margaretha; Mauléon, Annika Larsson; Osterberg, S

doi:10.1016/j.jopan.2012.11.009

Cited by 11 publications

(8 citation statements)

References 24 publications

(3 reference statements)

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“…In our study, patients expressed the importance of eye contact during the procedure, so they could communicate with staff if something felt wrong during the procedure. Similar findings are reported by Karlsson et al [17] but during regional anaesthesia. Even if their study did not focus of being awake while the intubation per se , the patients expressed communication difficulties with the staff.…”

Section: Discussionsupporting

confidence: 92%

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

et al. 2015

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BackgroundAwake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure.MethodsA qualitative, descriptive design was used and patients were recruited from three county hospitals and one university hospital in Sweden. Data was collected by semi-structured interviews with 13 patients who underwent awake fiberoptic intubation. A qualitative content analysis extracted theme, categories, and subcategories.ResultsFrom the patient statements, one main theme emerged, feelings of being in a vulnerable situation but cared for in safe hands, which were described in five categories with 15 subcategories. The categories were: a need for tailored information, distress and fear of the intubation, acceptance and trust of the staff’s competence, professional caring and support, and no hesitation about new awake intubation. The patients felt they lacked information about what to expect and relied on the professionals’ expertise. Some patients felt overwhelmed by the information they were given and wanted less specific information about the equipment used but more information about how they would be cared for in the operating room. Undergoing awake intubation was an acceptable experience for most patients, whereas others experienced it as being painful and terrifying because they felt they could not breathe or communicate during the procedure itself.ConclusionsTailored information about what to expect, ensuring eye contact and breathing instruction during the procedure seems to reduce patient distress when undergoing awake fiberoptic intubation. Most of the patients would not hesitate to undergo awake intubation again in the future if needed.

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Section: Discussionsupporting

confidence: 92%

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

et al. 2015

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“…It became obvious how the NA's professional actions at times dominated the patient's existential being in the intraoperative situation and how the NA was in either 'present' presence or "absent" presence in the patient's visual field during surgery. The findings shed light on the patient-NA interaction that could expand NAs' understanding and internal processing of their own practice [28] .…”

Section: Data Underpinning the Modelmentioning

confidence: 85%

“…Gadamer [39] emphasizes that researchers need to be open and see "the otherness", that is, to recognize something not previously understood and be open to what is not immediately given. All authors of this study were therefore aware of and suppressed pre-understandings from the previous studies' findings [26][27][28] by discussing the possible effects of predetermined notions about the subject matter.…”

Section: Of Study Limitations and Strengthsmentioning

confidence: 99%

“…The theoretical model, An intraoperative caring model -the awake patient's need for a genuine caring encounter (hereafter referred to as the "model"), presented in this study is based on a synthesis of three separate patient-focused lifeworld studies with different aspects of the same phenomenon regarding awake patients during surgery under regional anaesthesia [26][27][28] .…”

Section: Data Underpinning the Modelmentioning

confidence: 99%

“…Our model's strength is that data is derived from the awake patient's perspective during surgery under regional anaesthesia [27] and analyzed through a philosophical lens [26] , from which the NA-patient interaction is interpreted [28] .…”

Section: Of Study Limitations and Strengthsmentioning

confidence: 99%

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An intraoperative caring model – the ‘awake’ patient’s need for a genuine caring encounter

Karlsson

Ekebergh²,

Mauléon³

et al. 2013

Clinical Nursing Studies

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Anaesthesia nursing care during regional anaesthesia is characterized by the encounter between the 'awake' patient's own lifeworld and the nurse anaesthetist's knowledge in theory and in practice. This study aims to present an intraoperative caring model from the patient's perspective that will facilitate nurse anaesthetists' (NA) practice to enhance and support the 'awake' patient's intraoperative well-being during surgery under regional anaesthesia. The model is underpinned by a synthesis based on interviews with patients, a philosophical reflection using Merleau-Ponty's philosophy, and video recordings from orthopaedic surgeries under regional anaesthesia. The model can be used as a tool to encounter awake patients' existential needs in the intraoperative situation and to further enlighten NAs about the possible impact of their proximity, interaction and communication behaviour in the delivery of intraoperative nursing care. The model can help NAs to access, understand and learn through lived experiences, thereby deepening their professional caring skills. The model is a way to get research knowledge ready for use by NAs to reflect on what gaps need to be filled between what nurses know (research) and do (practice).

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Interaction Between Nurse Anesthetists and Patients in a Highly Technological Environment

Aagaard¹,

Laursen²,

Rasmussen³

et al. 2017

Journal of PeriAnesthesia Nursing

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Patient-Nurse Anesthetist Interaction During Regional Anesthesia and Surgery Based on Video Recordings

Cited by 11 publications

References 24 publications

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

An intraoperative caring model – the ‘awake’ patient’s need for a genuine caring encounter

Interaction Between Nurse Anesthetists and Patients in a Highly Technological Environment

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