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

Abstract

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.

Journey From Experiences That Left Trace to Today in Patients Who Underwent Coronary Artery By-pass Graft Surgery

“…Studies explained the feeling of being dependent by the fact that patients are not able to fulfill their usual roles and their personal worlds get smaller. Berg et al (2013) suggested that accessing relevant information about this period and understanding the perioperative course of uncertain events would decrease patients' stress and anxiety (21). It is of utmost importance for health professionals to provide patients with accurate and up-to-date information regarding any potential problems that may occur after discharge and how to handle them effectively (22).…”

Evaluating Pictures of Nature and Soft Music on Anxiety and Well-Being During Elective Surgery

“…The patient needs security during this exposed situation and can communicate with the nurse anesthetist or physician during the procedure [ 9 ]. Mediating a sense of comfort and keeping the patient focused are achieved by continuously giving the patient information, which is important for establishing the reassurance the patient needs [ 10 ]. In addition to reducing anxiety through establishing trust between the patient and the nurse anesthetist, different interventions have been tested for distracting patients to reduce the anxiety and stress [ 11 - 13 ] related to the surgery.…”