The meaning of person‐centred care in the perioperative nursing context from the patient's perspective – an integrative review

Arakelian, Erebouni; Swenne, Christine Leo; Lindberg, Susan; Rudolfsson, Gudrun; Vogelsang, Ann‐Christin von

doi:10.1111/jocn.13639

Cited by 53 publications

(72 citation statements)

References 47 publications

(128 reference statements)

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“…Ingvarsdottir and Halldorsdottir () conducted interviews with experienced OTNs that showed how they took responsibility for the patient's vulnerability and safely navigated the patient through the nursing process. Arakelian, Swenne, Lindberg, Rudolfsson, and Vogelsang () study emerged that the patients perceived that they were respected as a person, taken seriously and participated in their care if it was carried out in a person‐centred manner. On the other hand, Gillespie and Pearson () showed that the OTN took responsibility for “caring skills”, which was not shown by the surgical technicians.…”

Section: Introductionmentioning

confidence: 99%

Responsibility for patient care in perioperative practice

2018

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AimTo obtain an understanding of operating theatre nurses' experiences of responsibility for patient care and safety in perioperative practice.DesignA hermeneutic design were used.MethodData were collected during 2012 from 15 operating theatre nurses who participated in individual interviews. The text was analyzed by hermeneutical text interpretation.FindingsThe texts revealed two main themes: A formal external responsibility and personal ethical value. Responsibility that the patient was not exposed to risks, protecting the patient's body, systematically planning and organizing work in the surgical team. The personal ethical value meant confirming the patient as a person, caring for the patient and preserving the patient's dignity. A new understanding emerged that the operating theatre nurse always have the patient in mind.

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Section: Introductionmentioning

confidence: 99%

Responsibility for patient care in perioperative practice

2018

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“…Becoming familiar with the staff before the treatment creates a feeling of well-being and makes patients feel welcomed when arriving in the OR (Arakelian et al, 2017). Although not always experienced in our study, it is, from a patient perspective, a very reasonable request to meet both the operator and the nursing staff beforehand.…”

Section: Discussion Of Findingsmentioning

confidence: 91%

“…Communication between patient, surgeon and nursing staff has previously been described as the key aspect of patient satisfaction (Schoenfelder, Klewer, & Kugler, ) and patient safety perception (Dixon et al, ). Becoming familiar with the staff before the treatment creates a feeling of well‐being and makes patients feel welcomed when arriving in the OR (Arakelian et al, ). Although not always experienced in our study, it is, from a patient perspective, a very reasonable request to meet both the operator and the nursing staff beforehand.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, only a few patients were treated under regional anaesthesia, and they reported that being awake during surgery was exhausting because the time proceeded very slowly, and they reported the contact with staff was essential to tolerate it. Distracting patients during procedures, such as providing music with earphones, has been shown beneficial in such situations (Arakelian, Nyholm, & Oster, 2019;Arakelian, Swenne, Lindberg, Rudolfsson, & von Vogelsang, 2017;Moris & Linos, 2013). In general, when the lived time was experienced as long, it was associated with a suspicion that something was wrong.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

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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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“…The team members are dependent on sufficient information about each patient's health situation and comorbidity to be able to offer person‐centred nursing care (Arakelian et al, ; Olsson, Karlsson, Berg, Kärrholm, & Hansson, ). OTNs’ described frequent experiences of obtaining only brief, incomplete and fragmented information about the patients’ health situations and their upcoming surgical interventions.…”

Section: Discussionmentioning

confidence: 99%

Prerequisites for safe intraoperative nursing care and teamwork—Operating theatre nurses’ perspectives: A qualitative interview study

Sandelin

Kalman

Gustafsson

2019

Journal of Clinical Nursing

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Aim To describe operating theatre nurses’ experience of preconditions for safe intraoperative nursing care and teamwork. Background Surgical interventions are often needed for patients’ well‐being and survival from health problems. Adequate information to professionals responsible within the surgical organisation is of importance for patient safety in connection to the surgery. The members in the surgical team need correct information about the patients’ health and planned care. The information is mainly transferred by computerised systems that do not necessarily provide all information needed. Method A qualitative descriptive design was chosen. Narrative interviews were carried out with 16 experienced operating theatre nurses in four different hospitals in rural and urban areas in Sweden. The data were analysed using qualitative content analysis. The study complied with criteria to Consolidated Criteria for Reporting Qualitative Research (COREQ). Result Operating theatre nurses strived to get adequate information about the patients’ care, the surgical intervention and the equipment to be well prepared for intraoperative nursing care. The information from the computerised systems was described as fragmented and obliged the operating theatre nurses to demand a preoperative dialogue between the members of the surgical team. Professional collegial teamwork and committed leadership were considered to enhance patient safety. Conclusion From the operating theatre nurses’ perspective, prerequisites for intraoperative safe nursing care and teamwork depend upon a preoperative dialogue between the members in the surgical team for collegial teamwork, obtaining a reliable preoperative overall picture based on adequate information transfer, and the support of a committed first‐line manager. Relevance to clinical practice The operating theatre nurses need a reliable preoperative overall picture in advance, to be able to be well prepared for the patients’ surgery. The overall picture should be based on adequate data about the patients’ health status and needs, details about the surgical intervention and prescriptions.

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The meaning of person‐centred care in the perioperative nursing context from the patient's perspective – an integrative review

Abstract: By having a common understanding of the concept of person-centred care, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient, resulting in personalisation of care rather than simply defining the concept.

Cited by 53 publications

References 47 publications

Responsibility for patient care in perioperative practice

Responsibility for patient care in perioperative practice

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

Prerequisites for safe intraoperative nursing care and teamwork—Operating theatre nurses’ perspectives: A qualitative interview study

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