umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Att skapa en bubbla: Anestesi- och operationssjuksköterskors erfarenheter av att vårda vaken patient under operation i regional anestesi
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
To Create a bubble : Nurse anesthetists’ and operating theatre nurses’ experiences of nursing of awake patients during surgery in regional anesthesia (English)
Abstract [sv]

Bakgrund: Utveckling av effektiva anestesimetoder möjliggör att antal operationer i regional anestesi där patienten är vaken ökar. Att vara vaken under operationen kan upplevas oroande och skrämmande för patienten. Den perioperativa sjuksköterskan har därför ett ansvar i att stötta patienten genom operationsförloppet. Studier har visat att vårdpersonalens nära kontakt, omtanke och professionalism ökar patientens välbefinnande samtidigt som den postoperativa rehabiliteringstiden minskar.

Syfte: Att beskriva anestesi- och operationssjuksköterskors erfarenheter av att vårda vaken patient under operation i regional anestesi.

Design: En intervjustudie med kvalitativ ansats.

Metod: Under våren 2018 genomfördes semistrukturerade intervjuer med tolv anestesi- och operationssjuksköterskor. Materialet analyserades med kvalitativ innehållsanalys.

Resultat: Resultatet sammanfattades i tre huvudkategorier med nio underkategorier. I huvudkategorin den medvetna dialogen anpassade anestesi- och operationssjuksköterskorna språket mellan varandra och var försiktiga med hur de uttryckte sig för att inte oroa patienten. I huvudkategorin personen före patienten reflekterade deltagarna över patientens upplevelse samt hur en relation i ett kort möte kunde skapas. I huvudkategorin det vårdande rummet skapade deltagarna en trygg plats för patienten genom olika omvårdnadsåtgärder. Deltagarna var väl medvetna kring hur de uppfattades och ändrade sitt beteende utifrån stämningen på salen.

Slutsats: Huvudresultaten visade att de två yrkeskategorierna anpassade sin kommunikation, sitt arbetssätt och sitt beteende mellan varandra och gentemot den vakna patienten. Att vårda en vaken patient kunde vara både utmanande och berikande beroende på hur patienten uppfattades. Studien kan förhoppningsvis förmedla en djupare förståelse kring hur det kan vara att vårda en vaken patient under operation.

Abstract [en]

Background: The development of efficient methods for anesthesia has increased the number of surgery in regional anesthesia where the patient is awake. Being awake during surgery can be worrisome and frightening for the patient. The perioperative nurse therefore has a responsibility in supporting the patient throughout the course of the operation. Studies have shown that close contact, consideration and professionalism from healthcare professionals increase the patients well-being and at the same time reduce postoperative rehabilitation time.

Purpose: To describe nurse anesthetists’ and operating theatre nurses’ experiences of nursing of awake patients during surgery in regional anesthesia.

Design: An interview study with a qualitative approach.

Method: During the spring of 2018 semi-structured interviews with twelve nurse anesthetists and operating theatre nurses were conducted. The material was analyzed with a content qualitative analysis.

Result: The result was summarized into three main categories with nine subcategories. In the main category, the conscious dialogue, nurse anesthetists and operating theatre nurses adapted the language between each other and were wary of how they expressed themselves not to worry the patient. In the main category person before patient the participants reflected upon the patient’s experience and how a relationship could be established during a short period of time. In the main category the caring room the participants created a safe space for the patient with different nursing care measures. The participants were well aware of how they were perceived and changed their behavior according to the atmosphere in the operating room.

Conclusion: The main results showed that the two professions changed their communication, their way of working and their behavior in the operating room between each other and to the patient being awake. To care for a patient who was awake during surgery could be both challenging and fulfilling, depending on how the nurse perceived the patient. This study can hopefully supply a more profound understanding of how it might be to nurse for a patient being awake during surgery.

Place, publisher, year, edition, pages
2018. , p. 28
Keywords [en]
awake patient, conduction anesthesia, experiences, nurse anesthetist, operating theatre nurse, perioperative nurse, perioperative nursing
Keywords [sv]
anestesisjuksköterska, erfarenheter, operationssjuksköterska, perioperativ sjuksköterska, regional anestesi, vaken patient
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-148446OAI: oai:DiVA.org:umu-148446DiVA, id: diva2:1214078
Supervisors
Examiners
Available from: 2018-07-05 Created: 2018-06-05 Last updated: 2018-07-05Bibliographically approved

Open Access in DiVA

No full text in DiVA

By organisation
Department of Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 2 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf