Strategies to Relieve Patients' Preoperative Anxiety Before Anesthesia: Experiences of Nurse Anesthetists

Clair, Cecilia; Engström, Åsa; Strömbäck, Ulrica

doi:10.1016/j.jopan.2019.10.008

Cited by 8 publications

(12 citation statements)

References 27 publications

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“…Many of the studies highlighted the importance of NAs being present in the moment. Many described it as using themselves as a kind of tool, practicing physical contact, eye contact and reassuring patients of their constant presence (Abelsson et al, 2021; Abelsson & Nygårdh, 2020; Clair et al, 2020;Krupić, 2019; Sundqvist et al, 2018). The NAs used different diverting strategies to make the situation appear as normal as possible, such as verbal and nonverbal communication, conversations about daily or family life, playing music, focusing on breathing, and using heated covers as a dissipative method.…”

Section: Resultsmentioning

confidence: 99%

“…Noblit & Hare used the term metaphor; in this study understood as key words and key concepts with sufficient breadth and impact to carry with them the main ethnographic findings Noblit and Hare (1988) The NAs responded to patients' feelings by providing information adapted to the situation and acknowledged patients' feelings as valid (Abelsson et al, 2021;Abelsson & Nygårdh, 2020;Clair et al, 2020;Mauleon & Ekman, 2002).…”

Section: Metaphormentioning

confidence: 97%

“…Second-order constructs Third-order constructs When a patient tells me that they are afraid of not waking up again, I tell them that almost all people are afraid of that, and I can understand your fear, but you will wake up again. (Clair et al, 2020) Through such conversations, they could give the patient control, which made them feel secure. (Clair et al, 2020) Empowering the patient I want to encounter the child with respect and integrity, as far as possible.…”

Section: First-order Constructsmentioning

confidence: 99%

“…(Clair et al, 2020) Through such conversations, they could give the patient control, which made them feel secure. (Clair et al, 2020) Empowering the patient I want to encounter the child with respect and integrity, as far as possible. I just go on my gut feeling.…”

Section: First-order Constructsmentioning

confidence: 99%

See 3 more Smart Citations

How nursing care is expressed among nurse anaesthetists in the perioperative context: A meta‐ethnographic synthesis

Lekens

Drageset

Hansen

2023

Journal of Clinical Nursing

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AimTo develop a conceptual framework describing nursing care from the anaesthesia nurse's perspective in the perioperative context.BackgroundSurgical patients find themselves in a vulnerable situation in need of advanced treatment and care. Nurse anaesthetists have a central role in reducing harm and enhance patient safety, in which person‐centred care has been identified as a key component. However, they are challenged by productivity and efficiency demands leading to a potential risk to patient safety.DesignNoblit and Hare's interpretative meta‐ethnography, directed by the eMERGe reporting guidance.MethodsA comprehensive systematic search of nine databases without year limitation. Fifteen studies published between 2002 and 2021 were found eligible for inclusion. Quality appraisal was performed using the Joanna Briggs Institute Qualitative Assessment and Review Instrument.ResultsFour themes were identified: being vigilant to keep safe from harm, strengthening patients' confidence, expressing courage to act and speak up, and endorsing team collaboration to achieve best practice. The themes were synthesised into the metaphor, ‘Continuously assessing and acting according to the patients' needs in a holistic perspective’. A conceptual framework was developed, illustrating the interconnection between the different nursing expressions, as the nurse anaesthetists seek to care for the patient as a whole person.ConclusionsNurse anaesthetists aim to deliver holistic nursing care. Nursing care is expressed at two levels, foregrounding and backgrounding anaesthetic nursing, in line with the philosophy of person‐centred care. Nursing care in anaesthesia is a matter of how and why it is performed, expressed in attitudes toward the recipients of care.Relevance to clinical practiceThe framework may be used to inform educational programs and clinical practice in nurse anaesthesia and to promote person‐centred care as a shared value across all levels involved in perioperative patient care.No patient or public contributionData were retrieved from already published literature.

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Section: Resultsmentioning

confidence: 99%

Section: Metaphormentioning

confidence: 97%

Section: First-order Constructsmentioning

confidence: 99%

Section: First-order Constructsmentioning

confidence: 99%

See 2 more Smart Citations

How nursing care is expressed among nurse anaesthetists in the perioperative context: A meta‐ethnographic synthesis

Lekens

Drageset

Hansen

2023

Journal of Clinical Nursing

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“…Mange pasienter er i en sårbar sitasjon, og i den perioperative fasen er det viktig at de ulike profesjonsgruppene skaper tillit og etablerer trygghet (10,14). Et hovedmål i den perioperative fasen er å tilrettelegge for pasientene så de føler seg trygge og godt ivaretatt (15).…”

Section: Introduksjonunclassified

Pasienters opplevelser og erfaringer med regional anestesi i den perioperative fasen

Drageset

Brakstad-Pilskog

Johansen

et al. 2021

inspira

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Bakgrunn: Operasjonspasienter som får regional anestesi, er ofte våkne perioperativt og møter flere profesjonsgrupper i det perioperative forløpet. Det er derfor viktig å få økt innsikt i pasienters opplevelser og erfaringer. Hensikt: Beskrive og øke forståelsen om hvordan pasienter opplever og erfarer den perioperative fasen i regional anestesi, noe som kan bidra til økt trygghet hos pasienten gjennom en enda bedre ivaretakelse. Metode: Studien har et kvalitativ deskriptivt design og omfatter femten individuelle intervju av urologiske og ortopediske pasienter som har fått utført et kirurgisk inngrep. Intervjuene er analysert ved bruk av Malteruds systematiske tekstkondensering. Resultat: Det var viktig å kjenne seg ivaretatt og trygg gjennom hele det perioperative forløpet. Flere opplevde det trygt å ha flere profesjonsgrupper rundt seg. I tillegg var det viktig å få detaljert informasjon under forløpet, samt at personalet opptrådte rolig og vennlig. Noen pasienter ønsket å sove for å unngå å oppleve smerter og annet ubehag, mens andre ønsket å være våkne under operasjonen på grunn av et behov for å ha kontroll. Flere opplevde hjelpeløshet og at det var vanskelig å være avhengig av hjelp under og etter operasjon. I tillegg opplevde noen en krenkelse av bluferdigheten og tap av kontroll i forbindelse med intime gjøremål. Pasientene opplevde at det var utfordrende å uttrykke sine smerter på en smerteskala. Erfaringer fra tidligere operasjoner hadde betydning. Konklusjon: Det er viktig å tilpasse forholdene til den enkelte pasient slik at de får best mulig opplevelser og erfaringer. God ivaretagelse, som ved tilstrekkelig informasjon, god smertelindring og rolig opptreden, er sentralt. Å ha flere profesjonsgrupper rundt seg i den perioperative fase oppleves trygt.

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The Effects of Virtual Reality on Preoperative Anxiety in Patients Undergoing Colorectal and Abdominal Wall Surgery: A Randomized Controlled Trial

Uğraş

Kanat>

Yaman

et al. 2023

Journal of PeriAnesthesia Nursing

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Strategies to Relieve Patients' Preoperative Anxiety Before Anesthesia: Experiences of Nurse Anesthetists

Cited by 8 publications

References 27 publications

How nursing care is expressed among nurse anaesthetists in the perioperative context: A meta‐ethnographic synthesis

How nursing care is expressed among nurse anaesthetists in the perioperative context: A meta‐ethnographic synthesis

Pasienters opplevelser og erfaringer med regional anestesi i den perioperative fasen

The Effects of Virtual Reality on Preoperative Anxiety in Patients Undergoing Colorectal and Abdominal Wall Surgery: A Randomized Controlled Trial

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