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Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse: A Grounded Theory
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0002-1614-7379
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2017 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 9, p. 1086-1099Article in journal (Refereed) Published
Abstract [en]

Introduction: Intraoperative care includes a unique knowledge of how to

perform a safe and effective surgery procedure. Surgery performed under regional

or local anaesthesia allows the patient to remain conscious during the

procedure and is rather common in Swedish healthcare today. Aim: The aim

was to obtain a deeper understanding of the main concerns of operating theatre

nurses (OTN) when caring for conscious patients during the intraoperative

phase. Methods: Interviews were conducted with 23 OTNs from five different

hospitals in Sweden and analysed according to grounded theory. Findings:

The main concern among the OTNs was to take the patient in consideration.

The core category “achieve and maintain ethical treatment of patients”

in the operating theatre (OT) was a strategy used throughout the intraoperative

process. Ethical treatment was described as moral behaviour at

different levels and included the team’s behaviour, respectful and individualised

patientcare, and the working-morale of the professionals. Being vigilant

and being flexible were the categories related to the core category. The OTNs

constantly assessed where to pay most attention as they balanced between the

needs of the patient, the team, and the surgery procedure. Conclusion: It is

important that every patient is taken into consideration and that ethical principles

are held to the highest standards in the OT. A familiar team can facilitate

that. The complex skills that operating theatre nurses develop can be

added to explain important competencies within the profession.

Place, publisher, year, edition, pages
2017. Vol. 7, no 9, p. 1086-1099
Keyword [en]
Conscious Patient, Grounded Theory, Intraoperative Care, Nursing
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-32241DOI: 10.4236/ojn.2017.79079OAI: oai:DiVA.org:miun-32241DiVA, id: diva2:1162521
Available from: 2017-12-04 Created: 2017-12-04 Last updated: 2017-12-05Bibliographically approved

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Brodin, KerstinHellzén, OveHäggström, Marie

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