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

被引：4
作者：
Berg, Katarina [1 ]
Kaspersen, Rikard [2 ]
Unby, Christina [3 ]
Frisman, Gunilla Hollman [1 ,4 ]
机构：
[1] Linkoping Univ, Fac Hlth Sci, Dept Med & Hlth, Div Nursing Sci, S-58183 Linkoping, Sweden
[2] Sykehuset Osffold HF, Anestesiseksjonen, Avdeling Anestesiol & Operasjon, Fredrikstad, Norway
[3] Sirius Humanum AB, Norrkoping, Sweden
[4] Cty Council Ostergotland, Anaesthet Operat & Specialty Surg Ctr, Linkoping, Sweden
来源：
JOURNAL OF PERIANESTHESIA NURSING | 2013年 / 28卷 / 05期
关键词：
coronary artery bypass graft surgery; research; grounded theory; interaction; nurse anesthetist; PERIOPERATIVE DIALOGUE; CARE; DEPRESSION; MORTALITY; ANXIETY; ETHICS;
D O I：
10.1016/j.jopan.2012.10.008
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Purpose: Establishing a purposive interaction with a patient who is in a vulnerable situation before 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 the nurse anesthetist immediately before elective CABG surgery. Design: An observational study using a grounded theory design was used. Methods: A theoretical selection of patients and nurse anesthetists was made. A total of 11 situations of patient/nurse anesthetist interaction were observed. The data were analyzed using the constant comparative method. Findings:A core category of reassurance emerged from other categories of 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. Conclusions: Reassurance can be achieved through a well-structured anesthesia nursing performance in the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation phase.
引用
收藏
页码：283 / 290
页数：8
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