The intraoperative surgical context.
DOI:
https://doi.org/10.17533/udea.iee.10445Keywords:
Operating room nursing; patients; surgical procedures, operative; unconsciousness.Abstract
Objective. To interpret the experience of being unconscious or alert from a group of patients during the surgical act and appreciations from the members of the nursing team on the same context.
Methodology. Qualitative study focusing on grounded theory. Information was collected through a) observation and b) interviews to 20 patients, 19 nursing aides, and 8 nursing professionals who work in level II surgical centers in Valle de Aburrá, Colombia.
Results. From being aware of everything to being at the mercy of another, during el intraoperative, the patient goes through different states of conscience, which means being subjected to total care. Instead, for the nursing personnel the same context implies different behavior going between two environments: the “scenario” –when in front of the patient awake, which involves measured and diplomatic behavior; or, “behind the scenes” – with the person under the effects of anesthesia – the behavior is more free and uninhibited.
Conclusion. The intraoperative surgical context is different for patients and for the nursing team. However, it is necessary to bear in mind that they are caring for a human being who requires respect, dignified treatment, and that care must be promoted under an ethical perspective.
Downloads
References
(1) Reis H, Collins A. Relationships, human behavior and psychological science. Curr Dir Psychol Sci. 2004; 13(6):233-7.
(2) Invest Educ Enferm. 2012;30(3) . 311 2. Sigurdsson HO. The meaning of being a perioperative nurse. AORN J. 2001; 74(2):202-17.
(3) Rudolfsson G, von Post I, Eriksson K .The perioperative dialogue: Holistic nursing in practice. Holist Nurs Pract. 2007; 21(6):292-8.
(4) Chard R. Phenomenologic study of how perioperative nurses perceive their work world 2000. AORN J; 72(5):878-89.
(5) Rudlfsson G, Ringsberg KC, von Post I. A source of strength-nurses' perspectives of the perioperative dialogue. J Nurs Manag. 2003; 11(4):250-7.
(6) Stirling L, Raab G, Alder EM, Robertson R Randomized trial of essential oils to reduce perioperative patient anxiety: Feasibility study. J Adv Nurs. 2007; 60(5):494-501.
(7) Boyle HJ. Patient advocacy in the perioperative setting. AORN J. 2005; 82(2):250-62.
(8) Wolf ZR, Miller PA, Devine M. The relationship between nurse caring and patient satisfaction in patient having invasive cardiac procedures. Medsurg Nurs. 2003; 12(6):391-6.
(9) McCarthy RJ, Trigg R, John C, Gough MJ, Horrocks M Patient satisfaction for carotid endarterectomy performed under local anaesthesia. Eur J Vasc Endovasc. 2004; 27(6):654-9.
(10) Suhonen R, Valimaki M, Leino Kilpi H. Individualizad care, quality of life and satisfaction with nursing care. J Adv Nurs. 2005; 50(3):283-92.
(11) Leinonen T, Leino-Kilpi, H, Ståhlberg MR, Lertola K. The quality of perioperative care: Development of tool for the perceptions of patients. J Adv Nurs. 2001; 35(2): 294-306.
(12) Yellen E, Davis GC. Patient satisfaction in ambulatory surgery. AORN J. 2001; 74(4): 452-590.
(13) Lindwall L, von Post I, Bergbom I. Patients and nurses experiences of perioperative dialogues. J Adv Nurs. 2003; 43(3):246-53.
(14) Hansson E, Soderhamn O. The attitudes of a group of operating room nurses and nurse anesthetists toward perioperative conversation. Learn Health Soc Care. 2004; 3(1):37-45.
(15) Coleman M, White J. Pre-operative visiting in Wales: A study of its prevalence and nature. Nurs Res. 2001; 6(2):611-24.
(16) Pelegrini Fonseca R M, de Cássia Giani Peniche A. Enfermagem em centro cirúrgico: trinta anos após criação do Sistema de Assistência de Enfermagem Perioperatória. Acta Paul Enferm. 2009; 22(4):428-33.
(17) Wimpenny P, Gass J. Interviewing in phenomenology and grounded theory: is there a difference?. J Adv Nurs. 2000; 31(6):1485-92.
(18) Mulhall A. In the field: notes on observation in qualitative research. J Adv Nurs. 2003; 41(3):306-13.
(19) Strauss A Corbin J. Bases de la investigación cualitativa. Técnicas y procedimientos para desarrollar teoría fundamentada. Medellín: Universidad de Antioquia; 2002.
(20) Charmaz K. Constructing Grounded Theory. London: SAGE: 2006.
(21) Galeano ME. Diseño de proyectos en la investigación cualitativa. Medellín: Fondo Editorial Universidad EAFIT; 2004.
(22) Morse JM, Barrer M, Mayan M, Olson K, Spiers J. Verification strategies for establishing reliability and validity. Int J Qual Method. 2002; 1(2):2-10.
(23) DeLamar LM. Anesthesia. En: Rothrock JC. Alexander`s care of the patient in surgery. 13th ed. St. Louis: Mosby-Elsevier; 2007.
(24) Fox NJ. Discourse, organisation and the surgical ward round. Sociol Health Ill. 1993; 15(1):16-42.
(25) Goffman I. La presentación de la persona en la vida cotidiana. 1 ed 3ª reimp. Buenos aires: Amorrortu; 2001.
(26) Tanner J, Timmons S. Backstage in the theatre. J Adv Nurs. 2000; 32(4):975-80.
(27) Blumer H. Symbolic interactionism: Perspective and method. California: Universidad de California; 1969.
(28) Orem D. Nursing agency: the nurse variable. Nursing concepts of practice. 6th ed. St Louis: Mosby; 2001.
(29) Fawcett J. Orem`s Self-Care Framework. In: Contemporary Nursing Knowledge. Analysis and Evaluation of Nursing Models and Theories. 2nd ed. Filadelfia: Davis Company; 2005.
(30) Torralba F. Constructos éticos del cuidar. Enferm Intensiva. 2000; 11(3): 36-41.
(31) Medina JL, Castillo S. La enseñanza de la enfermería como una práctica reflexiva. Texto Contexto-Enferm. 2006; 15(2):303-11.
Published
How to Cite
Issue
Section
License
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
