Abstract
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.
Highlights
Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure
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
The intraoperative phase, which is a part of the perioperative care, starts when the patient arrives in the operating theatre (OT) and ends when he/she is transferred to the postoperative ward
Summary
Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. 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. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. In Sweden today, OTNs are registered nurses, providing perioperative nursingcare to surgical patients, which requires unique knowledge and a highly developed set of skills [1]. The intraoperative phase, which is a part of the perioperative care, starts when the patient arrives in the operating theatre (OT) and ends when he/she is transferred to the postoperative ward. While any type of surgical procedure, regardless of the method of anaesthesia, can be anxiety provoking for patients, the choice of anaesthesia will primarily depend on the extent of the surgery being performed [6]
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