The Transition Between Surgery and Ward: Patients’ Experiences of Care in a Postoperative Care Unit

Abstract

PurposeThe aim of this study was to describe adult patients’ experiences of postoperative care in the postanesthesia care unit (PACU) after undergoing surgery in Sweden. DesignQualitative inductive study. MethodsIndividual interviews with 14 adults who had experience of being cared for in the PACU were conducted on day 14 to day 26 after surgery. The interviews were analyzed using thematic analysis. FindingsEarly recovery in the PACU was described as a small step in the recovery process and as a time of transition from surgery to the ward. When patients perceived the PACU staff as competent, and as having a positive attitude, providing individualized care, and addressing symptoms or discomfort without being specifically alerted, patients felt safe and cared for. When they were not personally acknowledged, the patients felt abandoned in the highly technological environment. ConclusionsTo enhance the transition from surgery to the ward, patients need to be personally acknowledged. Their symptoms need to be properly treated by competent staff with a positive and proactive attitude. This creates safe care that supports the transition from the PACU to the ward, as well as the overall recovery process.