Perioperative Dialogue Research Articles

Den perioperativa dialogen ur barn med sarskilda behovs perspektiv

Nurse anaesthetists do sometimes meet children with special needs, who are at an increased risk for anxiety and fear in the perioperative setting. Previous research has shown how the perioperative dialogue can reduce fear. But children's experience of this process have not been studied before. The aim of this study was to describe children with special needs experience of the perioperative dialogue. Data were collected through participant observations and semistructured interviews from 25 children with special needs. To acquire a deeper understanding of children's experience a hermeneutic approach was chosen. Six categories emerged; the children were taken seriously; the children knew before and didn't feel afraid; it turned out the way we have decided; the nurse anaesthetist should be the same as in the preoperative dialogue; everything felt so personal; the children managed the situation, and everything turned out so simple. The conclusion is that the perioperative dialogue improves the care of children with special needs. By using the perioperative dialogue the nurse anaesthetist can help the child relieve it's fear, and make the unpleasant easier.

Patients' and nurses' experiences of perioperative dialogues.

Previous research has shown that perioperative visiting can aid the planning and implementation of nursing care by giving patients an opportunity to express their expectation and to receive information. This is in turn can reduce anxiety and stress. However, patients and nurses' experiences of this process have not been studied before. The aim of the research was to describe and interpret the meaning of nursing care experienced by patients and nurse anaesthetists or operating-room nurses (referred to as perioperative nurses) through the pre-, intra- and postoperative dialogues. A hermeneutic approach was used when interpreting text from interviews with 10 patients after the operation and 10 nurses who were asked to write down their experiences after having conducted pre-, intra- and postoperative dialogues with their patients. The interpretation of the whole was: the common quality of the pre-, intra- and postoperative dialogues was continuity and the distinguishing quality was how the patient and nurse experienced continuity. Continuity in 'the perioperative dialogue' from the patients' point of view is expressed as sharing a story and the body is in safe hands. From the nurses' point of view continuity means that professional nursing care becomes visible and that continuity gives meaning to the work. If perioperative nurses used the perioperative dialogue they could create continuity for patients and for themselves in the pre-, intra- and postoperative phases. The nurse is, in this context, the continuity and continuity gives the possibility of establishing a caring relationship and caring for the patient in a dignified way.

A source of strength--nurses' perspectives of the perioperative dialogue.

To describe nurse anaesthetists' and theatre nurses' experiences of working with the perioperative dialogue. A new way of working in the perioperative context is the 'perioperative dialogue model', which is the meeting between the nurse and the patient before, during and after a patient's surgery. Semi-structured interviews were conducted with 20 nurses, trained in working with the perioperative dialogue. Data were analysed according to grounded theory. One core category, 'source of strength', and two main categories, 'walking together' and 'creating a caring relation', were defined. These represented factors in developing nurses' work and professional competence. The nurses became more committed to their work when they came to know the person beyond the character of the patient. The perioperative dialogue is a source of strength to the nurses. It is necessary that the organization supports nurses in this new way of working.

“Den perioperative Dialogen” — Kontinuitet i Vården

The purpose of this study was to describe how anaesthetic- and operating room nurses perceive perioperative conversations if they are a «Perioperative Dialogue». The study has an inductive design a...