Perioperativ dialog - gör anestesisjuksköterska preoperativa och postoperativa patientbesök? Problem och möjligheter - en kartläggning av svenska sjukhus
Engelsk titel: The perioperative dialogue - does the nurse anesthetist perform preoperative and postoperative visits on the ward? Problems and possibilities - a survey in Swedish hospitals
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Författare:
Zetterlund P
Språk: Swe
Antal referenser: 31
Dokumenttyp:
Artikel
UI-nummer: 00108564
Sammanfattning
The perioperative-nursing model is
grounded on the humanistic and
caring-ethical assumption of the
benefit of a well-informed patient
as a way in the preparation for
anaesthesia and surgery as well as
a way of validate the perioperative
care. The purpose of the study was,
by asking the head nurses anaesthetist
(HNA) validation, to examine
current standard regarding
the perioperative dialogue and
whether the nurse anaesthetist
(NA) participated in preoperative
and postoperative visit on the ward
as the theory of perioperative dialogue
discribes. A questionaire
was put to 97 anaesthetic departments
and 65 answered (67%).
Findings show that 89% HNA
agreed fully or partially that the
preoperative visit was an advantage
for the patient. Yet did only
3% departments always perform
such visit. The majority HNA
(58%) answered that such visits
did not occur at all due to: A. lack
of resource (time, staff or economy),
B. other staff category did
perform the visit, C. late admission
of the patient to the hospital, D.
problem due to organisation or
staff-schedules, E. lack of interest
or resistance. Postoperative follow
up by the NA on the ward was of
occasional character. Perioperative
dialogue had low priority, due
to lack of resources. Research findings
regarding the value of perioperative
dialogue seemed to have
difficulties to have impacts in Swedish
hospital reality, due to tradition
and structures of the management
at the hospitals.