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Aim: The aim is to describe the nurses’ experiences with and readjustment to new clinical practice within accelerated recovery programs (ARP) for benign hysterectomy. Methods: The study is prospective and descriptive using qualitative methods (before and after implementation of ARP), two groupinterviews and four individual in depth interviews from February to November 2001. Results: The central focus on information creates special demands mowing away from somatic care to a more consultative role. The nurse’s experiences with the ARP are generally positive and the changes can be seen as part of the nurses’ adoption process. A new standard care plan is working as a practical tool to ensure a uniform and optimal information and treatment. However, the study shows that the standard care plan with its checklist has reduced individual communication about the patient. Conclusion: The nurse’s experiences with the new clinical practice in ARP in relation to abdominal hysterectomy shows, that communication in this practice requires special attention. It is therefore necessary to demand high quality to the standard care plan used in accelerated recovery regime and in the future to develop communicative ways to secure the psychological care in gynaecological nursing.

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