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Sammanfattning

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.

MeSH