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Holding the patient's life in my hands: Swedish registered nurse anaesthetists' perspective of advocacy.

https://arctichealth.org/en/permalink/ahliterature264343
Source
Scand J Caring Sci. 2014 Jun;28(2):281-8
Publication Type
Article
Date
Jun-2014
Author
Ann-Sofie Sundqvist
Agneta Anderzén Carlsson
Source
Scand J Caring Sci. 2014 Jun;28(2):281-8
Date
Jun-2014
Language
English
Publication Type
Article
Keywords
Humans
Nurse Anesthetists - psychology
Patient Advocacy
Qualitative Research
Sweden
Abstract
Anaesthesia often induces a state of unconsciousness that includes inability to communicate and influence the situation. The patient has to rely on the nurse anaesthetist to speak up for her/him as well as maintain her/his dignity and safety. Consequently, the nurse anaesthetist can be likened to the patient's advocate.
The aim of the study was to describe advocacy in anaesthesia care during the perioperative phase from the perspective of the registered nurse anaesthetist.
Data for this qualitative descriptive study were collected during March and April, 2011. Individual interviews were conducted with a purposive sample of 20 nurse anaesthetists from two hospitals in Sweden. The audio-taped interviews were transcribed verbatim and analysed by means of qualitative content analysis.
The main theme, Holding the patient's life in my hands, described the nurse anaesthetists' perception of advocacy and comprised three subthemes: providing dignified care, providing safe care and a moral commitment.
Acting as the patient's advocate includes important health and well-being issues and could be stressful for the nurse anaesthetists'. A work environment where the nurse anaesthetists' can make their voices heard and feel that their opinion regarding the patient's best interests is taken seriously would be desirable, as all health professionals should ideally focus on those in their care.
PubMed ID
23713584 View in PubMed
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Promoting person-centred care in the perioperative setting through patient advocacy: An observational study.

https://arctichealth.org/en/permalink/ahliterature295188
Source
J Clin Nurs. 2018 Jun; 27(11-12):2403-2415
Publication Type
Journal Article
Observational Study
Date
Jun-2018
Author
Ann-Sofie Sundqvist
Ulrica Nilsson
Marie Holmefur
Agneta Anderzén-Carlsson
Author Affiliation
Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
Source
J Clin Nurs. 2018 Jun; 27(11-12):2403-2415
Date
Jun-2018
Language
English
Publication Type
Journal Article
Observational Study
Keywords
Humans
Nurse Anesthetists
Nurse's Role
Patient Advocacy
Patient-Centered Care - methods
Perioperative Care - nursing
Process Assessment (Health Care)
Qualitative Research
Self Care
Sweden
Abstract
To examine the extent to which the findings from an integrative review regarding perioperative patient advocacy could be empirically supported, and to describe Swedish registered nurse anaesthetists' patient advocacy actions and interactions during the perioperative period.
Patient advocacy is practiced by various healthcare professionals in promoting the well-being of patients. It is complex, and in a general healthcare context, it has been described as supporting the patients both physiologically and psychologically. During general anaesthesia, the patient enters an unconscious state, and the registered nurse anaesthetist safeguards patient privacy and autonomy.
Qualitative descriptive.
Individual, nonparticipant observations (n = 16) with eight registered nurse anaesthetists. The observer followed the nurses unobtrusively by shadowing them during the perioperative phase on two separate occasions. The analysis was conducted with a directed content analysis in the light of four predetermined categories, identified in a previous integrative review of patient advocacy in the perioperative setting: protecting, value preserving, supporting and informing.
The predetermined categories were empirically supported. They were further refined by identifying 11 new subcategories leading to a conceptual extension of the theoretical frame. The registered nurse anaesthetists interacted with the patient and all members of the surgical team when practicing perioperative patient advocacy and the actions were mostly initiated by the registered nurse anaesthetists themselves.
The findings offer a new insight into the registered nurse anaesthetist's professional role. The observations deepen the understanding of the registered nurse anaesthetists' perioperative patient advocacy actions and can contribute to a more reflective and theory-oriented view of practice.
The results from this study could be used to help registered nurse anaesthetists and their students understand practice in a more complete and insightful way.
PubMed ID
29149509 View in PubMed
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