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Holding the patient's life in my hands: Swedish registered nurse anaesthetists' perspective of advocacy
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-9002-6145
Örebro University Hospital. Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden.
2014 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 2, p. 281-288Article in journal (Refereed) Published
Abstract [en]

Background: 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.

Aim: The aim of the study was to describe advocacy in anaesthesia care during the perioperative phase from the perspective of the registered nurse anaesthetist.

Method: 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.

Findings: 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.

Conclusion: 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.

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2014. Vol. 28, no 2, p. 281-288
Keywords [en]
advanced practice nursing, nurse anaesthetist, advocacy, content analysis, nursing
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-34993DOI: 10.1111/scs.12057ISI: 000334503400009PubMedID: 23713584Scopus ID: 2-s2.0-84898893862OAI: oai:DiVA.org:oru-34993DiVA, id: diva2:716390
Available from: 2014-05-09 Created: 2014-05-09 Last updated: 2018-06-07Bibliographically approved
In thesis
1. Perioperative patient advocacy: having the patient's best interests at heart
Open this publication in new window or tab >>Perioperative patient advocacy: having the patient's best interests at heart
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Patient advocacy implies taking action on someone else’s behalf, and has been described as a key element of nurses’ professional care. In the perioperative setting, it involves not only critical decision making, but also all the small things that the nurses do for the sake of the patients during their working day. Since previous research on the advocacy role of a registered nurse anesthetist (RNA) is sparse, and has not been conducted in a Swedish context, this thesis was intended to contribute to a greater understanding of advocacy in the perioperative context. The overall aim was therefore to explore the characteristics and consequences of perioperative patient advocacy (Study I), and to describe RNAs’ views of advocacy in anesthetic nursing through interviews (Study II), a questionnaire (Study III), and observations (Study IV).

The synthesis of the characteristics and consequences of perioperative patient advocacy was interpreted in this thesis as the RNAs having the patient’s best interests at heart, in that they (1) had control of the situation, (2) preserved human values, and finally (3) were emotionally affected, as the results from the four studies suggested this as the core of perioperative patient advocacy.

Perioperative patient advocacy is not always perceived as easy. In praxis, it is linked to the code of ethics outlined by the International Council of Nurses, which states that all registered nurses, regardless of their working context, shall respect human rights, promote health, prevent illness, and ensure that the individual receives accurate and sufficient information. This thesis elaborates on how this is done by describing how RNAs exert perioperative patient advocacy and how they interact in order to facilitate the best possible care for the patient. The results deepen the understanding of perioperative patient advocacy from the RNA’s perspective and contribute to a new insight in the RNA’s professional role.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. p. 89
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 71
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-55998 (URN)978-91-7529-187-1 (ISBN)
Public defence
2017-05-19, Universitetssjukhuset, Wilandersalen, Södra Grev Rosengatan, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2017-10-18Bibliographically approved

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Sundqvist, Ann-Sofie

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