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Vyborny, Brigette, and Brigette Vyborny. "Nurse Anesthetists' Perspectives on Multimodal Pain Management." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624489.
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Background: Acute postoperative pain can develop into chronic pain if not managed well. Nurse anesthetists consider many factors when developing an anesthetic plan to provide optimal postoperative pain management. Multimodal pain management is recommended for managing pain in the perioperative period and this may include administering medications such as intravenous (IV) acetaminophen and IV non-steroidal anti-inflammatory drugs (NSAIDs) to the patients if not contraindicated. Even though these are valuable and daily considerations for nurse anesthetists, there is not a standard of care for addressing postoperative pain management in adult abdominal surgical procedures.
Objective: The purpose of the project is to determine the perspectives of nurse anesthetists for developing postoperative pain management in adult patients having abdominal surgical procedures.
Design: This is a descriptive study designed to determine if current nurse anesthetist practices are being guided by evidence-based practices and if the findings can be used to develop a standard of care.
Participants: Nurse anesthetists from a local Tucson, AZ health care facility
Measurements: Nurse anesthetists were interviewed in-person. They were asked six semi-structured questions and the answers were recorded and transcribed into the program NVivo. Each answer was then coded and compared for emerging common themes.
Results: Five out of eleven nurse anesthetists participated in this project. Thirty-five themes were discovered and three main categories developed: 1. Nurse anesthetists consider multimodal pain management an integral part of the anesthetic plan. IV acetaminophen and IV NSAIDs are considered for every surgical patient if they are not contraindicated; 2. IV acetaminophen is used more frequently for abdominal procedures compared to IV NSAIDs because of risks for bleeding associated with IV NSAIDs; and 3. Each anesthetic plan is individualized to safely address both the patient and surgical factors.
Conclusion: A multi-center study should be considered for a future project to determine if these common themes would be found consistently across health care facilities. Eventually, this information could be used to develop a standard of care for managing postoperative pain in adults having abdominal surgery. Other methods for addressing multimodal pain management such as regional blocks should be considered for future studies as well.
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Steed, Martina Renee. "Cultural Competence in Certified Registered Nurse Anesthetists." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1749.
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For several decades, the field of nursing has focused on the integration of cultural competence content into its prelicensure educational programs. Despite this focus, little is known about the cultural competence of nurses extending their education past initial licensure into an advanced practice nursing specialty, such as nurse anesthesia. Researchers in other fields have found that provider race and previous cultural competence training are associated with higher levels of cultural competence. This research, guided by the culture care diversity and universality theory, sought to determine the relationship between the two subscales, Cultural Awareness and Sensitivity (CAS) and the Cultural Competence Behavior (CCB) of the Cultural Competence Assessment (CCA) tool, and describe the relationships that exist between selected demographic variables and the total cultural competence scores for nurse anesthetists. One hundred and fifty-eight members of the American Association of Nurse Anesthetists participated in the study. The total CCA score for the population was 4.98 out of a potential total score of 7 (SD = .79). Mean scores were 5.64 (SD = .73) and 4.38 (SD = 1.19) for the CAS and CCB subscales, respectively. Hierarchical multiple regression analysis confirmed a positive relationship between post graduate diversity training and total CCA score (B = .28, p < .05). Identifying the cultural competence of this population and the characteristics that are associated with high levels of cultural competence could lead to better provider awareness of their own interactions and perceptions of patients and improved patient-centered care for patients in minority populations who are served by certified registered nurse anesthetists, resulting in positive social change.
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Pearson, Julie Ann. "Perceived Deprivation in Active Duty Military Nurse Anesthetists." Also available to VCU users online:, 2006. http://hdl.handle.net/10156/1784.
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Emery, Susan. "Work Hours, Workload, and Fatigue in Nurse Anesthetists." Thesis, Boston College, 2013. http://hdl.handle.net/2345/2972.
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Thesis advisor: Patricia TabloskiFatigue is a factor in human error particularly on tasks requiring sustained attention (Dinges, 1995). Work-hour studies of staff nurses have demonstrated that the risks of making an error increased when nurses worked longer shifts (Rogers, Hwang, Scott, Aiken, and Dinges, 2004. Workload in anesthesia care can vary widely with diverse cognitive and physical demands (Gaba and Lee, 1990; Weinger, Herndon, Zornow, Paulus, Gaba, and Dallen, 1994; Weinger, Reddy, and Slagle, 2004; Weinger and Slagle 2001). The purpose of the study was to examine the influence of work hours and workload on fatigue in certified registered nurse anesthetists (CRNAs). A predictive, correlational design was employed and utilized an electronic survey of 10,000 active certified and active recertified CRNAs. A total of 928 CRNAs completed the survey which included a self-report of work hours. Workload was measured by the NASA Task Load Index and fatigue by the Checklist Individual Strength (CIS-20). Hierarchical multiple regression analysis was applied to the data to test the hypotheses that 1) after controlling for demographic variables, the number of work hours and workload will positively influence post-shift fatigue in nurse anesthetists and 2) after controlling for demographic variables, there will be an interaction between work hours and workload in nurse anesthetists. Work hours and workload explained 19 % of the variance in fatigue in nurse anesthetists with the greatest contribution being from the number of work hours and the workload dimension of performance satisfaction. The study findings suggest that increasing hours of anesthesia time and increasing workload, particularly dissatisfaction with meeting the goals of the anesthetic (performance dimension) increase fatigue in nurse anesthetists. The implications for practice, policy, and research are discussed
Thesis (PhD) — Boston College, 2013
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Chan, Seung-chuen. "The development of four advanced nursing roles in the United States, the United Kingdom, Australia, and Hong Kong a comparative analysis of nurse practitioner, clinical nurse specialist, nurse midwife, and nurse anesthetist /." Click to view the E-thesis via HKUTO, 2002. http://sunzi.lib.hku.hk/hkuto/record/B31972809.
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Wright, Suzanne. "Predictors of Situation Awareness in Graduate Student Registered Nurse Anesthetists." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/2014.
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ABSTRACT PREDICTORS OF SITUATION AWARENESS IN GRADUATE STUDENT REGISTERED NURSE ANESTHETISTS Suzanne M. Wright, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2009 Major Director: J. James Cotter, Ph.D. Situation awareness (SA) is defined as one’s perception of the elements of the environment, the comprehension of their meaning, and the projection of their status in the near future. Stated more simply, SA is knowing what is going on around you. The concept of SA is well known in the field of aviation which is characterized by complexity and dynamism. The discipline of anesthesia shares these same characteristics, yet the study of SA in this setting is in its infancy. Human error has been implicated in nearly 80% of all preventable medical errors. It is well documented that lack of SA frequently contributes to human error. Although the discipline of anesthesia has led the medical field in patient safety through rigorous study of human error and adverse events in the operating room, crises in anesthesia still exist. Nurse anesthetists should possess the ability to acquire and maintain SA at all times during clinical situations in the operating room, yet there are no studies examining SA in this population. Guided by Endsley’s theory of situation awareness, the purpose of this study was to provide nurse anesthesia educators with a best evidence predictor model of SA in GSRNAs for curricular implementation. The study objectives are to determine: a) the extent to which memory, cognition, and automaticity are related to situation awareness, b) the extent to which any relationship amongst memory, cognition, and automaticity mediates their relationship with situation awareness, and c) the extent to which Endsley’s theory of situation awareness is supported in the GSRNA population. After IRB approval, 71 GSRNAs were randomly selected from each of three universities chosen for this study. A non-experimental, correlational design was used to measure the relationship between memory, cognition, and automaticity and SA. Situation awareness was measured by the WOMBAT-CS, a computer-based assessment tool for evaluating SA in complex-system operators such as pilots, air traffic controllers, and anesthetists. A stepwise multiple regression was performed between the GSRNA attributes and SA scores. Beta-weights were used to identify the magnitude each relationship. Findings from this study revealed that cognition best predicts SA in the population of Graduate Student Registered Nurse Anesthetists, with the addition of memory and automaticity contributing no additional predictive value to the model. The results of this study have the potential to make a positive impact on the education and training of GSRNAs. Additionally, this study may provide foundational support for further research directed at assessing the effectiveness of high-fidelity simulated operating room environments in promoting SA in GSRNAs.
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King, Rickey Don. "Development of Emotional Intelligence Training for Certified Registered Nurse Anesthetists." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2091.
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Walden University
College of Health Sciences
This is to certify that the doctoral study by
Rickey King
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Marisa Wilson, Committee Chairperson, Health Services Faculty
Dr. Murielle Beene, Committee Member, Health Services Faculty
Dr. Deborah Lewis, University Reviewer, Health Services Faculty
Chief Academic Officer
Eric Riedel, Ph.D.
Walden University
2015
Abstract
Development of Emotional Intelligence Training for Certified Registered Nurse Anesthetists
by
Rickey King
MSNA, Gooding Institute of Nurse Anesthesia, 2006
BSN, Jacksonville University, 2003
ASN, Oklahoma State University, 1988
Project Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
February 2016
The operating room is a high stress, high stakes, emotionally charged area with an interdisciplinary team that must work cohesively for the benefit of all. If an operating room staff does not understand those emotions, such a deficit can lead to decreased effective communication and an ineffectual response to problems. Emotional intelligence is a conceptual framework encompassing the ability to identify, assess, perceive, and manage emotions. The research question for this project is aimed at understanding how an educational intervention could help to improve the emotional intelligence of anesthetists and their ability to communicate with other operation room staff to produce effective problem solving. The purpose of this scholarly project was to design a 5-week evidence-based, educational intervention that will be implemented for 16 nurse anesthetists practicing in 3 rural hospitals in Southern Kentucky. The Emotional and Social Competency Inventory - University Edition will be offered to the nurse anesthetists prior to the educational intervention and 6 weeks post implementation to determine impact on the 12 core concepts of emotional intelligence which are categorized under self-awareness, social awareness, self-management, and relationship management. It is hoped that this project will improve emotional intelligence, which directly impacts interdisciplinary communication and produces effective problem solving and improved patient outcomes. The positive social change lies in the ability of the interdisciplinary participants to address stressful events benefitting patients, operating room personnel, and the anesthetist by decreasing negative outcomes and horizontal violence in the operating room.
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Powe, Diane. "A descriptive study of the relationships between learning styles and demographic characteristics of student registered nurse anesthetists and certified registered nurse anesthetist clinical instructors in nurse anesthesia education programs." Diss., This resource online, 1996. http://scholar.lib.vt.edu/theses/available/etd-06062008-162316/.
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Chan, Seung-chuen, and 陳湘銓. "The development of four advanced nursing roles in the United States, the United Kingdom, Australia, and Hong Kong: a comparative analysis of nurse practitioner, clinical nursespecialist, nurse midwife, and nurse anesthetist." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31972809.
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Martens, Jennifer. "Certified Registered Nurse Anesthetists' Transition to Manager of an Anesthesia Department." Thesis, University of Michigan-Flint, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10680642.
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The purpose of this exploratory qualitative study was to identify experiences or barriers that arise during the first year as Certified Registered Nurse Anesthetists (CRNAs) transition into management and; if these shared experiences can prepare future CRNA managers by providing insight into what knowledge, skills, and abilities are necessary to ensure a smooth and successful career transition.
A representative sample by email and Facebook (FB) elicited 18 phone interviews of current and past Certified Registered Nurse Anesthetist (CRNA) managers. One interviewer asked 16 questions: seven demographic and nine open-ended. Survey information was (1) transcribed, (2) reviewed and de-identified, and (3) coded for content and classical analysis by two experienced independent coders. A coding tree was developed by coders after independent and random assessment of codes with an IRR (0.93). NVivo 11 software was used to assist with analysis of codes.
CRNA participants (66%) had less than five years of CRNA management experience, and 61% had no previous management experience or education before accepting their first role as a CRNA manager. An incidental finding, 83% of participants were reluctant managers and 76% of CRNA managers devoted greater than 50% of their time to performing clinical duties over managerial duties. Two resources that CRNA participants agreed were helpful resources during transition included: mentors (83%) and previous education or experiences (44%), especially in business, finance, or management. The skills CRNA participants believed were important during transition included people skills (56%), financial knowledge (33%), and communication (28%).
CRNA managers are more likely to be reluctant managers that may be relatively new in the role, and with no previous management experience or education. Recommendations for new CRNA managers during transition included; mastering “people skills,” either through relationship management or communication skills. Derailment may be avoided if new managers consider the results of this investigation.
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Damico, Nicole K. "Factors That Predict Incident Reporting Behavior in Certified Registered Nurse Anesthetists." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3614.
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Improving patient safety through reduction of medical errors is a national priority. One of the strategies widely utilized to address this issue is the use of incident reporting systems. The purpose of this study was to describe factors that predict the likelihood that Certified Registered Nurse Anesthetists (CRNAs) will use incident reporting systems, guided by the theory of planned behavior (Ajzen, 1991). A non-experimental, correlational research design was utilized to achieve the study aims. Following IRB approval, a cross-sectional survey was administered electronically to a random sample of practicing CRNAs. Correlational analyses and a standard logistic regression were utilized to determine the relationship between cognitive factors and CRNAs' use of incident reporting systems.
Two hundred and eighty-three practicing CRNAs participated in this study. These CRNAs value incident reporting, perceive social pressure to report, and feel in control over reporting, yet had not consistently used existing incident reporting systems in the past 12 months. A CRNA’s attitude toward reporting and the degree to which he or she perceived social pressure to report, were determined to be significant predictors of the likelihood that a CRNA would use an incident reporting system. Social pressure to report was the most important factor in the prediction model.
The results of this study revealed that there are missed opportunities for learning from patient safety incidents in anesthesia practice. The information gained in this study has the potential to assist organizations in the design of strategies to promote incident reporting by practicing CRNAs.
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Heikkila, Dianna Marie. "The Relationship between Certified Registered Nurse Anesthetists' Emotional Intelligence and Burnout." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6043.
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Certified Registered Nurse Anesthetists (CRNAs) administer more than 43 million anesthetics within the United States and practice in every setting where there is anesthesia. Stress and burnout can be a common problem for CRNAs. The purpose of this correlation study was to examine the relationship between emotional intelligence (EI) and burnout syndrome among CRNAs. The research questions assessed CRNAs and the relationship between EI and burnout syndrome, the burnout score and the four dimensions of EI, and EI and the three dimensions of burnout. Certified and recertified CRNAs (N = 506) completed the Wong and Law Emotional Intelligence Scale, the Maslach Burnout Inventory, and a demographics survey. The results of a correlation analysis and linear regression indicate that there is a correlation between EI and burnout syndrome for CRNAs and when increasing the EI score by one unit, a 20% reduction in burnout occurs. A relationship also exists between the burnout score and the four dimensions of EI for CRNAs, with self-emotion appraisal and regulation of emotion statistically significant (p < 0.05). Each component of burnout syndrome correlated with a CRNA's EI score, with diminished personal accomplishment having the strongest correlation (r = .451; p < 0.05). EI is present for CRNAs, and there is an inverse relationship with burnout syndrome, which is a new contribution to the literature. Regarding positive social change, results may yield modifications in the education of Student Registered Nurse Anesthetist (SRNA) or opportunities for CRNAs to build additional EI skills. This study offers healthcare administrators insight that EI is a factor in reducing burnout and beneficial to increasing wellness of the healthcare staff.
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Moos, Daniel D. Hawkins Peggy L. Morin Patricia J. Hadenfeldt Sharon. "Barriers to the publication of scientific literature by academic certified registered nurse anesthetists." Click here for access, 2009. http://www.csm.edu/Academics/Library/Institutional_Repository.
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Thesis (Ed. D)--College of Saint Mary -- Omaha, 2009.A dissertation submitted by Daniel D. Moos in partial fulfillment of the requirement for the degree of Doctor in Education with an emphasis on Health Professions Education. This dissertation has been accepted for the faculty of College of Saint Mary by: Peggy Hawkins, RN, PhD, chair ; Patricia J. Morin, RN, PhD, committee member ; Sharon Hadenfeldt, CRNA, PhD, committee member. Includes bibliographical references.
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Geisz-Everson, Marjorie. "THE IMPACT OF HURRICANE KATRINA ON THE NURSE ANESTHESIA COMMUNITY IN NEW ORLEANS." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2310.
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Hurricane Katrina devastated New Orleans in 2005. Certified Registered Nurse Anesthetists (CRNAs) and Student Registered Nurse Anesthetists (SRNAs) were impacted by the storm. CRNAs were required to be on duty during the storm and SRNAs’ education was disrupted by the storm. This dissertation is a compilation of three papers that represent the initial exploratory research into the impact of natural disasters on CRNAs and future CRNAs. The first article was a focused ethnography utilizing focus groups and described the shared experiences of CRNAs who were on duty in New Orleans during Hurricane Katrina and the psychosocial impact the storm had on them. Ten CRNAs participated in focus groups that were audio-recorded, transcribed and analyzed. Six major themes emerged from the study and represented how the CRNAs appraised and coped with the stressful events surrounding Hurricane Katrina. The psychosocial impact of Hurricane Katrina on the CRNAs resulted in short-term sleep disturbances and a temporary increase in alcohol consumption. The second article was also a focused ethnography that utilized focus groups to describe the shared experiences of SRNAs whose senior year was disrupted by Hurricane Katrina and the psychosocial impact the storm had on them. Ten former SRNAs participated in focus groups that were audio-recorded, transcribed, and analyzed. Three major themes emerged from the study and represented how the SRNAs appraised and coped with the stressful events surrounding Hurricane Katrina. The psychosocial impact of Hurricane Katrina on the SRNAs resulted in temporary increased alcohol consumption and anxiety. The third article discussed the results of an observational study regarding the impact of Hurricane Katrina on the outcome of the Self-Evaluation Exam (SEE) taken by senior-level students in the Louisiana State University Health Sciences Center Nurse Anesthesia Program. A convenience sample consisted of 174 former students. Regression analysis revealed the relationship between the overall percentile score of the SEE and the year the test was taken (prior to or after Hurricane Katrina) while adjusting for potential confounding variables. The findings suggest that Hurricane Katrina did not have an impact on the outcome of the SEE taken by these individuals.
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Winston, Mariana Ehlrich, and Mariana Ehlrich Winston. "Student Registered Nurse Anesthetists' Perceptions of Bullying and its Impact on Learning." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625615.
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Background: Bullying is a form of violence and is described as unwelcome aggressive behavior(s) by unrelated individuals. The prevalence of bullying in the nursing profession has been reported to be as high as 31% in the United States, and has been studied extensively in undergraduate nursing, midwifery, medical school residencies, and Certified Registered Nurse Anesthesia (CRNA) professional roles. There is a significant gap in the literature and paucity of evidence about the extent of Student Registered Nurse Anesthesia (SRNA) bullying underscored that this topic required further investigation.
Purpose: To investigate whether bullying behaviors occur among anesthesia preceptors, and if so, how SRNAs perceive bullying has affected their educational experience.
Methods: The American Association of Nurse Anesthetists (AANA) disseminated an online survey based on an existing tool to SRNAs for this study. The study used a quantitative descriptive methodology consisting of a survey of nine demographic questions, eight 5-point Likert scale questions, and two multiple-choice questions.
Setting and sample: A nationwide online survey sent to 1500 SRNAs yielded (N=133) participants, who were predominantly female (67.67%), in front-loaded programs (52.63%) with an average age of 24-29 years old.
Results: Results revealed SRNAs entering clinical rotations in 2015 and 2016 were bullied more than those entering in 2017. The majority of the respondents (89.26%) reported that they couldn't think clearly when they were bullied. More than half of SRNAs agreed (74.62%) that bullying impedes learning. Overall, CRNA preceptors (85.48%) were reported as the most frequent bullies, with MD/DO anesthesiologists reported as the second most frequent (68.55%) followed by non-CRNA nursing staff (41.94%).
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Cosgrove, Marianne S. "PERCEIVED IMPACT OF AMBIENT OPERATING ROOM NOISE BY CERTIFIED REGISTERED NURSE ANESTHETISTS." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5963.
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It is widely acknowledged that elevated levels of noise are commonplace in the healthcare environment, particularly in high acuity areas such as the operating room (OR). Excessive ambient noise may pose a threat to patient safety by adversely impacting provider performance and interfering with communication among perioperative care team members. With respect to the certified registered nurse anesthetist (CRNA), increased ambient OR noise may engender distractibility, diminish situation awareness and cause untoward health effects, thereby increasing the possibility for the occurrence of error and patient injury.
This research project analytically examines the perceived impact of ambient noise in the operating room by CRNAs. Findings from this study reveal that CRNAs perceive elevated noise to be regularly present in the OR, specifically during the critical emergence phase of the anesthetic. However, CRNAs feel that increased noise only occasionally limits their ability to perform procedures, concentrate and communicate with the perioperative team. OR noise rarely interferes with memory retrieval. CRNAs perceive that noise is sometimes a threat to patient safety but infrequently engenders adverse patient outcomes. CRNAs do not perceive noise in the OR to be detrimental to their health but strongly agree that excessive noise can and should be controlled.
Increased ambient OR noise is a veritable reality that may pose a potential threat to patient safety. Further research to identify elevations in noise during critical phases of the anesthetic and delineation of significant contributors to its genesis is warranted.
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Perry, Tristan Roberts. "The Certified Registered Nurse Anesthetist: Occupational Responsibilities, Perceived Stressors, Coping Strategies, and Work Relationships." Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/29740.
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A qualitative inquiry was launched to explore occupational stress among Certified Registered Nurse Anesthetists (CRNAs). Four research questions were posed:
1) What are the roles and responsibilities of the CRNAs as they see them?
2) What are the CRNAs perceived stressors encountered on the job?
3) What are their coping strategies related to the perceived stressors?
4) What is the relationship between CRNA job stress and interpersonal work connections?
Twenty CRNAs, with varying anesthetic backgrounds, and 15 of their co-workers from North Carolina and Tennessee participated in the study. Semi-structured interviews, clinical observations, and artifact data (i.e., photographs) were employed to answer the research questions.
The perceived occupational-related stressors that were recognized by the CRNAs pertain specifically to patient care, anesthesia work in general, interpersonal job relationships, inadequate surgical preparation, the operating room environment, and physical stressors. Staying focused upon the task at hand (i.e., patient care), the use of humor, verbalization and internalization of concerns, along with adopting personal hobbies were identified by the anesthetists as coping mechanisms to combat work-related stress. The participants take their professional duties to their patients and devotion to their fellow colleagues seriously - so much so that they rarely take vacation time or sick leave.
After data analysis, six major themes surfaced: the role of being an attentive, reliable co-worker alleviates the antagonism found within OR relationships; maintaining open lines of communication is an effective way to address concerns and prevent staff conflict; among the CRNAs, occupational-related stressors create concern for patient safety; interpersonal work relations cause more stress than any of the other perceived job stressors; engaging in personal hobbies assists the CRNA in coping with work-related stress; and the nurse anesthetists' work lives are not as stressful as their personal lives.
The answers to the research questions and the themes underscore the necessity that the shortage of Registered Nurses and anesthetists needs to be addressed in order to more effectively tackle the participants perceived stressors. In addition, employers can adopt concrete measures in assisting CRNAs with handling occupational stress, such as offering mandatory in-servicing and adequate time to attend in-servicing.Ph. D.
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Norred, Carol L. "Development and testing of a synthesized mid-range theory of nurse anesthetists' job satisfaction /." Connect to full text via ProQuest. IP filtered, 2005.
Find full textAbstract:
Thesis (Ph.D. in Nursing) -- University of Colorado, 2005.Typescript. Includes bibliographical references (leaves 225-249). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;
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Henriksson, Stefan, and Therese Axelsson. "Drivkraft och förankring : Betydande aspekter för anestesisjuksköterskors beslut att avsluta sin tjänstgöring." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-52387.
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Bakgrund: Antalet intensiv -och anestesisjuksköterskor har ökat från 87 till 111 per hundra tusen invånare de senaste tjugo åren, trots detta rapporterar SCB i sin årliga arbetskraftsbarometer en stor brist för samma personalgrupp. Forskning som identifierar trivsel respektive misstrivsel på en arbetsplats och varför personal slutar, utifrån anestesisjuksköterskors perspektiv är begränsad. Denna studie är ett bidrag som ökar förståelsen för varför anestesisjuksköterskor slutar på anestesikliniken. Syfte: Att beskriva aspekter till varför anestesisjuksköterskor slutar på sina arbetsplatser inom anestesikliniken samt vad som skulle kunna ha förändrat beslutet. Metod: Deskriptiv intervjustudie med åtta anestesisjuksköterskor. Data analyserades med kvalitativ latent innehållsanalys. Resultat: Aspekterna som påverkar anestesisjuksköterskorna att avsluta sina tjänster på anestesikliniken står i ett komplext samband till varandra. Drivkraft identifierades som en viktigt faktor för att stanna på arbetsplatsen. Den består dels av inre motivation som kommer ur arbetsglädje, givande patientmöten och möjlighet till återhämtning. Drivkraften utgörs också av den yttre motivationen som består av kompetensutveckling och lönesättning. Drivkraften försvagas om dessa faktorer inte ges tillräckligt utrymme och det finns risk för att anestesisjuksköterskor slutar. Anestesisjuksköterskornas drivkraft är beroende av en förankring för att uppnå balans och inte driva iväg för långt. För att åstadkomma förankring lyfts betydelsen av självständighet fram vilken består av rimlig ansvarsfördelning, tydliga roller och respekt för varandra. Självständigheten står i ett beroende till samarbetet på arbetsplatsen. Ur ett gott kollegialt stöd växer en sammanhållning fram som skapar trivsel och förankrar anestesisjuksköterskorna i organisationen. Konklusion: Arbetet beskrivs som odelat positivt när rätt förutsättningar för att kunna utföra det på ett tillfredsställande sätt finns. Aspekterna kring varför anestesisjuksköterskorna avslutar sina tjänster på anestesiklinikerna står i ett komplext samband till varandra.
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Castillo, Jose Delfin D. III. "Effect of knowledge of learning styles on test score achievement of certified registered nurse anesthetists." Thesis, Keiser University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10252220.
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Lifelong learning in professional communities is changing to adapt to professions in the anesthesia field with input from the public and various stakeholders. An extensive review on learning styles identified a gap in literature, specifically evidence on sensory learning styles among adult professionals. Changes in Certified Registered Nurse Anesthetist (CRNA) recertification requirements, most importantly the incorporation of an assessment component, prompted the research to address CRNA enhancement methods in learning. The main purpose of the current study was to contribute to the body of literature if a CRNA’s knowledge of sensory learning styles mix influences test score achievement. The posttest-only control-group design was utilized, wherein a Sensory Learning Styles Self-Assessment (SLS-SA) instrument was piloted to establish content validity and internal reliability prior to its application with the treatment group. The American Association of Nurse Anesthetists (AANA) Learn’s Health and Wellness Module 1 provided the 10-hour posttest, which measured the test score achievement among participants. An analysis of variance (ANOVA) was conducted and yielded a nonsignificant effect of the current study’s treatment on test score results among CRNAs. Interaction effects of the CRNAs’ gender and years of practice were also examined, which produced the same results (e.g., not significant). No effect was established in the current research, however, several research limitations were identified and specific outcomes on an individual participant level were acknowledged, which were recommended to substantiate further research.
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Dishman, Deniz. "Adaptation and Validation of the Situation Awareness Global Assessment Technique for Student Registered Nurse Anesthetists." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5748.
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Anesthesia is a health care specialty fraught with high workload demands, stressful work environments, increased production pressure, work areas with many distractions, an increasing use of advanced technology, and the constant need to prioritize work actions. Effective clinical judgment in this dynamic environment necessitates that the provider demonstrate the ability to project what may occur secondary to actual or potential condition changes. These key elements operationalize situation awareness (SA).
High level SA is an important characteristic for the successful development of student registered nurse anesthetists (SRNAs). With Endsley’s “Theory of Situation Awareness” as the foundation, the goal of this study was to adapt and validate the “Situation Awareness Global Assessment Technique” (SAGAT), to quantify SRNAs' SA during a specific simulated anesthesia event.
With IRB approval, purposeful sampling identified a group of CRNA, nurse educator subjects and an exploratory sequential mixed methods design utilized. Delphi methods during qualitative data collection and validation used a seven-member sample. Content analysis resulted in items for the adapted SAGAT. Quantitative methods utilized data collected from a second 40-member sample yielding item content validity and scale content validity indices (S-CVI/Ave. 0.92). Additionally, exploratory factor analysis provided further reliability with a Cronbach’s alpha of 0.937.
Findings revealed that a SAGAT specific to the anesthesia domain and the SRNA subgroup was amenable to adaptation and validation, providing positive implications in SRNA education and training. Additionally, results support the further adaptation, validation, and use of this instrument in other anesthetic content areas, as well as other health care domains.
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Greenwood, Jennifer. "The impact of geography, training, and experience on scope of practice among Certified Registered Nurse Anesthetists." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3440.
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The role of Certified Registered Nurse Anesthetists (CRNAs) in the delivery of anesthesia care is evolving given the recent recommendations for Institute of Medicine and provisions in the Affordable Care Act. Despite rigorous clinical training and consistent outcomes studies to support quality care given by CRNAs, the scope of practice of nurse anesthetists is frequently limited, and they do not practice to the full extent of their education and training. As health care spending becomes more constrained and demand for anesthesia services rises, the role of nurse anesthetists as more autonomous providers of anesthesia may be required to maintain access to quality care in a cost-conscious environment. Understanding the factors that influence one’s decision to engage in a broad scope of practice may guide training and recruiting practices. Using Bandura’s Self-Efficacy Theory as a framework to conceptualize scope of practice, an internet based survey of a cross-section of practicing CRNAs was conducted. Subjects responded to questions to describe the geography of their practice, experience as a civilian or military CRNA, and detailed clinical training variables. A composite score was created to gauge overall quality of clinical training. Each CRNA then rated their global scope of practice using a novel SOP-VAS, from 0-100. 1409 subjects participated in this study, yielding 1202 usable data sets. CRNAs practicing in rural locations exhibited higher mean SOP scores than those practicing in urban and suburban locations (p<0.001). CRNAs practicing in states that had opted-out of physician supervision had higher mean SOP scores (p<0.001). Years in Practice was positively correlated with SOP (p<0.01), however months on active duty in the military as a CRNA did not show a statistically significant correlation with SOP. Gender and the composite quality score also demonstrated a statistically significant affect on SOP. Regression modeling using significant predictors from prior analyses resulted in predictive model to describe SOP (p<0.001). Use of the novel SOP-VAS was found to be a reliable and valid tool to measure SOP among nurse anesthetists. Further study is warranted to identify additional factors that may contribute to scope of practice among nurse anesthetists.
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Rutherford, John. "Development of a behavioural rating system for the non-technical skills used by anaesthetic nurses and operating department practitioners." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=225952.
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Unintentional harm due to healthcare is common, especially in the operating theatre. Previous research, aiming to reduce harm to patients in the operating theatre, has not examined the non-technical skills of anaesthetic assistants. The aim of this project was to identify the essential non-technical skills required by anaesthetic assistants for safe and effective practice, and to develop a behavioural marking system to assess these skills. A literature review identified three articles which described anaesthetic assistants' non-technical skills. An interview study with anaesthetic assistants (n=22) and anaesthetists (n=23) described the use of situation awareness, teamwork and task management more commonly than leadership or decision making. This was corroborated by a critical incident database review of the Australian Incident Monitoring System from 2002 to 2008. The material identified in the interview study was considered by focus groups of anaesthetic assistants (n=6,7,3,4) to generate headings. These themes were considered by anaesthetic assistant lecturers (n=6) in a Delphi questionnaire, and positive and negative behavioural markers proposed. The Anaesthetic Non-Technical Skills for Anaesthetic Practitioners (ANTS-AP) behavioural marker system was completed by a research panel. The prototype ANTS-AP system had three categories: 'situation awareness', 'communication and teamwork', and 'task management', each with three elements. The reliability, validity and usability of the ANTS-AP system were evaluated by anaesthetic assistants (n=48) observing videos of simulated theatre work at a 3.5 hour workshop. The system had good internal consistency, and was able to discriminate good, average and poor behaviours. The element 'coping with pressure' was removed due to its poor inter-rater reliability. Future work will assess the inter-rater reliability of the ANTS-AP system, when observers have the opportunity for calibration. This project has provided anaesthetic assistants a means of structuring observation and feedback for training and reflection with the goal of improving patient care.
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Rönnberg, Linda. "Tracheal Extubation of Patients Cared for in the Anesthesia Setting : Experiences Described by Registered Nurse Anesthetists and Anesthesiologists." Licentiate thesis, Mittuniversitetet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-38995.
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Background In Sweden, extubation is an interdisciplinary process involving teamwork between Registered Nurse Anesthetists (RNA) and Anesthesiologists, and comprehensive demands are placed on the professionals providing anesthesia. The extubation of the endotracheal tube after General Anesthesia (GA) is a critical moment for the patient. In that moment, the patient is in a vulnerable state and at risk of suffering severe complications, such as hypoxia, laryngospasm, aspiration, and hypertension. Anesthesia deals with identifying options, making risk assessments and reconsiderations. Clinical decision-making in anesthesia includes making decisions quickly and sometimes re-evaluating these just as quickly. In the often brief meeting prior to anesthesia, a relationship with the patient emerges and an unspoken demand arises: to care for the life that is placed in the hands of the anesthetists. Aim The overall aim was to gain an understanding of the Registered Nurse Anesthetists’ and Anesthesiologists’ experiences of their decision-making practices in the process of extubation of the endotracheal tube in the anesthesia setting with patients undergoing general anesthesia. Method This licentiate thesis consists of two studies (I, II), both conducted with a qualitative design using focus-group interviews (I) and Individual interviews (II) to collect data. A total of 20 RNAs from two hospitals and 17 Anesthesiologists from three hospitals were included, using a consecutive sampling strategy. Both studies were analyzed with qualitative content analysis and adopted an inductive approach to seek a deeper understanding of the phenomena, using manifest content analysis. In order to explore how the RNAs and Anesthesiologists experience the process of extubation and to identify nuances between them, the two studies were merged together in this licentiate thesis. Results When merging these studies (I, II) together by combining subcategories from both, six themes emerged. The theme, Assembling unique decisions, deals with the how the RNAs (I) and Anesthesiologists (II) assess, prepare, prevent and reconsider when planning for the extubation. Acting upon sensibilities consists of them recognizing patterns, leaning on their experience, and being receptive to different inputs from the patient and other professionals. The third theme, Being guided by intuition, included how the RNAs and Anesthesiologists relied on their feelings and were guided by emotions when deciding when to extubate. Safeguarding the patient deals with them protecting and acting as an advocate for the patient and how they focus on and are humble in the process of extubation. In the fifth theme, Being in a vulnerable position, the RNAs (I) felt they were on their own when making the decision on when to extubate, while the Anesthesiologists (II) felt as if they were one of the team. Using their own receptivity included how they established a connection with the patient and sensed the atmosphere. Discussion In their first encounter with the patient, or when obtaining knowledge about the patient, the RNAs and Anesthesiologists had already started to tailor a mental plan of the extubation unique to each patient. The plan consisted of small pieces of information being gathered and assembled together during the anesthesia, and this information is then combined with their experience of similar situations and with their intuition with the aim of safeguarding the patient. RNAs and Anesthesiologists act upon sensibilities when deciding on when to extubate. These strategies align with the concept of phronesis, a form of knowledge understood as practical wisdom that facilitates good clinical judgement in being rational, which is based on pre-understanding, experience, and interpersonal relationships and which is difficult to teach to someone else.Bakgrund I Sverige är extubation av patienter som genomgått generell anestesi (GA) i den anestesiologiska kontexten en interdisciplinär process mellan anestesisjuksköterskor och anestesiologer, som utför extubationen självständigt eller i samarbete med varandra. Inför extubation görs bedömningar om patienten återfått tillräcklig funktion respiratoriskt, cirkulatoriskt och neuromuskulärt för att klara av att spontanandas och skydda sin luftväg på ett säkert sätt efter extubering. Anestesi handlar om att identifiera valmöjligheter, göra riskbedömningar och att kontinuerligt ompröva sina beslut. Kliniskt beslutsfattande inom anestesi innebär att snabbt behöva fatta ett beslut som ibland behöver revideras lika fort. Att utföra extubation ställer höga krav på de professioner som utför den i en högteknologisk och tidspressad miljö. Det finns risk för att patienten drabbas av allvarliga komplikationer som hypoxi, laryngospasm, aspiration eller hypertension i samband med extubationen. I det ofta korta mötet med patienten inför anestesi finns ett outtalat krav att ta hand om det liv som läggs i händerna på anestesisjuksköterskorna och anestesiologerna. I dagsläget saknas forskning kring vad anestesisjuksköterskor och anestesiologer baserar sitt beslut att extubera på. Syfte Att få en förståelse för hur anestesisjuksköterskor och anestesiologerna erfar beslutsfattande i extubationsprocessen i den anestesiologiska kontexten hos patienter som genomgått GA. Metod Denna licentiatavhandling består av två studier (I, II), båda genomförda med en kvalitativ design med induktiv ansats. För att samla in data genomfördes fokusgruppintervjuer (I) och individuella intervjuer (II). Totalt 20 Anestesisjuksköterskor (I) från två sjukhus och 17 Anestesiologer (II) från tre iv sjukhus inkluderades med hjälp av ändamålsenligt urval. Båda studierna analyserades med kvalitativ manifest innehållsanalys beskriven av Graneheim och Lundman (2004). För att identifiera mönster och nyanser mellan anestesisjuksköterskornas (I) och anestesiologernas (II) erfarenheter av extubationsprocessen sammanfördes de två studierna. Detta genom att subkategorier från de båda studierna med liknande innehåll bildade teman som resulterade i licentiatavhandlingens resultat. Resultat Att fatta beslut i extubationsprocessen utifrån anestesisjuksköterskor och anestesiologer erfarenheter, beskrivs i sex teman. Temat Utforma unika beslut beskriver hur de båda professionerna bedömer, förbereder, förhindrar risker och utvärderar sina beslut i extubationsprocessen. Agera utifrån känslointryck, hur de känner igen mönster, lutar sig mot sin erfarenhet och är mottaglig för den information som patienten och andra professioner ger. Temat Vara guidad av intuition, beskriver hur de förlitar sig på sin magkänsla när de beslutar sig för att extubera. Skyddande av patienten beskriver deras agerande som företrädare samt hur de är fokuserade och ödmjuka i extubationsprocessen. I temat, Vara i en sårbar position, beskriver anestesisjuksköterskorna att de kände sig ensamma i extubationsprocessen medan anestesiologerna att de behövde lita på anestesisjuksköterskorna när de själva inte var på plats i operationssalen vilket bidrog till en känsla av att vara sårbar. Temat Använda sin egen receptivitet beskriver hur anestesisjuksköterskorna etablerade en relation till patienten och hur anestesiologerna kände in atmosfären i operationssalen i extubationsprocessen. Konklusion Denna licentiatavhandling tillför kunskap och förståelse för anestesisjuksköterskor och anestesiologers erfarenheter av att fatta beslut i extubationsprocessen när de tar hand om en patient i ett sårbart tillstånd. Samt hur de trots att de utför extubationen i en teknisk miljö med många potentiella störningsmoment kan se patienten bortom monitorer och skapa en relation med patienten.
Vid tidpunkten för disputationen var följande delarbete opublicerat: delarbete 2 inskickat manuskript.
At the time of the doctoral defence the following paper was unpublished: paper 2 submitted manuscript.
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Hultén, Julia, and Alexandra Karlsson. "Anestesisjuksköterskans strategier för att lindra oro : En systematisk litteraturstudie om det perioperativa mötet." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-24637.
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Anestesisjuksköterskan ansvarar för den perioperativa dialogen med patienten. En av anestesisjuksköterskans kärnkompetenser är att arbeta personcentrerat, det innebär att inte bara se till patientens fysiska behov utan även de psykiska samt att se patienten som en unik person. Forskning visar att de flesta patienter som ska genomgå en operation under generell anestesi upplever oro och att perioperativ oro kan leda till både postoperativa komplikationer och långvariga konsekvenser för patienten. Syftet med studien var att undersöka vilka strategier anestesisjuksköterskan använder vid det perioperativa mötet för att lindra oro hos patienter som ska genomgå kirurgi och generell anestesi. Den metod som användes för att svara på forskningsfrågan var en systematisk litteraturstudie med kvalitativ ansats. Studien resulterade i fyra huvudkategorier: verbal kommunikation, icke-verbal kommunikation, personcentrerad vård och patientsäkerhet. Genom verbal kommunikation kunde anestesisjuksköterskan se till att patienten kände sig välinformerad och bekräftad. Med den icke-verbala kommunikationen kunde anestesisjuksköterskan få patienten att känna sig trygg och sedd genom omvårdnadshandlingar och samtidigt visa att hen fanns vid patientens sida. Genom att arbeta personcentrerat kunde anestesisjuksköterskan bevara autonomi, främja delaktighet och individanpassa vården. Genom att säkerställa patientsäkerheten genom kontroll av operationssal och högteknologisk utrustning samt avsätta tid för samtal så möjliggjorde det för anestesisjuksköterskan att känna sig trygg och därmed fokusera på att förmedla trygghet till patienten. Svårigheter i det perioperativa mötet kan uppstå vid tidsbrist, avsaknad av erfarenhet hos anestesisjuksköterskan, vid språkförbistringar samt om patienten har en kognitiv sjukdom. Vidare forskning behövs gällande patienternas upplevelser av de strategier som framkommit i studiens resultat.
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Amiri, Fahima, and Fatemah Amiri. "Anestesisjuksköterskors strategier att lindra patienters preoperativa oro : En systematisk litteraturstudie om det preoperativa mötet." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-26283.
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Anestesisjuksköterskan är den första personen som patienter träffar under det preoperativa mötet. Därför har hon ansvaret för det preoperativa vårdprocessen och mötet samt har skyldighet att bjuda in patienter till samtal. Oro är förekommande fenomen som patienter känner inför anestesi och operation. Flera studier har påvisat att majoriteten av patienter som ska genomgå anestesi och operation upplever oro och det preoperativa oro orsakar postoperativa komplikationer samt framtida konsekvenser för patienter. Därför är det angeläget att anestesisjuksköterskor känner till strategier som lindrar patienters oro. Syftet med studien är att belysa anestesisjuksköterskors strategier i det preoperativa mötet för att lindra patienters oro inför generell och regional anestesi. En litteraturstudie där kvalitativa studier har granskats används för att svara på studiens forskningsfråga. Studiens resultat mynnande ut i 2 huvudkategorier: Kommunikation och anestesisjuksköterskans möte med patienten. Med hjälp av kommunikation såg anestesisjuksköterskan till att ge tillräcklig information till patienter för att patienten ska känna sig väl förbered. Därmed ökades patienters kunskaper om anestesi och operation vilket reducerar patienters preoperativa oro. Genom anestesisjuksköterskans möte med patienten identifierades tecken på oro vilket även gav bekräftelse på patienters känslor. Därigenom förmedlade anestesisjuksköterskan trygghet till patienten genom sin närvaro och använde olika vårdande handlingar för att reducera patienters oro. Att använda olika strategier har en verksam effekt på patienters välbefinnande och fysiologiska funktioner.
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Larsson, Della, and Renate Evensen. ""Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-113.
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Background: Emergency Cesarean section is the most common major surgical procedure in Africa and anesthesia is required for Cesarean sections. Aim: The aim of the study was to describe the actions of the perioperative team, with the main objective on the nurse anesthetist during a Cesarean section in Ghana. Methods: An ethnographic design with unstructed participant observations was carried out for this qualitative study. This overt descriptive study was carried out during 2 weeks in January 2011 at the Oda Government Hospital in Akim-Oda in Ghana. The content was analyzed through thematic content analysis based on field notes. Results: During 7 observations the writers found that the nurse anesthetists at the work alone without an anesthesiologist. The content analysis identified 5 different categories of the nurse anesthetists practice and the surgical team during a Cesarean section: Work environment, Care and treatment of the patient, Resources, Hygiene, Safety and security. Conclusion: The different treatment of the patient in Ghana and in Sweden was substantial. However; the writers found the working environment for the nurse anesthetist to be functioning, with limited means and resources.Bakgrund: Akut Kejsarsnitt är det vanligaste större kirurgiska ingrepp i Afrika och anestesi krävs för Kejsarsnitt. Syfte: Syftet med studien var att beskriva åtgärderna av ett perioperativ team, med huvudfokus på anestesisjuksköterskan, under ett Kejsarsnitt i Ghana. Metod: En etnografisk design med ostrukturerade deltagande observationer utfördes för denna kvalitativa studie. Studien genomfördes under 2 veckor i januari 2011 på Oda regions sjukhus i Akim-Oda i Ghana. Innehållet analyserades genom tematiska innehållsanalyser av field notes. Resultat: Vid 7 observationer fann författarna att anestesisjuksköterskan arbetade ensam utan en anestesiolog. Innehållsanalysen uppvisade 5 olika kategorier av anestesisjuksköterskans praxis och det kirurgiska teamet under ett Kejsarsnitt. Arbetsmiljö, vård och behandling av patienten, resurser, hygien, säkerhet och trygghet. Slutsats: Behandlingen av patienten jämfört med vården som ges till patienter i Sverige var märkbart annorlunda . Trots detta fann författarna att arbetsmiljön för anestesisjuksköterskan fungerade, med begränsade medel och resurser.
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Larsson, Mauleon Annika. "Care for the elderly : a challenge in the anaesthesia context /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-209-8/.
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Trigo, Andreia Regina de Oliveira. "Supervisão clínica na integração profissional de enfermeiros anestesistas." Master's thesis, Universidade de Évora, 2011. http://hdl.handle.net/10174/14097.
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No âmbito da Supervisão Clínica na Integração Profissional de Enfermeiros Anestesistas, é elaborado um estudo de investigação que visa identificar as competências fundamentais a possuir pelo supervisor clínico e as competências que devem ser alcançadas pelo enfermeiro anestesista em integração.
Após revisão da literatura pertinente, opta-se pelo método quantitativo, aplicando um questionário a uma amostra de 107 enfermeiros com mais de dois anos de exercício na área da anestesiologia, a exercer em hospitais com blocos operatórios de cirurgia programada, ambulatória e/ou urgente no distrito de Lisboa.
Relativamente às competências do supervisor clínico, denotam-se médias superiores a 4, com desvios padrão na ordem de 0,6, o que permite inferir concordância com as mesmas.
No que diz respeito às competências a atingir pelo enfermeiro anestesista em integração, verifica-se concordância com todas as propostas. A análise factorial permitiu identificar domínios e sub-domínios e ainda ressalvar as competências que seriam determinantes no processo de autonomização profissional, na perspectiva dos inquiridos. A análise dos factores resultantes em função do tempo de exercício profissional evidenciou ausência de diferença entre os grupos de enfermeiros competentes, proficientes e peritos. Existe, contudo, diferença em alguns factores quando estes são analisados em função do local de exercício profissional, de tal forma que a valorização é substancialmente superior em cirurgia urgente relativamente à cirurgia ambulatória e, em algumas situações, superior em cirurgia urgente relativamente à programada e ainda superior em cirurgia programada relativamente à ambulatória.
Dos resultados obtidos é proposta uma intervenção sócio-organizacional com um referencial de competências a alcançar pelos enfermeiros anestesistas em integração; ABSTRACT: In the framework of Clinical Supervision during the Professional Integration of Nurse Anesthetists, is elaborated an investigation study that aims to identify the core competencies to be possessed by the clinical supervisor and the competencies that must be achieved by the nurse anesthetist during the integration period.
After the pertinent literature review, it was chosen the quantitative method, applying a questionnaire to a sample of 107 perioperative nurses with more than two years of experience in anaesthesiology, working in hospitals with operating rooms for scheduled surgery, ambulatory surgery and/or urgent surgery within the district of Lisbon.
Regarding the clinical supervisor’s competencies, it becomes evident means above the value 4 and standard deviation around 0,6, allowing to infer agreement with these.
As far as core and specific competencies to be developed by nurse anesthetists are concerned, it becomes evident the agreement with all items. The factor analyses enabled the identification of domains and sub domains and still caveat the competencies that are determinant during the professional empowerment process, accordingly to the respondents.
The factor analyses as function of time of professional exercise reveals the inexistence of difference among the groups of competent, proficient and expert nurses. However, it does exist difference in some factors when analysed as function of local of professional exercise, in such way that appreciation is substantially higher in urgent surgery when compared to ambulatory surgery and, in some situations, higher in urgent surgery than in scheduled surgery and still higher in scheduled surgery than in ambulatory surgery.
A socio-organizational intervention is proposed with a portfolio of competencies to be developed by nurse anesthetists during the integration period.
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Mellberg, Andreas, and Matilda Sundberg. "Den oroliga ortopedpatienten : Anestesisjuksköterskors strategier för att lindra ortopedpatienters oro vid regional anestesi." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-72637.
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Bakgrund: En anestesisjuksköterska ska främja hälsa och förebygga ohälsa med respekt för patienternas värdighet och integritet. Regional anestesi är vanligt förekommande vid ortopedisk kirurgi. Det innebär att en eller flera av patienternas kroppsdelar bedövas, och försätter således patienterna i en utsatt situation med förlorad kroppskontroll. Detta kan ge upphov till oro och obehag för patienterna, och anestesisjuksköterskor bör ha kunskap om hur de genom olika omvårdnadsåtgärder kan lindra patienternas oro. Syfte: Studiens syfte är att utforska och belysa anestesisjuksköterskors strategier för att lindra ortopedpatienters oro vid regional anestesi. Metod: Semistrukturerade intervjuer genomfördes med tio anestesisjuksköterskor som hade minst ett års klinisk erfarenhet samt erfarenhet av att vårda aktuell patientgrupp. Datamaterialet analyserades med hjälp av en kvalitativ innehållsanalys, där meningsbärande enheter kondenserades och utmynnade i underkategorier och kategorier. Resultat: Studiens resultat visar att anestesisjuksköterskorna strävar efter att skapa en vårdande relation med patienten. Anestesisjuksköterskorna anpassar sitt förhållningssätt till patienten, bland annat genom ett bra bemötande och att värna om patientens delaktighet. Hjälpmedel som närhet till patienten, att skapa en trygg miljö, individanpassad information och att vid behov erbjuda lugnande läkemedel, framkommer från anestesisjuksköterskorna som strategier för att lindra ortopedpatienternas oro. Slutsats: Genom att använda de strategier som framkommer i studiens resultat kan anestesisjuksköterskor lindra ortopedpatienternas oro vid regional anestesi. Studiens resultat bekräftar flertalet tidigare studier, vilket styrker dess kliniska relevans.Background: The nurse anesthetists role is to promote health and to prevent illness with respect for the patients dignity and integrity. Regional anesthesia is common during orthopedic surgery. This means that one or more of the patient´s body parts are anesthetized, which puts the patients in a vulnerable situation due to loss of body control, this can result in anxiety and discomfort for the patients. The nurse anesthetists should have knowledge about how they can relieve concerns in this situation through different strategies. Objective: The aim of this study is to investigate and illustrate the nurse anesthetist´s strategies to alleviate the orthopedic patient´s concerns with regional anesthesia. Method: Semi structured interviews were held with ten nurse anesthetists which all had at least one year of clinical experience and had experience from the patient group in question. The data was analyzed with a qualitative content analysis, where meaningful units where condensed and gave subcategories and categories. Results: The results in this study show that the nurse anesthetists aim to create a caring relation with the patient. The nurse anesthetists adapt their approach to the patient, for instance through good communication and to encourage the patient participation. Tools like closeness to the patient, a safe environment, individualized information and to offer sedative if needed, reveals to be strategies used to alleviate the concerns of the orthopedic patients. Conclusions: By using the strategies revealed in the result from this study the nurse anesthetists can alleviate the orthopedic patient´s concerns with regional anesthesia. The result from the study is in many ways confirming former studies on the topic, which proves its clinical relevance
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Averlid, Getrud. "Helsefremmende samarbeid – en viktig triveselfaktor i anestesisykepleierfaget. : En kvalitativ studie av anestesisykepleieres opplevelse av sitt arbeidsmiljø." Thesis, Nordic School of Public Health NHV, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3158.
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Bakgrunn: Medarbeiderundersøkelsen i 2006 ved anestesiavdelingen seksjon 2, Rikshospitalet iOslo, avdekket dårlige skår for anestesisykepleieres mulighet til å påvirke sin egen arbeidssituasjon. Hensikt: Hensikten med studien var å kartlegge faktorer i anestesisykepleierens arbeidssituasjon som oppleves som helsefremmende og å finne ut på hvilken måte ledelsen kunne bidra til et mer helsefremmende arbeidsmiljø. Nytteverdien av studien blir at de faktorer som fremmer helse foranestesisykepleiere blir synliggjort overfor ledelsen. Metode: Det ble brukt en kvalitativ metode med intervjuer av fjorten yrkesaktive anestesisykepleiereved seks forskjellige anestesiavdelinger. En modifisert Grounded Theory ble benyttet somanalysemetode. Resultat: Analysen av intervjuene resulterte i kjernekategorien: Samarbeid på godt og vondt,anestesisykepleierens lodd i yrkeslivet og tre kategorier: Ledelsen som premissleverandør; Trivsel iet operasjonsmiljø; Rolleklarhet.Kjernekategorien belyser den koordinerende helheten som anestesisykepleieren i varetar i forhold tilpasient og andre profesjoner. Den beskriver både en stor tilfredsstillelse i arbeidssammenheng men samtidig gir den en anelse om at uoverensstemmelser kan forekomme. Ledelse utkrystalliserte segsom en viktig faktor for å tilrettelegge for et helsefremmende arbeidsmiljø, slik at grunnleggende behov ble tilfredsstilt. Produksjonspress og kommunikasjonsvansker i forhold til de nære samarbeidspartnere var faktorer som opplevdes som demotiverende og kunne noen ganger skapemistillit. Kollegastøtte spilte en avgjørende rolle i anestesisykepleiernes opplevelse av et godtarbeidsmiljø. En sammenfattende modell ble utviklet som beskriver grunnforutsetninger for utøvelseav sitt fag, hinder og begrensninger, opplevelsen av optimal pasientbehandling og ledelsens overordnede påvirkningspotensiale på både de positive og negative faktorene. Konklusjoner: Studien viser at flere viktige faktorer medvirker til at arbeidsmiljøet oppleves som helsefremmende for anestesisykepleiere. Ledelsen er en viktig faktor og den bør være mer aktiv vedå gi forsvarlige rammer for drift, og i større grad initiere helsefremmende tiltak og motivere til bedresamarbeid mellom profesjonene. Andre viktige faktorer for trivselen var det selvstendige arbeidet og det tverrfaglige samarbeidet om pasienten.Background: The 2006 employee survey from Anaesthesia Unit 2, at Oslo’s Rikshospital, revealedlow scores regarding anaesthesia nurses` opportunity to influence their own work situation. Purpose: This study aimed to examine work factors that anaesthesia nurses perceive health promoting and to analyze how hospital leadership could initiate a healthier work environment. The value of this assessment is that factors that promote a healthy work environment for anaesthesia nurses will become visible to department management. Method: A qualitative method was used, which included interviews with fourteen anaesthesianurses, working in six different departments. A modified Grounded Theory was applied as a methodfor analysis. Result: Analysis of the interviews yielded a core category: Cooperation for Better or Worse-Anaesthesia Nurses` “Ticket” in the Workplace, and three categories: Leadership, An Organizer of Conditions; Well-being in an Operations Environment and Clarity of Roles.The core category illustrates the coordinated entirety that anaesthesia nurses consider a safeguard inrelation to the patients and other professions. Nurses described great satisfaction in their work aswell as an inkling that differences can occur. Leadership was crystallized as an important factor infacilitating a healthy working environment that satisfies basic personal and professional needs. The respondents perceived production pressure and communication difficulties with close collaborators,as demotivators that sometimes caused lack of trust. Collegial support was a crucial factor in creatingthe perception of a good working environment. A model was developed, which illustrates the basic conditions of practicing the profession, obstacles and restrictions, how nurses experience optimal patient care and fundamental and potential influence of department leadership on both positive and negative factors. Conclusions: The study shows that several important factors contribute to a healthy working environment for the anaesthesia nurses. Leadership should work more actively toward developing ajustifiable framework of management and initiating health promoting efforts that motivate better cooperation between team members. Other important factors for well-being in the workplace included independent work and interdisciplinary collaboration around patient care.
ISBN 978-91-85721-75-7
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Ismaili, Arziana, Malle Kaas, and Gertrud Ovesson. "Perioperativa sjuksköterskors upplevelser av att medverka vid en uttagsoperation." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-24372.
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I samband med att en organdonation ska genomföras görs en uttagsoperation, där organen tas från donatorn. Inför detta ingrepp vårdas patienten på intensivvårdsavdelningen och det finns god tillgång på forskningom hur personalen där upplever vårdandet av en tilltänkt donator. Däremot brister forskningen om hur den perioperativa personalen upplever sitt medverkande vid uttagsoperationen. Syftet med studien var att beskriva perioperativa sjuksköterskors upplevelser av att medverka vid en uttagsoperation från en avliden inför organdonation. Studien genomfördes som en kvalitativ deskriptiv studie och kvalitativ innehållsanalys. Tre anestesi- och tre operationssjuksköterskor på ett västsvenskt sjukhus intervjuades. Resultatet visade att detta ingrepp följer rutinen för en operation, med en preoperativ, en intraoperativ och en postoperativ fas. Tre kategorier framkom: förberedelser inför operationen, teamarbete och återkoppling. Konklusionen blev att förberedelserna inför ingreppet behövde förbättras. Debriefingen efteråt fungerade bra, men kunde bli bättre. Genom att tala mer öppet om etiskt svårhanterliga situationer, såsom uttagsoperationer och den stress dessa kan framkalla ges möjligheterna till att skapa egna copingstrategier.In according to organ transplantation, a tissue and organ procurement will be completed where organs will be removed from a donor. Prior to this intervention the patient will be taking care of in an intensive care unit, where there is excellent access to research regarding how the intensive care staff would experience their participation and caring of a potential donor. This though is in contrast to the lack of research into how the perioperative staff experiences their participation in the removal of organs from a donor. The aim of the study was to describe the perioperative nurses' experience when participating in the tissue and organ procurement of a deceased person prior to organ transplantation. The study was carried out as a qualitative, descriptive study and content analysis. Three nurse anesthetists and three theatre nurses at a west Swedish hospital were interviewed. The results showed that interventions of this type follow the routine for an operation with a pre- intra- and postoperative phase. Three categories emerged in the study: Preparation before the operation; Teamwork; and Processing of the experience. The conclusion was that the preparation for the procedure ought to be improved. Debriefing after the operation functions well, but could be improved. By discussing more openly about ethically difficult situations, such as tissue and organ procurement and the stress they induce, the perioperative nurses are hereby given opportunities to create their own coping strategies.
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Jonsson, Lina, and Ellen Hedman. "Operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-63838.
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Bakgrund: World Health Organization, WHO har arbetat fram en checklista för säker kirurgi, som skall stötta arbetslaget i arbetet kring patienten. Checklistans syfte är att förbättra kommunikationen i arbetslaget och minska komplikationer och dödsfall i samband med kirurgi. Studiens syfte var att undersöka operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer i sitt dagliga arbete. Metod: Studien var en kvalitativ intervjustudie som genomförts i fokusgrupper med operationssjuksköterskor i ena gruppen och anestesisjuksköterskor i andra. Data från två intervjuer analyserades med hjälp av en kvalitativ innehållsanalys. Resultat: Studien visade att brister fanns vid implementeringen och att personalen arbetade enligt gamla rutiner. Ett varierat intresse fanns till checklistan, vilket resulterade i en varierad följsamhet i användandet. Resultatet visade på att kommunikationen förbättras och att checklistan synliggjorde alla medarbetarna och ökade möjligheten till att alla kunde känna sig delaktig i vården kring patienten. Vid användning av checklistan reds frågetecken ut och checklistan skapade ett öppet klimat där personalen kunde ta upp eventuella frågetecken som fanns. Resultatet i studien visar dock på att checklistan inte löser alla kommunikationsproblem, då det framkommer att dåliga attityder och bristande respekt till varandra fanns och försvårade användandet. Konklusion: Operation -och anestesisjuksköterskorna ansåg att checklistan var ett bra verktyg när det gäller patientsäkerhet, kommunikation och teamarbete men att det fanns brister i följsamheten. De ansåg att användandet av checklistan var personbundet och att det trots checklistans tydliga utformning ändå fanns frågetecken hos personalen, speciellt vem som ansvarade att den blev gjord.
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Bergström, Pernilla, and Linda Öberg. "Anestesi- och intensivvårdssjuksköterskors erfarenhet av att perioperativt vårda patienter med långvarig smärta : En kvalitativ intervjustudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29648.
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Sammanfattning Bakgrund: Patienter med långvarig smärta är i behov av en strukturerad behandling. Studier visar på otillräcklig postoperativ smärtbehandling. Syfte: Att beskriva anestesi- och intensivvårdssjuksköterskors erfarenhet av att perioperativt vårda patienter med långvarig smärta. Metod: Semistrukturerade intervjuer med 15 anestesi- och intensivvårdssjuksköterskor, vilka baserades på kliniska vinjetter. Materialet analyserades enligt kvalitativ innehållsanalys. Huvudresultat: I studiens resultat framkom fem kategorier att vara förberedd, att vården är komplex och kunskapskrävande, att ha ett professionellt samarbete, att känna sig otillräcklig och att bemöta patienten. Specialistsjuksköterskornas erfarenhet visade att en tydlig plan och tydliga läkemedelsordinationer gav specialistsjuksköterskorna möjlighet att förbereda sig. Detta tillsammans med en mer informerad och delaktig patient förbättrade den postoperativa smärtbehandlingen. Genom att ge extra tid till patienter med långvarig smärta minskade deras upplevelse av smärta, oro och ångest. Specialistsjuksköterskorna efterfrågade utbildning i smärtbehandling och en tydligare kontakt med smärtkliniken. Specialistsjuksköterskorna menade att det var viktigt att ha ett bra samarbete med läkarna för att optimera och påbörja smärtbehandlingen i tid. Specialistsjuksköterskorna erfor att patienter med långvarig smärta riskerade att underbehandlas. I de fall där smärtlindringen misslyckades beskrevs känslor av frustration och maktlöshet. Slutsats: Genomgående för alla specialistsjuksköterskors upplevelser av att vårda patienter med långvarig smärta var att det krävdes en tydlig och detaljerad plan för patientens smärtbehandling vilken skulle sträcka sig perioperativt och vidare till vårdavdelning eller hemgång. Med planering och förberedelse ökade förutsättningarna för en bättre omvårdnad av patienter med långvarig smärta. Nyckelord: anestesisjuksköterska, erfarenhet, intensivvårdssjuksköterska, kronisk smärta, långvarig smärta, postoperativ vårdAbstract Background: Patients with persistent pain is in need of a structured treatment. Studies showed insufficient postoperative pain treatment. Aim: This study aimed to describe nurse anesthetists and critical care nurses experience in caring perioperative nursing patients with long term pain. Methods: Semistructured interviews with 15 nurse anesthetists and critical care nurses, based on clinical vignettes. Data was analysed with qualitative content analysis. Findings: The study results revealed five categories being prepared, that healthcare is complex and knowledge-intensive, to have a professional collaboration, to feel inadequate and to respond to the patient. The nurse anesthetists and the critical care nurses experiences showed that a clear plan and clear pharmaceutical prescriptions gave the nurse anesthetists and the critical care nurses the opportunity to prepare. This together with a more informed and involved patient improved postoperative pain treatment. By giving extra time to patients with persistent pain, their experience of pain, worry and anxiety diminished. The nurse anesthetists and the critical care nurses asked for training in pain treatment and a better contact with the pain clinic. The nurse anesthetists and the critical care nurses argued that it was important to have a good collaboration with the doctors to optimize and start the pain treatment on time. Specialist nurses experienced that patients with long-term pain were at risk of being undertreated. In cases where pain relief failed, feelings of frustration and powerlessness were described. Conclusion: Throughout all the nurse anesthetists and the critical care nurses experiences of caring for patients with persistent pain, it was necessary to have a clear and detailed plan for the patient's pain treatment which would extend perioperative and further to the care department or home care. With planning and preparation, the conditions for a better care of patients with persistent pain increased. Keywords: nurse anesthetists, experience, critical care nurse, persistent pain, long lasting pain, postoperative care.
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Windling, Johan, and Johan Eriksson. "Anestesipersonals kunskap och attityder kring PONV och kliniska riktlinjer för att förebygga PONV." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-200591.
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Bakgrund: Postoperativt illamående och kräkningar (PONV, Post Operative Nausea and Vomiting) är ett vanligt problem efter anestesi. Även om många riktlinjer och riskbedömningsverktyg har utvecklats för PONV, så är implementeringen ofta svår. Attityder och kunskap kring ämnet har visat sig påverka implementeringen av riktlinjer. Syfte: Syftet med denna studie var att undersöka anestesipersonals kunskap och attityder kring PONV och kliniska riktlinjer för att förebygga PONV. Metod: Studien är utformad som en kvantitativ, deskriptiv enkätstudie. En totalundersökning genomfördes på en anestesiklinik på ett större sjukhus i Mellansverige. Enkäten innehöll frågor angående anestesipersonals attityder och kunskaper kring riktlinjer och PONV. Resultat: Anestesipersonalens kunskap om PONV var god och stämde överens med skattningen av de egna kunskaperna. Av respondenterna angav 45,5 % att PONV är ett vanligt problem inom anestesi medan 36,3 % såg det som ett stort problem på kliniken. Riktlinjer för PONV ansågs förbättra patientvården och vara av stort värde för att identifiera riskpatienter, men samtidigt framkom att endast 48,5 % uppgav att de använder riktlinjer för PONV dagligen. Större delen av respondenterna ansåg att det föreligger ett delat ansvar för att riktlinjer följs, men det rådde delade meningar om vilka som delade detta ansvar. Slutsats Orsakerna till den diskrepans som förelåg mellan respondenternas positiva attityder och användandet av riktlinjer kan inte till fullo utläsas i huvudresultat. Det kan dock med stöd av tidigare studier argumenteras att externa faktorer på kliniken spelar in. För att klargöra problemet vidare och hur riktlinjer bättre ska kunna implementeras i den kliniska verksamheten så krävs ytterligare studier i ämnet.Background: Postoperative nausea and vomiting (PONV) is a common problem after anesthesia. Even though many guidelines and risk assessment tools for PONV have been developed, implementation often is difficult. Attitudes and knowledge regarding the subject have been shown to influence the implementation. Aim: The aim of this study was to investigate anesthesia staffs knowledge and attitudes regarding PONV and guidelines. Method: The study is designed as a quantitative, descriptive questionnaire study. A census of an anesthesia clinic of a larger Swedish hospital was executed. The questionnaire contained questions concerning anesthesia staffs attitudes and knowledge about guidelines and PONV. Results: The anesthesia staffs knowledge of PONV was good and correlated with their self-assessment. Of the respondents 45,5 % stated that PONV was a common problem in anesthesia, while 36,3 % regarded it as a big problem in their clinic. Guidelines for PONV were seen as improving patient care and to be of great value for identifying risk patients, while only 48,5 % stated that they use PONV guidelines daily. The major part of the respondents deemed the responsibility for following guidelines as collective, however the opinion on exactly who shared this responsibility differed. Conclusion: The reason for the discrepancy that occurred between the respondents’ positive attitudes and the use of guidelines cannot be fully deduced from the main results. However, with the support of earlier studies it can be argued that external factors in the clinic contribute. Further studies of the subject is needed to clarify the problem.
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Haglund, Elias, and Fredrik Paananen. "Patientens upplevelse av oro inför generell anestesi." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-83078.
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Bakgrund: Inför generell anestesi upplever många patienter en känsla av oro och rädsla. Anestesisjuksköterskan har ett viktigt ansvar i mötet med patienter för att skapa tillit, förtroende och trygghet mellan patient och anestesisjuksköterska. Syfte: Syftet med denna systematiska litteraturstudie var att beskriva vad patienter känner oro för inför generell anestesi med utgångspunkt från två frågeställningar. Vad är det patienter oroar sig för inför generell anestesi? Och vilka faktorer påverkar risken att uppleva oro inför generell anestesi? Metod: Utifrån syftet och dess frågeställningar utfördes en systematisk litteraturstudie där litteratursökningen gjordes i PubMed och Cinahl. Utifrån sökningen inkluderades 18 vetenskapliga artiklar, av både kvantitativ och kvalitativ design. Dessa analyserades i fyra steg som innebar reduktion av data, att skapa en översikt, att göra jämförelser samt att dra slutsatser och verifiera. Resultat: Oro och rädsla är vanliga känslor som förekommer inför generell anestesi. Patienterna var främst oroliga för att dö under anestesin, att vakna upp under anestesi, att uppleva smärta samt att förlora kontrollen. Riskfaktorer för oro som identifierades var kvinnligt kön, ålder under 45 år, lägre utbildningsnivå samt långa väntetider och operationstid sent på dagen. Tidigare erfarenheter av operationer visade sig vara en skyddande faktor. Slutsats: Studien visar att de flesta patienter upplever oro och rädsla inför generell anestesi. För att minska känslan av otrygghet är det viktigt att patienten känner att anestesipersonalen har sitt fokus på patienten. Detta skapar tillit, förtroende och trygghet hos patienten. Information är en viktig del av omhändertagande och genom att se till att ha välinformerade patienter skapas förutsättningar för att patienterna upplever mindre oro och rädsla. För att minska graden av oro och rädsla inför generell anestesi bör anestesisjuksköterskan visa på ett genuint sätt att de finns där för patienten och att patienten får känna att de är i personalens fokus hela tiden.
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Morin, Alexander, and Sanna Andersson. "Anestesisjuksköterskors upplevelser av att använda ”Checklista för säker kirurgi” i sitt dagliga arbete." Thesis, Luleå tekniska universitet, Omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-80020.
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Att genomgå ett kirurgiskt ingrepp är förenat med risk för komplikationer. WHO har utarbetat en checklista för säker kirurgi som används av operationspersonal för att minska risken för komplikationer. Patientsäkerhet finns med som en av grundpelarna i kompetensbeskrivningen för anestesisjuksköterskor, och i enlighet med denna ska anestesisjuksköterskan arbeta på ett patientsäkert sätt och uppmärksamma arbetsrelaterade risker. Syftet med studien var att undersöka anestesisjuksköterskors upplevelser av att använda ”Checklista för säker kirurgi” i sitt dagliga arbete. En kvalitativ studie genomfördes där datainsamlingen bestod av semistrukturerade intervjuer med sju anestesisjuksköterskor. Analys av data gjordes genom en kvalitativ innehållsanalys som resulterade i fyra kategorier: Att vården blir tryggare genom en heltäckande bild, Att praktiska skäl medför att anestesisjuksköterskor tar stort ansvar för genomförandet av checklistan, Att göra avsteg men med checklistan i huvudet och Att alla i teamet måste vara delaktiga och ta ansvar. Slutsatser som kan dras är att mer fokus på utbildning av checklistan för samtliga berörda professioner skulle kunna generera ökad följsamhet vid användning av checklistan, ökad förståelse för varandras yrkesområden samt ökad sammanhållningen i teamet. Det bör läggas mer fokus på såväl modifiering av checklistan som kan användas vid akuta situationer som på åtgärder som främjar kommunikationen och kulturen på operationssalen. Vidare studier bör göras om varför avsteg görs och hur detta kan motverkas så att patientsäkerheten kan upprätthållas.Having a surgical procedure is associated with risk of complications. WHO has prepared a checklist for safe surgery used by surgical staff to reduce the risk of complications. Patient safety is included as one of the cornerstones in the competence description for anesthesia nurses, and in accordance with this, the anesthesia nurse should work in a patient-safe manner and pay attention to work-related risks. The aim of the study was to examine anesthesia nurses' experiences of using the "Safe Surgery Checklist" in their daily work.A qualitative study was conducted in which seven anesthesia nurses participated. Data was analyzed using qualitative content analysis, which resulted in four categories: Care becomes safer through a comprehensive picture; Anesthesia nurses take great responsibility for the implementation of the checklist due to practical reasons; Making deviations but with the checklist in mind; and Everyone in the team must be involved and take responsibility. Conclusions that can be drawn are that more focus are needed on the education of all professions involved, which could generate increased compliance when using the checklist, increased understanding of each other’s occupations and increase cohesion in the team. Also, there should be more focus on modification of the checklist that can be used in emergency situations and on measures that promote communication and culture in the operating room. Further studies should be done on why deviations are made and how this can be counteracted so that patient safety can be maintained.
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Allisson, Anna. "När återhämtar patienten sig snabbast? : Jämförlse mellan inhalationsanestesi och total intravenös anestesi." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-6059.
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Generell anestesi kan ges som inhalationsanestesi eller total intravenös anestesi (TIVA). En förutsägbar anestesi med snabbt uppvaknande och bibehållen vakenhet är en högt önskvärd egenskap oavsett anestesiform. Det råder en klinisk och vetenskaplig diskussion om vilken anestesiform som ger snabbast tidig postoperativ återhämtning. syftet med studien var att jämföra patienters tidiga postoperativa återhämtning efter inhalationsanestesi respektive efter total intravenös anestesi (TIVA). Metoden var en litteraturstudie baserad på 15 vetenskapliga artiklar. Dessa analyserades utifrån frågeställningen: Vilken anestesiform som ger den snabbaste tidiga postoperativa återhämtningen. Det framkom en indelning av resultatet i tre kategorier: snabbare tidig postoperativ återhämtning efter inhalationsanestesi, lika lång tid till återhämtning efter inhalationsanestesi som efter TIVA samt snabbare tidig postoperativ återhämtning efter TIVA. Resultatet visade att inhalationsanestesi gav snabbast tdiig postoperativ återhämtning. Anestesisjuksköterskans handhavande, planering och erfarenhet påverkar patientens uppvakande. därför skulle vidare forskning istället jämföra dessa båda anestesiformer på ett annat sätt. Tiden kunde istället mätas från det att anestesisjukskäterskan extuberat patienten och till payienten verkar adekvat orienterad för att erhålla ett mer jämförbart resultat.General anesthesia includes both inhalations anesthesia and total intravenous anesthesia (TIVA). After any anesthetic technique a de sirable characteristics is a predictably rapid emergence and sustained alertness. There is a clinical and scientific debate about which anesthetic technique who gives the most rapid emergence in the early postoperative recovery. The aim of this study was to compare patients early postoperative recovery after inhalations anesthesia and after total intravenous anesthesia (TIVA). The methods are based on 15 research articles. They where analysized from the questionnaire: which anesthetic technique gives the most rapid emergence in the early postoperative recovery. The results showed that inhalations anesthesia gave the most rapid emergence in the earky postoperative recovery. The nurse anesthetist handling, planning and experience affect the patients awakening. Therefore further research instead could compare these anesthetic techniques in another way. The time after the nurse anesthetist has extubate the patient until the patient is adequate orientated, could be measured to find a more comparable result.
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Abrahamsson, Margareta, and Anna Lucchesi. "Anestesisjuksköterskans upplevelse av att delta vid plötsligt hjärtstopp på sjukhus." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-37062.
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I Sverige drabbas cirka 3000 patienter årligen av plötsligt hjärtstopp på sjukhus. Ett plötsligt hjärtstopp är en av de mest stressfyllda situationerna som sjukvårdspersonal utsätts för på sjukhus. Tidigare forskning har främst inriktat sig på medicinska och biofysiska aspekter vid återupplivning i samband med plötsligt hjärtstopp. De subjektiva upplevelserna för dem som utför hjärt-lungräddning och deras känslor är sällan beskrivna. Syftet var att beskriva anestesisjuksköterskans upplevelser av att delta vid plötsligt hjärtstopp på sjukhus. Datainsamlingen genomfördes dels genom intervju med en fokusgrupp med fem informanter och dels genom två individuella djupintervjuer. Dataanalysen genomfördes systematiskt enligt Graneheim & Lundmans kvalitativa innehållsanalys. Resultatet utmynnade i tre kategorier med respektive subkategorier. Kategorierna som framkom var; Den givna rollen, Teamarbete och Reflektioner relaterade till hjärtstopp. Den givna rollen upplevdes både trygg, kravfylld och tillfredsställande. Ett tydligt ledarskap och en god kommunikation beskrevs som viktiga aspekter för att skapa riktning, mål och samarbete i teamet. De upplevde behov av feedback och debriefing fyllde en viktig funktion. Uppsatsen kan ligga till grund för ett framtida förbättringsarbete, diskussionsunderlag och uppföljning av plötsligt hjärtstopp. Ytterligare forskning inom området och över professionsgränserna är önskvärt.In Sweden every year about 3000 patients are affected by sudden cardiac arrest in a hospital setting. Sudden cardiac arrest is one of the most stressful situations for hospital staff to handle. Earlier research has mainly focused on the medical and biophysical aspects of cardiac resuscitation. The subjective experience and feelings of those performing the resuscitation are seldom described. The aim of the study was to describe the nurse an esthetists’ experience of participation in sudden cardiac arrest resuscitation in a hospital setting. Data collection was done through focus group interviews involving five participants and indepth interviews with two participants. Data analysis was systematically performed according to Graneheim & Lundmans qualitative content analysis. The result showed three categories with respective subcategories. The following categories emerged: The given role, Teamwork and Reflection related to cardiac arrest. The given role was perceived as safe, satisfying and filled with demands. A defined leadership and good communication were described as important factors in ensuring clear direction, goals and teamwork. The participants experienced a need for feedback and felt debriefing was of the utmost importance. This study can lead to future areas of improvement including further discussion and follow up of sudden cardiac arrest in hospital settings. Further research in this area and across professional borders is needed.
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Ekros, Johanna, and Helena Jonsson. "Patientens skattning av postoperativ smärta efter genomförd total knäartroplastik." Thesis, Luleå tekniska universitet, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-64845.
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Bakgrund: Personer som drabbas av knäledsartros där inte medicinsk behandling fungerat blir aktuella för total knäartroplastik (TKA). Under en persons livstid är risken att få knäledsartros 40-45%. TKA förknippas med måttlig till svår smärta efter det kirurgiska ingreppet. Smärtlindringsmetoder har utvecklats och blivit effektivare för att patienten ska få bättre smärtlindring postoperativt. Tidigare studier har visat att god postoperativ smärtlindring förbättrar återhämtningen och minskar postoperativa komplikationer för patienten. Syftet: Syftet med vår kvantitativa enkätstudie var att undersöka patientens skattning av smärta postoperativt efter TKA. Metod: I studien deltog 29 kvinnor och män mellan 53-84 år. Deltagarna fick skatta sin smärta vid två tillfällen, 0-1 timme och mellan 2-4 timmar postoperativt med visuell analog skala (VAS). Data analyserades i SPSS version 24.0. Resultatet: Resultatet visade att efter 0-1 timme postoperativt hade 89.7% VAS ≤ 3 och vid 2-4 timmar postoperativt hade 75.8% VAS ≤ 3. Majoriteten av deltagarna 72.4% skattade sin smärta VAS ≤ 3 vid båda tillfällena. Det fanns en skillnad mellan de deltagare som erhållit spinalanestesi och generell anestesi. Vid första skattningen postoperativt var det ingen som erhållit spinalanestesi som skattade smärta, de som skattade VAS > 3 hade erhållit generell anestesi. Konklusion: Slutsatsen är att patienter som genomgår TKA är väl smärtlindrade men att en större studie med fler antal deltagare skulle behövas göras för att utveckla bättre omvårdnadsrutiner för att möta personers behov av smärtlindringen när spinalanestesins effekter avtagit.
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Ankarsköld-Flück, Cassandra, and Enström Madeleine Bellqvist. "Överrapportering inom anestesi- och intensivvård : Specialistsjuksköterskor inom anestesi- och intensivvårds erfarenheter." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-54925.
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Bakgrund: En av de vanligaste orsakerna till avvikelse inom vården är brister i den muntliga kommunikationen vid överrapportering av patient mellan enheter. Dagligen sker överrapporteringar av patienter mellan specialistsjuksköterskor inom anestesi- och intensivvård. Bristande överrapportering kan bidra till sämre vårdkvalité och ökad risk för komplikationer för patienterna. Syfte: Att beskriva specialistsjuksköterskor inom anestesi- och intensivvårds erfarenheter av överrapportering inom vården. Metod: En kvalitativ enkätundersökning med demografiska och öppna frågor med induktiv ansats där 17 enkätsvar har analyserats. Resultat: Efter analys framkom två kategorier med subkategorier. Den ena kategorin var Faktorer som främjar överrapportering med subkategorierna Att viktig information förmedlas och Att ha bra struktur vid överrapportering. Andra kategorin var Faktorer som stör överrapportering med subkategorierna Yttre faktorer påverkar överrapportering och När överrapportering brister. Slutsats: Kommunikationsverktyg och checklistor behövs för att minska risken att viktig information uteblir vid överrapportering. Genom att ha ett gemensamt förhållningssätt av vilken information och hur informationen ska kommuniceras kan följsamheten i överrapportering öka i det dagliga arbetet.Background: One of the most common causes for deviation in healthcare is deficiency of the verbal communication in handovers of a patient between units. The handovers of patients occur on a daily basis between anesthetist nurses and intensive care nurses. Deficiency in handovers can contribute to decreased quality of care and increased risk of complication for the patients. Aim: To describe the experience of handover from anesthesia and intensive care nurses in healthcare. Method: Qualitative survey with demographic and open questions with an inductive approach where 17 surveys were analyzed. Results: The analysis resulted in two categories emerged with subcategories. One category was Factors that improves handover with the subcategories That important information is conveyed and To have good structure in handover. The other category was Factors that disturb handover with the subcategories External factors affect handover and When handover deficient. Conclusion: This master thesis has demonstrated experiences from specialist nurses in anesthesia and intensive care with various factors that can promote and disrupt handover in healthcare. Communication tools could be seen as a common thread through the results where checklists reduced the risk for lack of important information. Through a common approach of what information and how the information is to be communicated, compliance of handover can increase in the daily work.
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Ford, Mary. "Nurse Anesthetist's Perceptions Regarding Utilization of Anesthesia Support Personnel." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2328.
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Anesthesia support personnel (ASP) provide direct support to health care providers administering anesthesia (Certified Registered Nurse Anesthetists [CRNAs] and anesthesiologists). Because these anesthesia providers are caring for a patient whom they cannot legally or ethically leave unattended, ASP are employed to bring them extra supplies or equipment, prepare equipment for the case, maintain and clean equipment, and generally function as directed by the anesthesia provider. Given the limited literature and importance of ASP in maintaining equipment essential to safe practice, it is necessary to describe the population to understand who is functioning in this role to insure that these individuals are trained and capable of complying with safety standards. There are two studies in the literature describing this population. The first study presents a descriptive survey of ASP utilization in anesthesiology residency training programs revealing varied utilization and qualifications of ASP (McMahon & Thompson, 1987). The second study is a survey of a convenience sample of the membership of the professional organization of ASP, which offers voluntary certification (American Society of Anesthesiology Technologists and Technicians). This survey reveals variation in utilization and qualification of ASP as well. The present prospective descriptive survey of CRNAs working with ASP was conducted to describe this population in terms of their educational characteristics and training, specific job functions, and work environment. It further evaluated perceptions of practicing CRNAs regarding the utilization of ASP. The results of this study were consistent with that of previous work and indicated that ASP utilization varies by hospital but has a propensity for greater utilization at larger medical centers that have a level I or II trauma designation. Formal ASP supervision is limited, which restricted the results to CRNA reports of tasks ASP performed and perceptions of CRNAs regarding ASP. ASP tasks tended to be limited to more equipment cleaning and maintenance type tasks with a smaller portion of ASP performing tasks related to direct patient care. Overall, the description of ASP in the literature remains variable and further research is needed to adequately describe this population and begin to develop a common language to understand this practice group.
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Cinel, Julie. "What is the policy landscape for consideration of nurse anesthetist practice in British Columbia?" Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/45265.
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This health policy analysis investigates the contextual landscape and possible alternatives for new legislation and regulation of a prospective role for nurse anesthetists in British Columbia (BC), Canada. Principles of basic analysis are used to address the major concepts of context, process, and actors. The normative perspective allows consideration of the influence of values in decision-making processes. American and Canadian advanced practice nursing roles, such as the Certified Registered Nurse Anesthetist, and Nurse Practitioner, are examined for their pertinent history, including the legislative and regulatory structures that govern them. Facilitators and barriers to new role implementation add further contextual detail to this investigation. Values of decision-makers are considered in concert with past policy processes to develop viable and practical policy alternatives for the implementation of nurse anesthetists in BC.
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Blad, Linda, and Daniel Forslin. "Intensivvårds- och anestesisjuksköterskors upplevelser av sin arbetsmiljö vid ett sjukhus som saknar akutkirurgi - en intervjustudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29635.
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Sammanfattning Bakgrund: Sjukhusvården förändras och kraven på specialistsjuksköterskor ändras. Transporter med patienter från små sjukhus blir fler och sträckorna längre. Upplevelsen av sin arbetsmiljö har visat sig viktig, inte minst vad gäller upplevelsen av patientsäkerheten. Syfte: Syftet var att, ur ett arbetsmiljöperspektiv, beskriva intensivvårds- och anestesisjuksköterskors upplevelse av att arbeta på ett sjukhus utan akutkirurgi. Metod: Studien hade en kvalitativ ansats med beskrivande design. 11 semistrukturerade intervjuer utfördes med intensivvårdssjuksköterskor (n=6) och anestesisjuksköterskor (n=5). Intervjuerna analyserades med kvalitativ innehållsanalys. Huvudresultat: Under analysen av intervjuerna framträdde sex kategorier. 1. Att uppleva vikten av att rutiner följs 2. Att samverkan och personkännedom inom sjukhuset underlättar arbetet 3. Upplevelse av nuvarande uppdrag 4. Att se vikten av närliggande vård 5. Att samverka med andra sjukhus och 6. Upplevelse av tillgång till resurser och kompetens. Anestesi- och intensivvårdssjuksköterskorna upplevde att det var viktigt att följa rutiner. Att samverkan och personkännedom inom sjukhuset kan underlätta arbetet var ytterligare en upplevelse som beskrevs. De upplevde en tillfredställelse med det nuvarande uppdraget, även om en önskan att få ett utökat uppdrag beskrevs. Vikten av att ha närliggande vård beskrevs och avståndet till närmaste akutsjukhus upplevdes som ett problem. Samarbetet med andra sjukhus beskrevs ibland fungera bra och ibland fick en kamp föregå samarbetet. Upplevelsen av tillgång till resurser och kompetens beskrevs där det framkom att resursbristen kunde skapa frustration. Slutsats: Positiv upplevelse av nuvarande uppdrag. Vid akuta tillstånd där svårt skadade eller sjuka patienter kom in till sjukhuset upplevdes frustration med de resursbrister som fanns. Nyckelord: Anestesisjuksköterska, Arbetsmiljö, IntensivvårdssjuksköterskaAbstract Background: Hospital care is changing and the requirements for specialist nurses are changing. The amount of patient transports from smaller hospitals are increasing and the routes are longer. The experience of the nurses work environment has proved to be important, not least with regard to the experience of patient safety. Aim: To describe how intensive care and anesthesia nurses experience working in a hospital without emergency surgery, from a work environment perspective. Method: The study had a qualitative approach with descriptive design. 11 semi-structured interviews were conducted with intensive care nurses (n = 6) and anesthetic nurses (n = 5). The interviews were analyzed with qualitative content analysis. Main results: Through the analysis six categories emerged. 1. To experience the importance of following guidelines 2. That collaboration and personal knowledge within the hospital facilitates the workload 3. Experience of the current assignment 4. To see the importance of nearby care 5. The cooperation with other hospitals and 6. Experience of access to resources and competence. The anesthetic and intensive care nurses experienced that it was important to follow guidelines. The fact that collaboration and personal knowledge within the hospital can facilitate the workload was another experience that was described. They experienced a satisfaction with the current assignment, although a desire to get extended assignments was described. The importance of having nearby care was described and the distance to the nearest emergency hospital was described as a problem. The collaboration with other hospitals was sometimes described to work well and sometimes a struggle preceded the collaboration. The experience of access to resources and skills was described and it emerged that the lack of resources could create frustration. Conclusion: Positive experience of current assignments. In emergency situations where severely injured or sick patients entered the hospital, frustration was experienced with the lack of resources that existed. Keywords: Intensive Care Nurse, Nurse anesthetist, Work Environment
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Lundius, Kastenfalk Maria, and Málaga Erika Fessy. "Samarbetet på operationssalen : personalens uppfattning om främjande och hindrande faktorer." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-117.
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Bakgrund: Inom hälso-och sjukvården har samarbete vuxit fram som en organisationsform. Kunskap om hur vårdpersonal uppfattar samarbete är värdefullt för en fortsatt utveckling av organisationen och för att säkra god vård. Syfte: Syftet med denna studie var att undersöka undersköterskans, anestesisjuksköterskans och operationssjuksköterskans uppfattning av samarbetet på operationssalen samt vilka främjande och hindrande faktorer som påverkade samarbetet. Metod: Som metod valdes en deskriptiv design med kvantitativa data. Ett frågeformulär har använts för att uppnå syftet med studien. Frågeformuläret har inspirerats av "The Operating Room Management Attitudes Questionnaire". Totalt 38 frågeformulär med medföljande informationsbrev delades ut till 12 operationssjuksköterskor, 13 anestesisjuksköterskor och 13 undersköterskor. Personalen informerades om studien muntligen på en arbetsplatsträff (APT). Resultat: Resultatet visade att de främjande faktorerna för ett fungerande samarbetet är god kommunikation, personkemi, kompetens, teamträning, checklista och konstruktiv kritik. De hindrande faktorerna för ett fungerande samarbete som framkom i resultatet var att det inte gavs tid för reflexion, bristande resurser gällande personal och utrusning samt trång arbetsmiljö. Konklusion: Om kommunikationen fungerar mellan professionerna samt att tid ges för reflexion främjas i sin tur samarbetet och patientsäkerheten vilket minskar vårdskador.Background: Cooperation as a form of organisation has become more and more important within the health services.Knowledge of how health professionals perceive cooperation is valuable for the further development of the organization and to ensure good care. Aim: The purpose of this study was to investigate an assistant nurse's, nurse's anesthetist and surgical nurse's the perception of cooperation in the operating room, as well as the promotion and prevention factors affecting cooperation. Method: The method was a descriptive design with quantitative data. A questionnaire was used in order to achieve the purpuse of the study.The questionnaire is inspired by "The Operating Room Management Attitudes Questionnaire". A total of 38 questionnaires with an accompanying information letter was distributed to 12 surgical nurses, 13 nurse anesthetists and 13 assistant nurses. The staff were informed about the study orally in a department meeting. Results: The results showed that the promoting factors for an effective collaboration is good communication, personal chemistry, expertise, teamtraining, checklist and constructive criticism. The disincentives for a functional cooperation that emerged in the result, was that there was no time for reflection, a lack of staff resources, shortage of equipment and cramped working conditions. Conclusion: A well functioning communication between professions, where time for reflection is given encouriging cooperation, which in turn promotes patient safety and thereby reduces preventable harm.
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Vaflor, Amy Louise. "Advanced Practice Registered Nurses and Medical Executive Committee Membership: A Quality Improvement Proposal." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1616670175777308.
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Corderfeldt, Robert, and Jens Olhammer. "Anestesisjuksköterskors upplevelser av interhospitala patienttransporter." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-24438.
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Anestesisjuksköterskan kan arbeta över flera områden där arbete vid en anestesiklinik är det vanligaste. I arbetet på en anestesiklinik ingår även uppgiften att medverka vid patienttransporter mellan sjukhus, interhospitala transporter. Tidigare studier har visat att många specialistsjuksköterskor är oroliga och bekymrade över dessa uppdrag. De upplevde otrygghet, osäkerhet och brist på tydliga riktlinjer. Ansvaret är stort och ibland är det långt mellan sjukhusen. Studiens syfte var att undersöka hur samtliga anestesisjuksköterskor på en anestesiklinik i sydvästra Sverige upplever att medverka vid patienttransporter mellan sjukhus. Studien genomfördes med en kvantitativ ansats och empirisk data samlades in med hjälp av ett frågeformulär. Deskriptiv statistik användes för att redovisa resultat. Resultatet av studien visar att anestesisjuksköterskornas erfarenheter av interhospitala patienttransporter är varierande. Flera svarade att de tyckte att det fanns svårigheter att utföra god omvårdnad under transporterna. Spridningen bland anestesisjuksköterskornas svar var stor på frågan om de kände sig stressade eller obekymrade över dessa uppdrag, de flesta befann sig kring mitten av skalan. Samarbetet med ambulanssjuksköterskorna var något som överlag fungerade mycket väl, och de hade stort förtroende för deras kompetens. Att helt avstå från att medverka vid interhospitala patienttransporter var något en fjärdedel av anestesisjuksköterskorna önskade. Behovet av mer forskning inom detta område är stort.Nurse anesthetist work in several areas but working at an anesthetic clinic is the most common. Working at a clinic involves overseeing patients during interhospital patienttransports. Earlier studies have shown that many specialist nurses are worried and concerned over transporting patients. They experience feelings of insecurity, vulnerability, and a lack of clear guidelines. The responsibility is major and sometimes there are long distances between the hospitals. The aim of the study was to evaluate how the nurse anesthetists experience their participation during the transport of patients. The study was conducted using a quantitative approach and empirical data was collected using a questionair. Descriptive statistics were used to present the results. The results showed that the nurse anesthetists experiences of transporting patients varied greatly. Several responded that they found it difficult to give good care during the transport. There was also a large range of the answers to the question about whether they felt stressed or unconcerned during these assignments, but most were in the middle of the scale. Cooperation between the nurse anesthetists and the ambulance nurses generally worked well, they even had a strong confidence in their competence. One fourth of the nurse anesthetists reported they would prefer not to be involved in interhospital patienttransports. More research is needed in this area is great.
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Persson, Carl, and Johanna Adielsson. "Anestesisjuksköterskors upplevelser av att vårda patienter under sekundärtransport : En kvalitativ studie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29612.
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Sammanfattning Bakgrund: Anestesisjuksköterskan har omvårdnadsansvaret för patienter under sekundärtransport i Sverige och har därför en viktig roll. Nuvarande forskning beskriver att anestesisjuksköterskor upplever bristande kommunikation och svårigheter med att vårda i ambulans. Forskning som belyser just anestesisjuksköterskors upplevelser av att vårda patienter under sekundärtransport är sparsam och därmed önskvärd. Syfte: Syftet med studien var att beskriva anestesisjuksköterskors upplevelser av att vårda patienter under sekundärtransport. Metod: Studien genomfördes med en beskrivande design och kvalitativ ansats. Data samlades in genom semistrukturerade intervjuer med tio anestesisjuksköterskor på två sjukhus i Mellansverige. En kvalitativ innehållsanalys tillämpades för att transkribera och analysera intervjuerna. Resultat: Studiens resultat delades in i fyra olika kategorier, Att vara steget före, Yrkesroll och ansvarsförhållanden, Att vårda under specifika omständigheter och Teamarbete samt åtta underkategorier. Dessa underkategorier var; Att ha en handlingsplan, Att vara förberedd, Ansvar och personlig utveckling, Yrkeserfarenhet och kompetens, Att vårda unga patienter, Att vårda i ambulans, Stöd från kollegor samt Kommunikation och information. Slutsats: Att ha en handlingsplan, tidigare yrkeserfarenhet, kommunikation samt stöd från kollegor var faktorer som påverkade anestesisjuksköterskornas upplevelser av att vårda patienter under sekundärtransport. Dessa faktorer var avgörande för om anestesisjuksköterskorna upplevde vårdandet som positivt eller negativt. Studiens resultat tyder på behov av tydliga rutiner samt gemensamma utbildningstillfällen för alla involverade yrkesgrupper. Nyckelord: anestesisjuksköterska, sekundärtransport, upplevelserAbstract Background: The nurse anesthetist is responsible for the patient care during interhospital transport in Sweden and therefore has an important role. Current research describes how nurse anesthetists’ often experience difficulties in their work, in the forms of inadequate communication and the challenges of out-of-hospital patient care. When it comes to nurse anesthetists’ experiences of patient care, however, there is a lack of research in the area of interhospital transport, which thus deserves further attention. Purpose: The purpose of the study was to describe nurse anesthetists’ experiences of caring for patients during interhospital transports. Method: The study was conducted according to a descriptive design using a qualitative approach. Semi-structured interviews were conducted with ten nurse anesthetists’ at two hospitals located in the middle part of Sweden to collect data. A qualitative content analysis was used to transcribe and analyze the interviews. Result: The study results were divided into four categories: To be one step ahead, Profession and responsibility, Patient care during specific circumstances and Teamwork with eight subcategories. These subcategories were; To have a plan of action, To be prepared, Responsibility and personal development, Work experience and competence, To care for young patients, Patient care in ambulance, Support from colleagues and Communication and information. Conclusion: To have a plan of action, previous work experience, communication and support from colleagues were factors that affected the nurse anesthetists’ experiences of caring for patients during interhospital transport. These factors were decisive for whether the nurse anesthetists’ experienced caring as positive or negative. The study results indicate that there is a need for clear routines as well as team-based training sessions for every professional involved within interhospital transport. Keywords: experiences, interhospital transport, nurse anesthetist
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Florin, Axel. "Anestesisjuksköterskans omvårdnadsåtgärder för att lindra patienters preoperativa oro." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-79555.
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Bakgrund: Tidigare forskning visar att det finns flera faktorer som bidrar till preoperativ oro, vilket är ett tillstånd som kan orsaka flera negativa konsekvensen både i direkt anslutning till operation som långt senare efter operation. Ett av målen vid ett preoperativt möte mellan anestesisjuksköterskan och patienten är att anestesisjuksköterskan ska minska patientens stress. Därmed är det av värde att göra en översikt avseende aktuell forskning kring omvårdnadsåtgärder som kan vidtas av anestesisjuksköterskor för att lindra preoperativ oro. Syfte: Studiens syfte var att beskriva vilka omvårdnadsåtgärder som kan att vidtas av anestesisjuksköterskor för att lindra preoperativ oro hos patienten. Metod: Metod var integrerad litteraturöversikt bestående av 20 vetenskapliga artiklar, varav 14 kvantitativa och sex kvalitativa. Vid litteratursökning användes databaserna CINAHL och PubMed. Resultat: Analysen resulterade i fyra kategorier som beskriver omvårdnadsåtgärder som anestesisjuksköterskor kan vidta för att lindra preoperativ oro: Individanpassa den preoperativa informationen, Skapa en bekväm miljö, Bemöta individanpassat och empatiskt och Ha en lugnande närvaro och kommunikation. Slutsats: Analysen resulterade i fyra distinkta kategorier gällande omvårdnadsåtgärder mot preoperativ oro. Utifrån komfortteorin är det möjligt att anföra att om anestesisjuksköterskor kombinerar omvårdnadsåtgärder från de fyra kategorierna för att lindra patienters preoperativa oro har patienter större möjlighet att nå total komfort. Framtida forskning behövs avseende effekten av omvårdnadsåtgärder som utförs av just anestesisjuksköterskor samt effekten av patientens egna strategier för att lindra preoperativ oro.Background: Previous research has identified several factors contributing to patients experiencing preoperative anxiety, which is a condition that can cause several negative consequences both directly in connection with the surgery, as well as long after the surgical procedure. One of the aims during a preoperative meeting between the nurse anesthetist and the patient is for the nurse anesthetist to ease the patient’s stress. Thus, it is of value to conduct and overview of current research regarding nursing interventions that can be conducted by nurse anesthetists to alleviate preoperative anxiety. Aim: The aim of the study was to describe what nursing interventions that nurse anesthetists can conduct to alleviate a patient’s preoperative anxiety. Method: Integrative literature review consisting of 20 scientific articles, of which 14 were quantitative and six qualitative. The literature search was conducted in the databases CINAHL and PubMed. Result: The analysis resulted in four categories describing nursing interventions that nurse anesthetists can conduct to alleviate a patient’s preoperative anxiety: Individualize the preoperative information, Create a comfortable environment, Treat individually and empathically and Have a soothing presence and communication. Conclusion: The integrative literature review with data from the 20 scientific articles resulted in four categories describing nursing interventions to alleviate preoperative anxiety. It is possible to say, based on the theory of comfort, that the patient has a greater chance to reach total comfort if nurse anesthetists combine multiple nursing interventions from the four categories to alleviate the patient’s preoperative anxiety. Future research is suggested to focus on the effect of nursing interventions performed by nurse anesthetists and the effect of the patient’s own strategies to alleviate preoperative anxiety.
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Petric, Ellen, and Mathias Andersson. "Anestesisjuksköterskans erfarenheter av hinder och möjligheter i sin fysiska arbetsmiljö Nurse Anesthetist’s experiences of the obstacles and opportunities in their physical work environment." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-53464.
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