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Nurse anesthetists' reflections on caring for patients with previous substance dependence: Balancing between professionalism and preconceptions
Department of Anaesthesia, Gävle Sjukhus, Gävle, Sweden.
Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden; Centre for Research & Development, Gävleborg, Gävle, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-9912-5350
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
2017 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose

The study aim was to describe nurse anaesthetists’ reflections on provision of perioperative care to patients with previous substance dependence.

Design

A qualitative approach with a descriptive design.

Methods

Semi-structured interviews based on clinical vignettes were conducted with ten nurse anaesthetists.

Findings

The perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anaesthetists felt that anesthetizing this group of patients constituted an anaesthesiological challenge with regard to knowledge, experience and time. However, the nurses also had feelings of distrust and uncertainty due to lack of knowledge.

Conclusion

The nurse anaesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses’ sense of uncertainty minimized.

 

Place, publisher, year, edition, pages
2017.
Keyword [en]
nurse anaesthetist, relapse, substance abuse, perioperative care
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-21014DOI: 10.1016/j.jopan.2016.01.004ScopusID: 2-s2.0-85015446147OAI: oai:DiVA.org:hig-21014DiVA: diva2:894001
Available from: 2016-01-14 Created: 2016-01-14 Last updated: 2017-05-02Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf