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How Anesthesiologists and Nurse Anesthetists Assess and Handle Patients' Perioperative Worries Without a Validated Instrument
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences.ORCID iD: 0000-0003-3790-3505
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Enblad: Neurosurgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Ekselius: Psychiatry.
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 4, p. 810-819Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To study how nurse anesthetists and anesthesiologists assess and handle patients' perioperative anxiety without using a validated instrument.

DESIGN: Qualitative study.

METHODS: Individual in-depth face-to-face interviews were conducted with nurse anesthetists (n = 9) and anesthesiologists (n = 5) from a university hospital in Sweden. Data were analyzed with thematic analysis according to Braun and Clark.

FINDINGS: Two themes were identified: (1) I ask about anxiety, look for visual signs, and observe communication and (2) I handle patients' anxieties individually. In addition to subthemes describing assessment and handling of adults, it appeared that parents played an important role in children's perioperative anxiety.

CONCLUSIONS: When not using a validated instrument, assessing perioperative anxiety is commonly based on the anesthesiologist's and nurse anesthetist's experience, knowledge, views, and attitudes. The evaluator's capability of using different strategies in the assessment and handling of perioperative anxiety is important.

Place, publisher, year, edition, pages
2019. Vol. 34, no 4, p. 810-819
Keywords [en]
anesthesiologists, anxiety, evaluation, nurse anesthetists, perioperative
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:uu:diva-377057DOI: 10.1016/j.jopan.2018.09.016ISI: 000477975200020PubMedID: 30745079OAI: oai:DiVA.org:uu-377057DiVA, id: diva2:1288484
Available from: 2019-02-13 Created: 2019-02-13 Last updated: 2019-09-26Bibliographically approved

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Arakelian, ErebouniNyholm, LenaÖster, Caisa

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