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  • 1. Engström, Åsa
    et al.
    Boström, Jonas
    Karlsson, Ann-Christin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Women's Experiences of Undergoing Total Knee Joint Replacement Surgery2017In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 32, no 2, p. 86-95Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of the study was to describe women's experiences of undergoing total knee joint replacement surgery.DesignA qualitative approach was used.

    Method

    A content analysis of the text from interviews with five women was conducted.

    Findings

    The time before surgery was marked by the experience of constant pain, which affected the women negatively in their everyday lives. During surgery, the information provided by the staff gave each woman a sense of security; the women handed over responsibility to the staff and experienced a sensation of relief. The postoperative period was characterized by a feeling of joy when the surgery was over, although a rough and tedious rehabilitation phase then began. Challenges in everyday life were a factor for motivation and confidence, although postoperative pain was experienced as discouraging.

    Conclusion

    Support from health care staff is an important factor for coping with everyday life during the preoperative, perioperative and postoperative phases of undergoing knee joint replacement.

  • 2.
    Hultin, Lisa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Karlsson, Ann-Christin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Öhrvall, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Gunningberg, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Information and Communication Technology Can Increase Patient Participation in Pressure Injury Prevention A Qualitative Study in Older Orthopedic Patients2019In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 46, no 5, p. 383-389Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to assess the participatory capabilities of hospitalized older adults in response to the Continuous Bedside Pressure Mapping system placed on the beds to prevent pressure injuries. DESIGN: Descriptive study. SUBJECTS AND SETTING: A convenience sample of 31 orthopedic patients were recruited from an orthopedic rehabilitation unit at a university hospital in Uppsala, Sweden, that served patients aged 65 years and older. METHODS: Semistructured interviews were conducted between November 2016 and February 2017, audio-recorded, and transcribed verbatim. Data were analyzed using qualitative content analysis. RESULT: The overall theme from 21 interviews was "A new way of understanding helped patients to recognize vulnerable pressure points and to take action in their own care" from which 2 categories, "awareness" and "action," emerged. The study showed that verbally adapted information combined with using information and communication technology increased most participants' knowledge and as they became aware of increased pressure, they started to take preventative action by changing position. CONCLUSIONS: It is possible for older participants in a rehabilitation unit who had recent orthopedic surgery to understand and use new information and communication technology and should be invited to participate in pressure injury prevention.

  • 3. Karlsson, Ann-Christin
    Att vara vaken under operation i regional anestesi: från patienters upplevelser till en vårdande modell.2013Book (Other academic)
  • 4.
    Karlsson, Ann-Christin
    et al.
    School of Health Science, Blekinge Institute of Technology, Karlskrona, Sweden.; School of Health and Caring Sciences, Linnæus University, Växjö, Sweden. .
    Ekebergh, Margaretha
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    An intraoperative caring model – the ’awake’ patient’s need for a genuine caring encounter2013In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 1, no 4, p. 23-35Article in journal (Refereed)
    Abstract [en]

    Anaesthesia nursing care during regional anaesthesia is characterized by the encounter between the ‘awake’ patient’s own lifeworld and the nurse anaesthetist’s knowledge in theory and in practice. This study aims to present an intraoperative caring model from the patient’s perspective that will facilitate nurse anaesthetists’ (NA) practice to enhance and support the ‘awake’ patient’s intraoperative well-being during surgery under regional anaesthesia. The model is underpinned by a synthesis based on interviews with patients, a philosophical reflection using Merleau-Ponty’s philosophy, and video recordings from orthopaedic surgeries under regional anaesthesia. The model can be used as a tool to encounter awake patients’ existential needs in the intraoperative situation and to further enlighten NAs about the possible impact of their proximity, interaction and communication behaviour in the delivery of intraoperative nursing care. The model can help NAs to access, understand and learn through lived experiences, thereby deepening their professional caring skills. The model is a way to get research knowledge ready for use by NAs to reflect on what gaps need to be filled between what nurses know (research) and do (practice).

  • 5.
    Karlsson, Ann-Christin
    et al.
    School of Health Science, Blekinge Institute of Technology, Karlskrona, Sweden.; School of Health and Caring Sciences, Linnæus University, Växjö, Sweden..
    Ekebergh, Margaretha
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    Only a whisper away. A philosophical view of the awake patient's situation during regional anaesthetics and surgery2012In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 13, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    In this study the awake patient's intraoperative situation and experiences during regional anaesthetics and surgery are reflected upon by using the work of the French philosopher Maurice Merleau-Ponty. Merleau-Ponty's phenomenological idea of the body as being at the centre of the world highlights the patient's embodied position and bestows significance onto the body as a whole, as a lived body. A case, based on the findings from a previous interview study, is presented as a contextual starting point where a patient goes from having a familiar body recognized as her own to having a partially anaesthetized body experienced as an unknown object. The intraoperative caring space is described in this context as the mutual ground where the awake patient and the nurse anaesthetist (NA) can interact to create meaning. The NA can act as the patient's bodily extension to bridge the gap between the patient's experiences and the situation. This calls for the NA's proximity and genuine presence in order to meet and understand the patient's awake experiences. Learning from the patient's situatedness gives information that is valuable for NAs to share with patients who are less experienced with this contextual situation. The challenge for the NA is not to perform routine-based care, but to acknowledge every patient's lifeworld and uniqueness thus enabling the patient to move easily along the mind-body-world continuum. The core of intraoperative care is to provide support and promote well-being of awake patients in the intraoperative environment. The use of a philosophical perspective is relevant for nurses who work in an intraoperative setting where patients undergo regional anaesthetics. This study shows how nursing research using phenomenological philosophy can help uncover new meanings known only to the patients living the experience.

  • 6.
    Karlsson, Ann-Christin
    et al.
    School of Health Science, Blekinge Institute of Technology, Karlskrona, Sweden.; School of Health and Caring Sciences, Linnæus University, Växjö, Sweden..
    Ekebergh, Margaretha
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    Patient-nurse anesthetist interaction during regional anesthesia and surgery based on video recordings.2013In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 28, no 5Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose of this study was to interpret and describe the patient-nurse anesthetist (NA) interaction during regional anesthesia.

    DESIGN: Video recordings conducted during orthopedic surgery at a surgical clinic in Sweden formed the basis for the study, in which three patients and three NAs participated.

    METHODS: A hermeneutic analysis was conducted on the data.

    FINDING: The findings of the analysis demonstrated that the NA was in either "present" presence or "absent" presence in the awake patient's visual field during surgery. The NA's professional actions at times dominated the patient's existential being in the intraoperative situation. The findings conveyed insights about the patient-NA interaction that open up possibilities for nurses to understand and reflect upon their own practice in an expanded way.

    CONCLUSIONS: Using video recordings for reflections enables development of professional skills that positively influence the care quality for patients during regional anesthesia.

  • 7.
    Karlsson, Ann-Christin
    et al.
    School of Health Science, Blekinge Institute of Technology, Karlskrona; School of Health and Caring Sciences, Linnæus University, Växjö, Sweden.
    Ekebergh, Margaretha
    School of Health and Caring Sciences, Linnæus University, Växjö; School of Health Sciences, University of Borås, Borås, Sweden.
    Mauléon, Annika Larsson
    School of Health and Caring Sciences, Linnæus University, Växjö, Sweden.
    Almerud Österberg, Sofia
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    "Is that my leg?" patients' experiences of being awake during regional anesthesia and surgery2012In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 27, no 3, p. 155-164Article in journal (Refereed)
    Abstract [en]

    Most knee or hip replacement surgery is performed under regional anesthesia, when patients are awake. Previous research has primarily focused on patients' experiences during general anesthesia. The aim of this study was to uncover the meaning of being awake during regional anesthesia and surgery. Nine interviews with patients undergoing knee or hip replacement surgery comprise the data. The phenomenological analysis shows that being awake during surgery can be compared with walking a tightrope because of ambiguous feelings. Four interrelated constituents further elucidated the patients' experiences: balancing between proximity and distance in the operating theater, balancing between having control and being left out, my partly inaccessible body handled by others, and the significant role of the carer. Anesthesia providers and perioperative nurses need to understand the awake patients' intraoperative experiences to support and confirm them when they can no longer experience or have full access to their body.

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