TY - JOUR
T1 - Nurses' Perceptions of Patient Participation in the Postanesthesia Care Unit-A Qualitative Focus Group Study
AU - Miller, Pernille Reck
AU - Guldager, Rikke
AU - Herling, Suzanne F
N1 - Copyright © 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
PY - 2021/8/25
Y1 - 2021/8/25
N2 - PURPOSE: To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care.DESIGN: Qualitative focus group study based on a phenomenological hermeneutic approach.METHODS: We conducted three focus group interviews with 18 nurses from three different PACUs. Themes were created based on interpretive theory inspired by Ricoeur.FINDINGS: Four themes and 11 subthemes were found. Patients' clinical condition and situation, time management, ethical aspects, and the patient-nurse relationship all had a high impact on postanesthesia nursing practice and conditions for involving patients.CONCLUSIONS: PACU nurses want patients to participate in their own treatment and care in the PACU; however, nurses perceive patient participation differently. Nurses experience challenges including patients' impaired autonomy, absence of a holistic approach, and lack of time and resources. Nurses highlight that these barriers should not become an excuse for noninvolvement.
AB - PURPOSE: To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care.DESIGN: Qualitative focus group study based on a phenomenological hermeneutic approach.METHODS: We conducted three focus group interviews with 18 nurses from three different PACUs. Themes were created based on interpretive theory inspired by Ricoeur.FINDINGS: Four themes and 11 subthemes were found. Patients' clinical condition and situation, time management, ethical aspects, and the patient-nurse relationship all had a high impact on postanesthesia nursing practice and conditions for involving patients.CONCLUSIONS: PACU nurses want patients to participate in their own treatment and care in the PACU; however, nurses perceive patient participation differently. Nurses experience challenges including patients' impaired autonomy, absence of a holistic approach, and lack of time and resources. Nurses highlight that these barriers should not become an excuse for noninvolvement.
KW - focus groups
KW - PACU nurses' perceptions
KW - patient participation
KW - postanesthesia recovery
KW - qualitative study
UR - http://www.scopus.com/inward/record.url?scp=85113591494&partnerID=8YFLogxK
U2 - 10.1016/j.jopan.2021.02.005
DO - 10.1016/j.jopan.2021.02.005
M3 - Journal article
C2 - 34452815
SN - 1089-9472
VL - 36
SP - 656
EP - 663
JO - Journal of Perianesthesia Nursing
JF - Journal of Perianesthesia Nursing
IS - 6
ER -