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  • 1.
    Karlsson, Ann-Christin
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Ekeberg, Margaretha
    Larsson Mauleon, Annika
    Almerud Österberg, Sofia
    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 farther 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.

  • 2.
    Karlsson, Ann-Christin
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Ekebergh, Margaretha
    Larsson Mauléon, Annika
    Blekinge Institute of Technology, School of Health Science.
    Almerud Österberg, Sofia
    Patient-Nurse Anesthetist Interaction During Regional Anesthesia and Surgery Based on Video Recordings2013In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 28, no 5, p. 260-270Article 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.

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