Nurses' Perceptions of Patient Participation in the Postanesthesia Care Unit—A Qualitative Focus Group Study

To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care. Qualitative focus group study based on a phenomenological hermeneutic approach. We conducted three focus group interviews with 18 nurses from three different PACUs. Themes we...

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Bibliographic Details
Published in:Journal of perianesthesia nursing 2021-12, Vol.36 (6), p.656-663
Main Authors: Miller, Pernille Reck, Guldager, Rikke, Herling, Suzanne F.
Format: Article
Language:English
Subjects:
Focus Groups
Humans
Nurse-Patient Relations
Nurses
PACU nurses' perceptions
Patient Participation
postanesthesia recovery
Qualitative Research
qualitative study
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Summary:To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care. Qualitative focus group study based on a phenomenological hermeneutic approach. We conducted three focus group interviews with 18 nurses from three different PACUs. Themes were created based on interpretive theory inspired by Ricoeur. 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. 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.
ISSN:1089-9472
1532-8473
DOI:10.1016/j.jopan.2021.02.005