The expression of caring within the perioperative dialogue: A hermeneutic study

This article, which is based on a study conducted in a perioperative context in Sweden, focuses on nurse anaesthetists’ and theatre nurses’ descriptions of caring and how caring becomes visible to patients in the perioperative dialogue. The perioperative dialogue is the pre-, intra- and postoperativ...

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Bibliographic Details
Published in:International journal of nursing studies 2007-08, Vol.44 (6), p.905-915
Main Authors: Rudolfsson, Gudrun, von Post, Iréne, Eriksson, Katie
Format: Article
Language:English
Subjects:
Adult
Aged
Anesthesia
care
Caring
Empathy
ethics
Female
Health care
Health professional-Patient communication
Hermeneutics
Holistic Nursing
Humans
Male
Middle Aged
Nurse Anesthetists - ethics
Nurse-Patient Relations - ethics
Nurses
Nursing
Nursing science
Omvårdnad
Operating Room Nursing - ethics
Perioperative care
Perioperative Care - ethics
Perioperative Care - nursing
Perioperative dialogue
Personal Autonomy
Promise
Promises
science
Surgery
Sweden
Trust
Vow
Vårdvetenskap
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Summary:This article, which is based on a study conducted in a perioperative context in Sweden, focuses on nurse anaesthetists’ and theatre nurses’ descriptions of caring and how caring becomes visible to patients in the perioperative dialogue. The perioperative dialogue is the pre-, intra- and postoperative meeting between the nurse and patient in connection with the latter's surgery. Semi-structured interviews were conducted with 18 patients and 20 nurses, in which they described their experiences of perioperative dialogues. The interpretation process was based on Gadamer's philosophy of hermeneutics. The findings indicate that, as a caring act, the vow involves: promising to allow the patient to be him/herself, promising to safeguard the welfare of the patient and promising to guide the patient through the operation as well as taking responsibility for that which I have promised. From the patient's perspective, the nurse was someone who: cares about me, takes me seriously, creates a calm atmosphere and to whom I can hand over responsibility. Four empirical assumptions were formulated in relation to the nurse's vow and how the nurse's caring became visible to the patients.
ISSN:0020-7489
1873-491X
1873-491X
DOI:10.1016/j.ijnurstu.2007.02.007