Vårdpersonalens roll i att skapa delaktighet i omvårdnaden av patienter före induktion av generell anestesi på en operationsavdelning

Sammanfattning: Background: Participation is a fundamental concept within healthcare. Specifically vulnerable are patients who are about to undergo surgical procedures. The environment and care within a surgical ward, which is of a highly technogical nature, puts large demands on efforts to create participation for the patient. Aim: The purpose of this research was to investigate how the staff created participation in the care of the patients from when they arrived at the surgery unit until general anesthesia was conducted. Methods: A qualitative observational study was chosen to investigate the aim of the study. A total of twelve observations were performed. Data was collected with field notes and analyzed with qualitative content analysis. Results: The results consisted of four main themes; Participation through information, participation through fellowship, participation through encouragement and unestablished or lacking participation. Information were given to make the care and circumstances meaningful and comprehensible. The staff confirmed the patients’ needs and feelings in order to establish a fellowship. Encouraging the patient to use their own knowledge, experiences and physical resources also helped them to participate in their care. Conclusions: Information and fellowship were the dominating factors behind creating participation for the patient in their stay at the surgery unit. More time for planning and preparation before the patient arrives at the surgery unit will help optimize the patients participation until general anesthesia has been conducted