Delaktighet inom anestesiologisk omvårdnad : En begreppsanalys

Sammanfattning: ABSTRACT Background: Participation is a concept that exists at different levels, in community organizations as well as health care. Being able to participate in one's care is a right by law in Sweden and a central part of person-centred care. Although participation is a well-established concept, there is no clear definition of the concept. Specialist nurses in anesthesia care have a responsibility in providing care that is person-centred and in creating a good relationship in the short meeting between the patient and specialist nurse where the patient is supported to participate. Purpose: To explore and propose definitions of the concept of participation in anesthesiology nursing. Method: A concept analysis was made based on Walker and Avant´s method.  Results: Information and communication contribute to participation, which is described as active participation where the patient participates by communicating and sharing their needs, obtains and receives information and takes part in joint decisions-making. Patients, relatives and staff all feel their own responsibility for participation, and participation arises through cooperation and good care relationships. Time, knowledge, the patient's will and condition in the form of level of consciousness, symptom or drug effects, structural factors in the organization and trust in the staff affect the conditions for participation.  Conclusion: In all care, the patient has the right to participate. The concept of participation in anesthesiological care can be compared to participation in other care settings, however, there are other types of restrictions in anesthesia care in enabling patient participation. The definition of participation includes good two-way communication, active participation and collaboration between patient and healthcare staff.