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Nurses' Perceptions of Patient Participation in the Postanesthesia Care Unit-A Qualitative Focus Group Study
Pernille Reck Miller1, Rikke Guldager1, Suzanne F Herling2
1Department of Neurosurgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Purpose:
To explore postanesthesia care unit (PACU) nurses' experiences and perception of patient participation during PACU care.
Design:
Qualitative focus group study based on a phenomenological hermeneutic approach.
Methods:
We conducted three focus group interviews with 18 nurses from three different PACUs. Themes were created based on interpretive theory inspired by Ricoeur.
Findings:
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.
Conclusions:
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.
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