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Worry as Important "Feelers" in Clinical Anesthesia Practice: A Mixed-Methods Study.
Noa Robben1, Angelique T M Dierick-van Daele2, Arthur R A Bouwman3
1Department of Anesthesiology, Catharina Hospital, Eindhoven, North-Brabant, The Netherlands.
Summary
Nurse anesthetists frequently experience and utilize worry during anesthesia practice. This intuition aids critical thinking and decision-making, complementing technological systems for enhanced patient care.
Area of Science:
- Anesthesiology
- Nursing Practice
- Clinical Decision-Making
Background:
- Worry is an intuitive sense valuable in rapidly changing patient conditions.
- Nurse anesthetists' subjective reasons for worry are inconsistently valued and expressed.
- The concept of worry in anesthesia practice requires clarification.
Purpose of the Study:
- To identify factors contributing to worry during anesthesia practice.
- To clarify the concept of worry in the context of anesthesia.
Main Methods:
- Mixed-methods design: quantitative online surveys followed by qualitative focus group interviews.
- Inclusion of Dutch nurse anesthetists in the study.
- Quantitative and qualitative thematic analyses with data and methodological triangulation.
Main Results:
- 89% of survey respondents (N=102) reported experiencing worry.
- 92% of respondents use worry during clinical anesthesia practice.
- Worry enables precautionary actions and adaptation of anesthetic care plans.
Conclusions:
- Worry, though lacking a clear definition, is vital in anesthesia practice.
- Worry acts as a catalyst for critical thinking, problem-solving, and decision-making.
- Integrating worry/intuition with technology and evidence-based practice is crucial for informed judgments.
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