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Prepared for surgery - Communication in nurses' preoperative consultations with patients undergoing surgery for colorectal cancer after a person-centred intervention.

Artikel i vetenskaplig tidskrift
Författare Monica Pettersson
Joakim Öhlén
Febe Friberg
Lars-Christer Hydén
Catarina Wallengren Gustafsson
Elisabeth Kenne Sarenmalm
Eva Carlsson
Publicerad i Journal of clinical nursing
Volym 27
Nummer/häfte 13-14
Sidor 2904-2916
ISSN 1365-2702
Publiceringsår 2018
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för kirurgi
Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Sidor 2904-2916
Språk en
Länkar dx.doi.org/10.1111/jocn.14312
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Omvårdnad

Sammanfattning

To describe preoperative communication after a person-centred intervention in nurses' consultations with patients undergoing surgery for colorectal cancer.Patients all over the world scheduled for surgery are referred to preoperative consultations with healthcare professionals. The goal is to assess the risk of perioperative complications, improving quality of care and enabling patients to be prepared for surgery and recovery. A person-centred intervention was developed, which consisted of an interactive written patient education material and person-centred communication.An explorative quantitative and qualitative study based on 18 audio-taped transcriptions.Eighteen patients preoperative nursing consultations at three Swedish hospitals were analysed quantitatively regarding structure: words, time, phases, questions, discursive space, and qualitatively: topics and how the person-centred communication appeared in the consultations.The median time for consultations was 27 min (range 13-64 min). The nurses used two-thirds of the discursive space in the consultations with the patients. The patient education material was used as a support to structure the consultation and discuss sensitive and difficult issues. Seven topics were discussed during the consultation. Two different approaches to communication were identified: Talking with the patient versus Talking to the patient. Talking with the patient (seen as person-centred communication) was defined as: listening to the narrative and confirming each other, raising difficult topics, seeing each other as persons, building on strengths and resources, preparing for surgery and asking open questions.Ways of communicating influence how the preoperative consultation develops. Talking with the patient could be seen as person-centred communication in the preoperative care, and when using this approach, the intervention purpose of person-centred communication was met.Education in person-centred communication is important for nurses to improve their skills in performing preoperative consultations.

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