The need for security and safety in connection with a planned surgery

Jaroslava Bohdalová¹, Marie Trešlová^2
1 Health Rescue Service of the South Bohemian Region, Regional Center Český Krumlov, Český Krumlov, Czech Republic ² University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic

Korespondenční autor: Marie Trešlová (treslova@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:

Submitted:27. 2. 2017
Accepted: 21. 3. 2017
Published online: 31. 12. 2017

Summary

Basics: Planned surgery always affects a patient’s need for security and safety. A key role in the patient’s situation is played by nurses who, using their competencies, are the closest persons to help the patients fulfil their need for security and safety. Goals: Find out how planned surgery impacts the need for patients’ security and safety and the impact of general nurses on meeting these patients’ needs. Methods: A qualitative research method using an in-depth interview was used for the research. After audio recording and its transcription, paper and pencil open content analysis was performed to create categories and subgroups. The research group consists of six patients (three males, three females) aged 25–75 from a standard surgical ward of a South Bohemian hospital who were admitted for a planned surgery a day earlier, and five general nurses working there (aged 32–41, with 10–21 years of experience, two gained qualifications at university, others at secondary school before changing the educational system). Results: Research has shown that planned surgery negatively affects the patients’ need for security and safety, regardless of their previous experience. General nurses have a great influence on the elimination of patients’ fears and negative feelings, when they treat their patients as equal partners, approach them individually, inform them about all nursing procedures and practices, choose a peaceful and helpful way of communication and approach them with empathy. Nevertheless, general nurses have incomplete knowledge in the field of therapeutic communication. Conclusion: To reduce the negative impact that surgical treatment has on a patient’s need for security and safety, it would be appropriate to initiate patient education as soon as it is decided that their illness will be treated in this way.

Keywords: information; education; therapeutic interview; fear; education

Literatura

1. AbuAlRub RF, Abu Alhijaa EH (2014). The impact of educational interventions on enhancing perceptions of patient safety culture among Jordanian senior nurses. Nursing Forum. 49/2: 139–150. Doi: 10.1111/nuf.12067.

2. Bártlová S (2005). Sociologie medicíny a zdravotnictví [Sociology of medicine and health care]. Praha: Grada Publishing (Czech).

3. Bártlová S, Matulay S (2009). Sociologie zdraví, nemoci a rodiny: Sociológia zdravia, choroby a rodiny [Sociology of health, illness and family]. Martin: Osveta (Czech).

4. Batista dos Santos MM, Amando Martins JC, Nunes Oliveira LM (2014). Anxiety, depression and stress in the preoperative surgical patient. Revista de Enfermagem Referência. 4/3: 7–15. Doi: 10.12707/RIII1393.

5. Berth H, Petrowski K, Balck F (2007). The Amsterdam preoperative anxiety and information scale (APAIS) – the first trial of a German version. GMS Psycho-Social Medicine. 20/4: 1–8.

6. Dart MA (2011). Motivational interviewing in nursing practice: empowering the patient. Sudbury, MA: Jones and Bartlett Publishers.

7. Jacobs M (2000). Swift to hear: facilitating skills in listening and responding. London: SPCK Publishing.

8. Janíková E, Zeleníková R (2013). Ošetřovatelská péče v chirurgii: pro bakalářské a magisterské studium [Nursing in surgery: for Bachelor and Master studies]. Praha: Grada Publishing (Czech).

9. Jobánková M (2003). Kapitoly z psychologie pro zdravotnické pracovníky [Chapters from psychology for health workers]. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů (Czech).

10. Kadlecová I (2009). Edukační postupy v chirurgických oborech. Bakalářská práce [Educational procedures in surgical specializations]. České Budějovice: Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta (Czech).

11. Kapounová G (2007). Ošetřovatelství v intenzivní péči [Nursing in intensive care]. Praha: Grada Publishing (Czech).

12. Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D (2000). The visual analog scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesthesia and Analgesia. 90/3: 706–712.

13. Křivohlavý J (2009). Psychologie zdraví [Psychology of health]. Praha: Portál (Czech).

14. McArthur-Rouse FJ, Prosser S (2008). Assessing and managing the acutely ill adult surgical patient. Oxford: Blackwell Publishing.

15. Nicholls A, Wilson I (2006). Perioperative medicine: managing surgical patients with medical problems. Oxford: Oxford University Press.

16. Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S (2013). Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scandinavian Journal of Caring Sciences. 27/4: 994– 998. Doi: 10.1111/scs.12022.

17. Šamánková M et al. (2006). Základy ošetřovatelství [Basics of nursing]. Praha: Karolinum (Czech).

18. Špatenková N, Ivanová K, Jakešová P, Schneiderová A, Sobotková I, Veselský P et al. (2011). Krizová intervence pro praxi [Emergency intervention for practice]. Praha: Grada Publishing (Czech).

19. Špirudová L (2015). Doprovázení v ošetřovatelství [Accompanying in nursing]. Praha: Grada Publishing (Czech).

20. Švaříček R, Šeďová K et al. (2014). Kvalitativní výzkum v pedagogických vědách [Qualitative research in pedagogical sciences]. Praha: Portál (Czech).

21. Tomagová M, Bóriková I et al. (2008). Potreby v ošetrovateľstve [The needs in nursing]. Martin: Osveta (Slovak).

22. Tóthová V et al. (2014). Ošetřovatelský proces a jeho realizace [Nursing process and its realization]. Praha: Triton (Czech).

23. Trachtová E, Trejtnarová G, Mastiliaková D (2013). Potřeby nemocného v ošetřovatelském procesu [Needs of patients in the nursing process]. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů (Czech).

24. Venglářová M, Mahrová G (2006). Komunikace pro zdravotní sestry [Communication for nurses]. Praha: Grada Publishing (Czech).

25. Walker JA (2002). Emotional and psychological preoperative preparation in adults. British Journal of Nursing. 11/8: 567–575.

26. Yilmaz M, Sezer H, Gürler H, Bekar M (2011). Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing. 21/7–8: 956–964. Doi: 10.1111/j.1365–2702.2011.03799.x.

27. Zacharová E, Šimíčková-Čížková J, Littva V (2010). Aplikovaná psychologie ve zdravotnické praxi: vybrané kapitoly [Applied psychology in health practice: selected chapters]. Ostrava: Ostravská univerzita, Lékařská fakulta (Czech).