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Topics and structure in preoperative nursing consultations with patients undergoing colorectal cancer surgery
University of Gothenburg, Sweden; University of Gothenburg, Sweden; Sahlgrenska University Hospital Sahlgrenska, Sweden.
University of Gothenburg, Sweden; University of Gothenburg, Sweden; Ersta Skondal University of Coll, Sweden; Ersta Hospital, Sweden.
University of Gothenburg, Sweden; University of Gothenburg, Sweden; University of Stavanger, Norway.
Linköping University, Department of Social and Welfare Studies, Division Ageing and Social Change. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-3033-9879
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2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 674-686Article in journal (Refereed) Published
Abstract [en]

BackgroundThe preoperative education, which occurs in preoperative patient consultations, is an important part of the surgical nurses profession. These consultations may be the building blocks of a partnership that facilitates communication between patient and nurse. AimThe aim of the study was to describe topics and structure and documentation in preoperative nursing consultations with patients undergoing surgery for colorectal cancer. MethodThe study was based on analysis of consultations between seven patients and nurses at a Swedish university hospital. The preplanned preoperative consultations were audio-recorded and transcribed verbatim. The structure of the consultations was described in terms of phases and the text was analysed according to a manifest content analysis ResultsThe consultations were structured on an agenda that was used variously and communicating different topics in an equally varied manner. Seven main topics were found: Health status, Preparation before surgery, Discovery, Tumour, Operation, Symptoms and Recovery after surgery. The topic structure disclosed a high number of subtopics. The main topics Discovery, Tumour and Symptoms were only raised by patients and occupied only 11% of the discursive space. Documentation was sparse and included mainly task-oriented procedures rather than patients worries and concerns. ConclusionThere was no clear structure regarding preoperative consultation purpose and content. Using closed questions instead of open is a hindrance of developing a dialogue and thus patient participation. Preoperative consultation practice needs to be strengthened to include explicit communication of the consultations purpose and agenda, with nurses actively discussing and responding to patients concerns and sensitive issues. The results of the study facilitate the development of methods and structure to support person-centred communication where the patient is given space to get help with the difficult issues he/she may have when undergoing surgery.

Place, publisher, year, edition, pages
WILEY , 2017. Vol. 31, no 4, p. 674-686
Keyword [en]
cancer; care; communication; health education; patient participation; nurse-patient interaction; narrative; qualitative approaches
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-144153DOI: 10.1111/scs.12378ISI: 000416413000004PubMedID: 27859450OAI: oai:DiVA.org:liu-144153DiVA, id: diva2:1172283
Note

Funding Agencies|Gothenburg centre for person-centred care at the University of Gothenburg

Affilieringen för Lars-Christer Hydén är korrigerad från den som står i publikationen.

Available from: 2018-01-09 Created: 2018-01-09 Last updated: 2018-01-09

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