How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status
2016 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 31, no 5, p. 406-414Article in journal (Refereed) Published
Abstract [en]
Purpose
To determine the factors that affect how nurse anesthetists in a county in Sweden decide how to manage perioperative fluid status.
Design
A cross-sectional qualitative study was conducted at two surgical wards in a county hospital.
Methods
Sixteen nurse anesthetists were interviewed to explore how nurse anesthetists assess patients' intraoperative fluid requirements and the subsequent measures adopted.
Finding
Three categories emerged through content analysis: clinical criteria and the thought process that drives decision making, interdependence in decision making, and uncertainty in decision making.
Conclusions
This study revealed differences with regard to fluid management among nurse anesthetists in a county in Sweden. For the assessments and subsequent measures that are carried out to ensure optimal fluid therapy, more research is needed to provide evidence, and evidence-based guidelines need to be developed in Sweden. © 2016 American Society of PeriAnesthesia Nurses.
Place, publisher, year, edition, pages
Maryland Heights, MO: Saunders Elsevier, 2016. Vol. 31, no 5, p. 406-414
Keywords [en]
nursing assessment, fluid therapy, intraoperative, qualitative content analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-32198DOI: 10.1016/j.jopan.2015.04.005ISI: 000385340100008Scopus ID: 2-s2.0-84962244500OAI: oai:DiVA.org:hh-32198DiVA, id: diva2:1034636
2016-10-122016-10-122018-03-23Bibliographically approved