Anaesthesia care of older patients as experienced by nurse anaesthetists

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Annika Larsson-Mauleon, Liisa Palo-Bengtsson, Sirkka-Liisa Ekman
Title: Anaesthesia care of older patients as experienced by nurse anaesthetists
Journal: Nursing Ethics
Year: 2005
Volume: 12
Issue: 3
Pagination: 263-272
ISSN: 0969-7330
Publisher: Nursing Ethics, Edward Arnold (Publishers) Ltd
ISI number: 000228727200006
Organization: Blekinge Institute of Technology
Department: School of Health Science (Sektionen för hälsa)
School of Health Science S-371 79 Karlskrona
+46 455 38 50 00
http://www.bth.se/hal/
Authors e-mail: alr@bth.se
Language: English
Abstract: Anaesthesia care of older patients as experienced by nurse anaesthetists

This article is analysing problem situations in the context of anaesthesia care.It considers what it means for nurse anaesthetists to be in problematic situations in the anaesthesia care of older patients. Benner’s interpretive phenomenological approach proved a useful for this purpose. Paradigmcases are used to aid the analysis of individualnurses' experinces.
Thirty narrated problematic anaesthesia care situations derived from seven interviews were studied. These show that experienced nurse anaesthetists perceive anaesthesia care as problematic and highly demanding when involving older patiens. To be in problematic anaesthesia care situation means becoming morally distressed, which arises from the experience or being prevented from acting upon one’s legal and moral duty of care. An important issue that emerged from this study was the need for an ethical forum to discuss and articulate moral issues, so that moral stress of the kind experienced by these nurse anaesthetists can be dealt with and hopefully reduced.
Subject: Nursing & Caring Sciences\General
Keywords: anaesthesia care; ethics; moral distress; older patients; Paradig case; problematic care; responsibility;
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