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How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status

Artikel i vetenskaplig tidskrift
Författare H. Calebrant
M. Sandh
Inger Jansson
Publicerad i Journal of Perianesthesia Nursing
Volym 31
Nummer/häfte 5
Sidor 406-414
ISSN 1089-9472
Publiceringsår 2016
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 406-414
Språk en
Länkar dx.doi.org/10.1016/j.jopan.2015.04....
Ämnesord nursing assessment, fluid therapy, intraoperative, qualitative content analysis, randomized clinical-trial, goal-directed therapy, postoperative nausea, surgery, metaanalysis, Nursing
Ämneskategorier Hälsovetenskaper

Sammanfattning

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.

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