Volume 29, Issue 5-6 pp. 810-820

ORIGINAL ARTICLE

Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study

May Bazzi MSc, RN,

Corresponding Author

May Bazzi MSc, RN

PhD Candidate

[email protected]

orcid.org/0000-0001-9190-8898

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

Correspondence

May Bazzi, Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Email: [email protected]

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Maud Lundèn PhD,

Maud Lundèn PhD

Senior Lecturer

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Karin Ahlberg PhD, RN,

Karin Ahlberg PhD, RN

Associate Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Ingegerd Bergbom PhD, RN,

Ingegerd Bergbom PhD, RN

Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Mikael Hellström MD,

Mikael Hellström MD

Professor

Department of Radiology, Sahlgrenska University Hospital and Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden

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Solveig M. Lundgren PhD, RN,

Solveig M. Lundgren PhD, RN

Associate Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Isabell Fridh PhD, RN,

Isabell Fridh PhD, RN

Associate Professor

Faculty of Caring Sciences, Work Life & Social Welfare, University of Borås, Borås, Sweden

Department of Anesthesiology and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden

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May Bazzi MSc, RN,

Corresponding Author

May Bazzi MSc, RN

PhD Candidate

[email protected]

orcid.org/0000-0001-9190-8898

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

Correspondence

May Bazzi, Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Email: [email protected]

Search for more papers by this author

Maud Lundèn PhD,

Maud Lundèn PhD

Senior Lecturer

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

Search for more papers by this author

Karin Ahlberg PhD, RN,

Karin Ahlberg PhD, RN

Associate Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Ingegerd Bergbom PhD, RN,

Ingegerd Bergbom PhD, RN

Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Mikael Hellström MD,

Mikael Hellström MD

Professor

Department of Radiology, Sahlgrenska University Hospital and Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden

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Solveig M. Lundgren PhD, RN,

Solveig M. Lundgren PhD, RN

Associate Professor

Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden

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Isabell Fridh PhD, RN,

Isabell Fridh PhD, RN

Associate Professor

Faculty of Caring Sciences, Work Life & Social Welfare, University of Borås, Borås, Sweden

Department of Anesthesiology and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden

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First published: 03 December 2019

https://doi.org/10.1111/jocn.15129

Citations: 2

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Abstract

Aims and objectives

The overall aim of the study was to illuminate the patients’ lived experiences of waiting for and undergoing an endovascular aortic repair (EVAR) in a hybrid operating room (OR).

Background

The hybrid OR is an example of the technological advancements within hospitals. The environmental impact on humans is well recognised but is rarely taken into account when hospitals are designed or rebuilt. The patient's experience of a hybrid OR is not earlier described.

Design

A qualitative design based on hermeneutic phenomenology was implemented.

Methods

Interviews were conducted with 18 patients. A thematic interpretation based on van Manen's approach was then used to analyse the findings. The consolidated criteria for reporting qualitative studies (COREQ) were used (Data S1).

Results

The following three themes emerged from the interviews: (a) being scheduled for surgery induced both anxiety and hopefulness; (b) feeling watched over and surrendering to others in the technology intense environment and (c) feeling relief but unexpected exhaustion after surgery. In the discussion, the results were additionally reflected upon out from the four lifeworld existentials: lived body, lived space, lived time and lived others.

Conclusions

The hybrid OR technology did not frighten the patients, but it was also not an environment that promoted or was conductive to having a dialogue with the staff. The disease and surgery brought feelings of anxiety, which was largely associated with the uncertainty of the situation. We suggest that continuity in contact with staff and patient-centred information could be solutions to further calm the patients.

Relevance to clinical practice

The hybrid OR environment itself did not seem to frighten the patient, but the way the high-tech environment increased the distance between the patient and the multiple staff members needs further investigation.

CONFLICT OF INTEREST

The authors declare that they have no conflict of interest.

Supporting Information

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Citing Literature

Volume29, Issue5-6

March 2020

Pages 810-820

Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study

Abstract

Aims and objectives

Background

Design

Methods

Results

Conclusions

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

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Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study

Abstract

Aims and objectives

Background

Design

Methods

Results

Conclusions

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Related

Information