Document Type : Original Article
Authors
1 Department of Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
2 Nursing and Midwifery Care Research Center and Medical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Medical Education, Mashhad University of Medical Sciences, Mashhad, Iran
5 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: A review of the available literature shows that preoperative care primarily focuses on the physical preparation of patients, with limited attention given to their psychological and spiritual concerns. The predominant focus has been on stress caused by the fear of surgery, while patients’ perceptions of the surgical process and their presence in the operating room remain unexplored. Accordingly, this study aimed to investigate the lived experiences of patients in the operating room.
Methods: This qualitative study was conducted using a descriptive-interpretive phenomenological approach from 2019 to 2020 in Iran. Data were collected via in-depth interviews with 20 participants, who were selected through purposive sampling, supplemented by observational notes taken during and after the interviews. Data were analyzed using Van Manen’s approach.
Results: Data analysis revealed that patients’ lived experiences of being in the operating room could be categorized into two main themes and six subthemes. The main themes included emotional immersion and the duality of support. Emotional immersion was further divided into several subthemes including stress and fear, internal suffering, and psychological distress. The duality of support was subcategorized into perceived support, self-help, and unfulfilled support needs.
Conclusion: The experience of being in the operating room is predominantly psychological. Patients place significant value on communication with the operating room staff and have critical informational and emotional support needs that they expect the surgical team to address in accordance with their individual needs and expectations.
Keywords
- Jung JJ, Elfassy J, Jüni P, Grantcharov T. Adverse events in the operating room: definitions, prevalence, and characteristics. a systematic review. World J Surg. 2019;43(10):2379-92. doi: 10.1007/s00268-019-05048-1.
- Taebi M, Abedi HA, Abbaszadeh A, Kazemi M. Self-management resources following coronary artery bypass graft. J Qual Res Health Sci. 2020;4(1):50-61. [Persian].
- Colussi G, Frutos E, Rapisarda R, Sommer J, Descalzo J, Plazzotta F, et al. Information needs at the OR waiting room. Stud Health Technol Inform. 2021;281:921-5. doi: 10.3233/ shti210313.
- Devalapalli AP, Kashiwagi DT. Perioperative care of geriatric patients. Hosp Pract (1995). 2020;48(Suppl 1):26-36. doi: 10.1080/21548331.2020.1719713.
- Ismayanti I, Fitriani A, Jayantika GP, Nurwahidah S, Firdaus FA, Setiawan H. Murottal Qur’an to lower anxiety rate on pre-operative patients. Int J Nurs Health Serv. 2021;4(4):447-57. doi: 10.35654/ijnhs.v4i4.468.
- Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of Nursing-E-Book. Elsevier Health Sciences; 2021.
- Farnia F, Abbaszadeh A, Borhani F. Barriers to developing the nurse-patient relationship in operation room: a qualitative content analysis. J Qual Res Health Sci. 2020;2(1):76-89. [Persian].
- Sabeghi H, Afshar L, Yazdani S. Phenomenology of practice: a valuable way to gain pathic knowledge in medical education. J Qual Res Health Sci. 2022;11(1):58-60. doi: 10.22062/ jqr.2021.195149.1009.
- Neubauer BE, Witkop CT, Varpio L. How phenomenology can help us learn from the experiences of others. Perspect Med Educ. 2019;8(2):90-7. doi: 10.1007/s40037-019-0509-2.
- Mahmoodashiri R, Khodabakhshi-Koolaee A. Explaining the concept of death from the perspective of children aged 4 to 8: a descriptive phenomenological study. J Qual Res Health Sci. 2020;9(1):10-7. doi: 10.22062/jqr.2020.90998.
- Nigar N. Hermeneutic phenomenological narrative enquiry: a qualitative study design. Theory Pract Lang Stud. 2020;10(1):10-8. doi: 10.17507/tpls.1001.02.
- Shafipour V, Mohammadi E, Ahmadi F. The perception of cardiac surgery patients on comfortable resources: a qualitative study. J Qual Res Health Sci. 2020;1(2):123-34. [Persian].
- Nasiri E, Birami M, Mahdavinoor SM, Rafiei MH. Health care team understanding of patients’ desire for information on surgery and anesthesia: a cross-sectional study. Perioper Care Oper Room Manag. 2020;21:100134. doi: 10.1016/j. pcorm.2020.100134.
- Nasiry Zarrin Ghabaee D, Bagheri-Nesami M, Abbaspour H. Application of neuman systems model in nurse anesthetists to reduce patients’ anxiety level: a randomized clinical trial. Journal of Mazandaran University of Medical Sciences. 2015;25(126):122-31.
- Barkhori A, Pakmanesh H, Sadeghifar A, Hojati A, Hashemian M. Preoperative anxiety among Iranian adult patients undergoing elective surgeries in educational hospitals. J Educ Health Promot. 2021;10:265. doi: 10.4103/jehp. jehp_815_20.
- Van Manen M. Writing in the Dark: Phenomenological Studies in Interpretive Inquiry. Routledge; 2016.
- Spencer R, Pryce JM, Walsh J. Philosophical approaches to qualitative research. In: Leavy P, ed. The Oxford Handbook of Qualitative Research. Oxford University Press; 2014. p. 81-98.
- Ormston R, Spencer L, Barnard M, Snape D. The foundations of qualitative research. In: Qualitative Research Practice: A Guide for Social Science Students and Researchers. Sage; 2014.
- Gomes ET, da Costa Galvão PC, dos Santos KV, da Silva Bezerra SM. Risk factors for anxiety and depression in the preoperative period of cardiac surgery. Enferm Glob. 2019;18(2):456-69. doi: 10.6018/eglobal.18.2.322041.
- Rodrigues HF, Furuya RK, Dantas RA, Rodrigues AJ, Dessotte CA. Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries. Rev Lat Am Enfermagem. 2018;26:e3107. doi: 10.1590/1518-8345.2784.3107.
- Kazitani BS, Martins LM, da Silva VM, Fernandes PA, de Oliveira Maier SR, Dessotte CA. Cardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study. Rev Bras Enferm. 2022;76(1):e20220250. doi: 10.1590/0034-7167-2022-0250.
- Sadeghi T, Dehghan Nayeri N, Abbaszadeh A. Experience of families for waiting during their patients’ surgery: a qualitative research. J Qual Res Health Sci. 2020;3(1):27-36. [Persian].
- Farnia F, Abbaszadeh A, Borhani F. A new vision to nurse-patient relationship in operation room: nurses and clients’ experiences. Nurs Midwifery J. 2015;13(5):348-57. [Persian].
- Ghanizadeh L, Hosseini SR, Moradzadeh M, Zaker MR, Pezeshgi P. Preoperative anxiety and related factors in patients undergoing elective surgery. Zanko J Med Sci. 2020;21(70):1- 12. [Persian].
- Shafipour V, Mohammadi E, Ahmadi F. Experience of open-heart surgery patients from admission to discharge: a qualitive study. Iran J Crit Care Nurs. 2013;6(1):1-10.
- Gobbo M, Saldaña R, Rodríguez M, Jiménez J, García- Vega MI, de Pedro JM, et al. Patients’ experience and needs during perioperative care: a focus group study. Patient Prefer Adherence. 2020;14:891-902. doi: 10.2147/ppa.S252670.
- Aziato L, Adejumo O. An insight into the preoperative experiences of Ghanaian general surgical patients. Clin Nurs Res. 2014;23(2):171-87. doi: 10.1177/1054773813475447.
- Adugbire BA, Aziato L, Dedey F. Patients’ experiences of pre and intra operative nursing care in Ghana: A qualitative study. Int J Afr Nurs Sci. 2017;6:45-51. doi: 10.1016/j. ijans.2017.04.001.
- Carr T, Teucher UC, Casson AG. Time while waiting: patients’ experiences of scheduled surgery. Qual Health Res. 2014;24(12):1673-85. doi: 10.1177/1049732314549022.
- Goldsmith LJ, Suryaprakash N, Randall E, Shum J, MacDonald V, Sawatzky R, et al. The importance of informational, clinical and personal support in patient experience with total knee replacement: a qualitative investigation. BMC Musculoskelet Disord. 2017;18(1):127. doi: 10.1186/s12891-017-1474-8.
- Kumar A, Dubey PK, Ranjan A. Assessment of anxiety in surgical patients: an observational study. Anesth Essays Res. 2019;13(3):503-8. doi: 10.4103/aer.AER_59_19.