| "Like a trip to McDonalds": A grounded theory study of patient experiences of day surgery. | |
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MedLine Citation:
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PMID: 20678770 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological frame of reference. OBJECTIVE: The study investigated patients' experiences of day surgery using a sociological frame of reference. DESIGN: A qualitative study using the grounded theory approach was used. SETTING: The study was based in two day surgery units in two urban public hospitals in the United Kingdom. PARTICIPANTS: 145 patients aged 18-70 years and 100 carers were purposely selected from the orthopaedic, ear nose and throat and general surgical lists. They were all English speaking and were of varied socio-economic background. METHODS: The data was collected from 2004 to 2006. Semi-structured interviews were conducted on three occasions: before surgery, 48h following surgery and one month following discharge. Permission was received from the Local Research Ethics Committee. Analysis of the data involved line-by-line analysis, compilation of key words and phrases (codes) and constant comparison of the codes until categories emerged. FINDINGS: Patients liked day surgery and placed it within the wider societal context of efficiency and speed. Time was a major issue for them. They wished surgery, like all other aspects of their life to be a speedy process. They likened it to a McDonald's experience with its emphasis on speed, predictability and control. CONCLUSION: This study throws new light on patient experiences and offers an understanding of day surgery against a western culture which emphasises the importance of speed and efficiency. It is a popular choice for patients but at times it can be seen to be a mechanistic way of providing care. The implications for nurses to provide education and information to add to the quality of the patient experience are discussed. |
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Authors:
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Anne Mottram |
Publication Detail:
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Type: Journal Article Date: 2010-08-03 |
Journal Detail:
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Title: International journal of nursing studies Volume: 48 ISSN: 1873-491X ISO Abbreviation: Int J Nurs Stud Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400675 Medline TA: Int J Nurs Stud Country: England |
Other Details:
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Languages: eng Pagination: 165-74 Citation Subset: IM; N |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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School of Nursing and Health Visiting, Mary Seacole Building, University of Salford, Frederick Road, Salford M6 6PU, United Kingdom. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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