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Shoulder Operation Counselling in Day-Surgery Patients in Finland: Patients’ Perspective

Published online by Cambridge University Press:  03 April 2013

Terhi Haapala ,
Mira Palonen  and
Päivi Åstedt-Kurki
Terhi Haapala*
Affiliation:
School of Health Sciences, University of Tampere, Tampere, Finland
Mira Palonen
Affiliation:
School of Health Sciences, University of Tampere, Tampere, Finland
Päivi Åstedt-Kurki
Affiliation:
School of Health Sciences, Pirkanmaa Hospital District, Science Center, University of Tampere, Tampere, Finland
*
Correspondence to: T. Haapala, MNSc-student, RN, School of Health Sciences, University of Tampere, 33014 Tampere, Hietalankatu 8, 60320 Seinäjoki, Finland. Tel: +358 44 342 3207; Fax: +358 20 124 5555; E-mail: terhi.maria.haapala@uta.fi
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Abstract

The purpose of the study was to describe the day-surgery patients’ shoulder operation counselling from the patients’ perspective. The aim was to produce information for patient counselling on the day-surgery unit. For the study, nine patients who had shoulder operations as day-surgery patients were interviewed during spring 2012 using thematic interviews approximately one week after the operation. As a method of a qualitative study, inductive content analysis was used.

The results indicate that, as a result of counselling, patients experience feelings of safety and trust as long as they receive enough information and are included in decision making. Professional staff and a positive care environment promote the feeling of safety and trust. The results also demonstrate that lack of counselling and factors that affect the patients’ internalisation of the counselling leads to feelings of insecurity. The study showed that patients possess their own individual coping mechanisms, which support counselling.

With regard to counselling in relation to shoulder surgery the results produce new knowledge, as there is no previous research regarding patients’ experiences of counselling for shoulder surgery in the day-surgery setting in Finland. The results indicate that the patient's personal counselling experiences are wide ranging, and the findings call for a new approach when developing nursing care in the future.

Recommendations from this study produce information that can be incorporated into post-graduate nurses’ induction, training, and the results can also enhance written patient instructions.

Keywords

Day surgeryPatient counsellingShoulder surgery
Type
Original Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 14 , Issue 1-2 , May 2013 , pp. 18 - 25
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2013

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References

Barthelsson, C, Lutzen, K, Anderberg, B, Nordström, G. Patients experiences of laparoscopic cholecystectomy in day surgery. Journal of Clinical Nursing 2003; 12: 253–259.Google Scholar
Burns, N, Grove, S. The Practice of Nursing Research. Philadelphia: W.B. Saunders Company, 2009.Google Scholar
Coll, AM, Ameen, J, Moseley, L. Reported pain after day surgery: a critical review. Journal of Advanced Nursing 2004; 46(1): 56–65.Google Scholar
Costa, MJ. The lived peri-operative experience of ambulatory surgery patients. AORN Journal 2001; 76: 874–881.Google Scholar
Gilmartin, J. Contemporary day surgery: patients’ experience of discharge and recovery. Journal of Clinical Nursing 2007; 16: 1109–1117.Google Scholar
Gilmartin, J, Wright, K. The nurse's role in day surgery: a literature review. International Nursing Review 2007; 54: 183–190.Google Scholar
Gilmartin, J, Wright, K. Day surgery: patients felt abandoned during the preoperative wait. Journal of Clinical Nursing 2008; 17: 2418–2425.Google Scholar
Haapakoski, M, Annila, P. Preoperatiivinen valmistelu päiväkirurgiassa. (Preoperative preparation in day surgery). FINNANEST 2006; 39: 445–447.Google Scholar
Harkness, EF, Macfarlane, GJ, Silman, AJ, McBeth, J. Is musculoskeletal pain more common now than 40 years ago?: two population-based cross-sectional studies. Rheumatology 2005; 44(7): 890–895.Google Scholar
Heikkinen, K, Leino-Kilpi, H, Hiltunen, A, Johansson, K, Rankinen, S. Ambulatory orthopaedic surgery patients’ knowledge expectations and perceptions of received knowledge. Journal of Advanced Nursing 2007; 60: 270–278.Google Scholar
Heino, T. Counselling of a day surgery arthroscopy patient in the patient's and family member's experience. Doctoral Thesis, Acta Universitatis Tamperensis, Tampere, Finland, 2005.Google Scholar
Hirsjärvi, S, Hurme, H. Tutkimushaastattelu. Teemahaastattelun teoria ja käytäntö (Research Interview. Theory and Practice of Thematic Interview). Helsinki: Yliopistopaino, 2008.Google Scholar
Holloway, I, Wheeler, S. Qualitative Research for Nurses. London: Blackwell Science Ltd, 2000.Google Scholar
Järvelä, T. Päiväkirurgiaan soveltuvat olkapäätoimenpiteet: pumpustako ratkaisu leikkauksen jälkeiseen kivunhoitoon (Shoulder operations in day surgery; is the pain pump solution for postoperative pain)? FINNANEST 2004; 37: 460–461.Google Scholar
Kankkunen, P, Vehviläinen-Julkunen, K. Tutkimus hoitotieteessä (Research in Health Sciences). Porvoo, Finland: WSOY, 2009.Google Scholar
Kääriäinen, M. The quality of counselling: the development of a hypothetical model. Doctoral Thesis, Acta Universitatis Ouluensis, Oulu, Finland, 2007.Google Scholar
Kääriäinen, M, Kyngäs, H. Käsiteanalyysi ohjaus-käsitteestä hoitotieteessä (Concept analysis of Counselling in Health science) Hoitotiede 2005; 17(5): 250–258.Google Scholar
Kylmä, J, Juvakka, T. Laadullinen terveystutkimus (Qualitative Research in Health Sciences). Helsinki, Finland: Edita Oy, 2007.Google Scholar
Leino-Kilpi, H.Hoitotyöntekijä ja tutkimusetiikka (Health Care Personnel and Ethics of Research). In: Leino-Kilpi H, Välimäki M (eds). Etiikka hoitotyössä (Ethics in Nursing Practice). Porvoo: WSOY, 2008: 360–374.Google Scholar
Lunnela, J. The effects of web-based patient education and social support on adherence of patients with glaucoma. Doctoral Thesis, Acta Universitatis Ouluensis D Medica 1096. Oulun yliopistopaino, Oulu, Finland, 2011.Google Scholar
Mattila, K. Day Surgery in Finland: randomized and cross-sectional studies on treatment, quality, and outcome. Doctoral Thesis, University of Helsinki, Yliopistopaino, Finland, 2010.Google Scholar
Mitchell, M. General anaesthesia and day-case patient anxiety. Journal of Advanced Nursing 2010; 66(5): 1059–1071.Google Scholar
Mordiffi, S, Tan, S, Wong, M. Information provided to surgical patients versus information needed. AORN Journal 2003; 77: 546–562.Google Scholar
Moore, J, Ziebland, S, Kennedy, S. “People sometimes react funny if they are not told enough”. Women's views about risks of diagnostic laparoscopy 2002; Blackwell Science Ltd 2002. Health expectations 5, 302–309.Google Scholar
Peltokorpi, A, Torkki, P, Tan, Jet al. The role and productivity development of day surgery units in central hospitals. Suomen Lääkärilehti 2010; 49: 4095–4100.Google Scholar
Renholm, M, Suominen, T, Turtiainen, A, Leino-Kilpi, H. Continuity of care in ambulatory surgery critical pathways: the patients’ perceptions. MEDSURG Nursing 2009: 169–173.Google Scholar
Rhodes, L, Miles, G, Pearson, A. Patient subjective experience and satisfaction during the perioperative period in the day surgery setting: a systematic review. International Journal of Nursing Practice 2006; 12: 178–192.CrossRefGoogle ScholarPubMed
Salminen-Tuomaala, M, Kaappola, A, Kurikka, S, Leikkola, P. Potilaiden käsityksiä ohjauksesta ja kirjallisten ohjeiden käytöstä päivystyspoliklinikalla (Patient's perceptions of counselling and written instructions in emergency unit). Tutkiva hoitotyö 2010; 8(4): 22–27.Google Scholar
Susilahti, H, Suominen, T, Leino-Kilpi, H. Recovery of Finnish short-stay surgery patients. MEDSURG Nursing 2004; 13: 326–335.Google Scholar
Swan, BA, Mc Ginley, A, Lang, N. Ambulatory care nursing practice: developing and contributing to the evidence base. Nursing Economics 2002; 20(2): 83–87.Google ScholarPubMed
Tuomi, J, Sarajärvi, A. Laadullinen tutkimus ja sisällönanalyysi. (Qualitative Research and Content Analysis). Helsinki, Finland: Tammi, 2002.Google Scholar
Young, J, O'Connell, B, McGregor, S. Day surgery patients’ convalescence at home: does enhanced discharge education make a difference? Nursing and Health Sciences 2000; 2: 29–39.Google Scholar