Att vara vaken under kirurgi – en litteraturstudie om patienters upplevelser av det intraoperativa mötet

Sammanfattning

Background Awake surgery means that the patient remains conscious during all or parts of the surgical procedure, which may constitute a complex and potentially vulnerable situation. In the highly technological care environment, the patient becomes dependent on the healthcare staff’s presence, communication, and approach. Previous research has shown that relational aspects of care influence patients’ experiences during surgery. Aim The aim of this literature review is to describe patients’ experiences of awake surgery using the model A Genuine Caring Encounter in Intraoperative Care – A Caring Model. Method The study was conducted as a qualitative literature review using deductive thematic analysis according to Braun and Clarke. A total of 18 qualitative studies were included. The analysis was conducted using the caring model A Genuine Caring Encounter in Intraoperative Care – A Caring Model as analytical support. Results The results showed that physical and relational presence contributed to feelings of safety and trust, while information and dialogue created meaning, predictability, and enabled participation during awake surgery. Relational interaction and emotional support contributed to patients feeling acknowledged, secure, and better able to manage the situation. The results also showed that these aspects interacted in shaping patients’ experiences of safety, control, and participation. When these aspects were lacking, feelings of uncertainty, loneliness, vulnerability, and objectification increased. Conclusion The results indicate that physical and relational presence, information and dialogue, as well as relational interaction and emotional support are central components of intraoperative nursing care during awake surgery. By integrating these aspects into care, healthcare professionals can strengthen patients’ experiences of safety, participation, and control, while contributing to more person-centred intraoperative nursing care.