How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status

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• 作者：Honey Calebrant ; MNSC ; RN ; RNANAuthor Vitae ; Marie Sandh ; MNSC ; RN ; RNAN ; RNTAuthor Vitae ; Inger Jansson ; PhD ; RN ; RNT ; ^{inger.jansson@gu.se" class="auth_mail" title="E-mail the corresponding author}Author Vitae
• 关键词：nursing assessment ; fluid therapy ; intraoperative ; qualitative content analysis
• 刊名：Journal of PeriAnesthesia Nursing
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：31
• 期：5
• 页码：406-414
• 全文大小：163 K

文摘

To determine the factors that affect how nurse anesthetists in a county in Sweden decide how to manage perioperative fluid status.

Design

A cross-sectional qualitative study was conducted at two surgical wards in a county hospital.

Methods

Sixteen nurse anesthetists were interviewed to explore how nurse anesthetists assess patients' intraoperative fluid requirements and the subsequent measures adopted.

Finding

Three categories emerged through content analysis: clinical criteria and the thought process that drives decision making, interdependence in decision making, and uncertainty in decision making.

Conclusions

This study revealed differences with regard to fluid management among nurse anesthetists in a county in Sweden. For the assessments and subsequent measures that are carried out to ensure optimal fluid therapy, more research is needed to provide evidence, and evidence-based guidelines need to be developed in Sweden.