Introduction: Intraoperative care includes a unique knowledge of how to\nperform a safe and effective surgery procedure. Surgery performed under regional\nor local anaesthesia allows the patient to remain conscious during the\nprocedure and is rather common in Swedish healthcare today. Aim: The aim\nwas to obtain a deeper understanding of the main concerns of operating theatre\nnurses (OTN) when caring for conscious patients during the intraoperative\nphase. Methods: Interviews were conducted with 23 OTNs from five different\nhospitals in Sweden and analysed according to grounded theory. Findings:\nThe main concern among the OTNs was to take the patient in consideration.\nThe core category ââ?¬Å?achieve and maintain ethical treatment of patientsââ?¬Â\nin the operating theatre (OT) was a strategy used throughout the intraoperative\nprocess. Ethical treatment was described as moral behaviour at\ndifferent levels and included the teamââ?¬â?¢s behaviour, respectful and individualised\npatientcare, and the working-morale of the professionals. Being vigilant\nand being flexible were the categories related to the core category. The OTNs\nconstantly assessed where to pay most attention as they balanced between the\nneeds of the patient, the team, and the surgery procedure. Conclusion: It is\nimportant that every patient is taken into consideration and that ethical principles\nare held to the highest standards in the OT. A familiar team can facilitate\nthat. The complex skills that operating theatre nurses develop can be\nadded to explain important competencies within the profession.
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