"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana
Background: Emergency Cesarean section is the most common major surgical procedure in Africa and anesthesia is required for Cesarean sections. Aim: The aim of the study was to describe the actions of the perioperative team, with the main objective on the nurse anesthetist during a Cesarean section i...
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ndltd-UPSALLA1-oai-DiVA.org-rkh-1132017-07-08T05:52:09Z"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in GhanaengLarsson, DellaEvensen, RenateRöda Korsets HögskolaRöda Korsets Högskola2011cesarean sectionGhananurse anesthetistdeveloping countryanesthesiakejsarsnittGhanaanestesi sjuksköterskautvecklingslandanestesiNursingOmvårdnadBackground: Emergency Cesarean section is the most common major surgical procedure in Africa and anesthesia is required for Cesarean sections. Aim: The aim of the study was to describe the actions of the perioperative team, with the main objective on the nurse anesthetist during a Cesarean section in Ghana. Methods: An ethnographic design with unstructed participant observations was carried out for this qualitative study. This overt descriptive study was carried out during 2 weeks in January 2011 at the Oda Government Hospital in Akim-Oda in Ghana. The content was analyzed through thematic content analysis based on field notes. Results: During 7 observations the writers found that the nurse anesthetists at the work alone without an anesthesiologist. The content analysis identified 5 different categories of the nurse anesthetists practice and the surgical team during a Cesarean section: Work environment, Care and treatment of the patient, Resources, Hygiene, Safety and security. Conclusion: The different treatment of the patient in Ghana and in Sweden was substantial. However; the writers found the working environment for the nurse anesthetist to be functioning, with limited means and resources. Bakgrund: Akut Kejsarsnitt är det vanligaste större kirurgiska ingrepp i Afrika och anestesi krävs för Kejsarsnitt. Syfte: Syftet med studien var att beskriva åtgärderna av ett perioperativ team, med huvudfokus på anestesisjuksköterskan, under ett Kejsarsnitt i Ghana. Metod: En etnografisk design med ostrukturerade deltagande observationer utfördes för denna kvalitativa studie. Studien genomfördes under 2 veckor i januari 2011 på Oda regions sjukhus i Akim-Oda i Ghana. Innehållet analyserades genom tematiska innehållsanalyser av field notes. Resultat: Vid 7 observationer fann författarna att anestesisjuksköterskan arbetade ensam utan en anestesiolog. Innehållsanalysen uppvisade 5 olika kategorier av anestesisjuksköterskans praxis och det kirurgiska teamet under ett Kejsarsnitt. Arbetsmiljö, vård och behandling av patienten, resurser, hygien, säkerhet och trygghet. Slutsats: Behandlingen av patienten jämfört med vården som ges till patienter i Sverige var märkbart annorlunda . Trots detta fann författarna att arbetsmiljön för anestesisjuksköterskan fungerade, med begränsade medel och resurser. Student thesisinfo:eu-repo/semantics/bachelorThesistexthttp://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-113application/pdfinfo:eu-repo/semantics/openAccess |
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cesarean section Ghana nurse anesthetist developing country anesthesia kejsarsnitt Ghana anestesi sjuksköterska utvecklingsland anestesi Nursing Omvårdnad |
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cesarean section Ghana nurse anesthetist developing country anesthesia kejsarsnitt Ghana anestesi sjuksköterska utvecklingsland anestesi Nursing Omvårdnad Larsson, Della Evensen, Renate "Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
description |
Background: Emergency Cesarean section is the most common major surgical procedure in Africa and anesthesia is required for Cesarean sections. Aim: The aim of the study was to describe the actions of the perioperative team, with the main objective on the nurse anesthetist during a Cesarean section in Ghana. Methods: An ethnographic design with unstructed participant observations was carried out for this qualitative study. This overt descriptive study was carried out during 2 weeks in January 2011 at the Oda Government Hospital in Akim-Oda in Ghana. The content was analyzed through thematic content analysis based on field notes. Results: During 7 observations the writers found that the nurse anesthetists at the work alone without an anesthesiologist. The content analysis identified 5 different categories of the nurse anesthetists practice and the surgical team during a Cesarean section: Work environment, Care and treatment of the patient, Resources, Hygiene, Safety and security. Conclusion: The different treatment of the patient in Ghana and in Sweden was substantial. However; the writers found the working environment for the nurse anesthetist to be functioning, with limited means and resources. === Bakgrund: Akut Kejsarsnitt är det vanligaste större kirurgiska ingrepp i Afrika och anestesi krävs för Kejsarsnitt. Syfte: Syftet med studien var att beskriva åtgärderna av ett perioperativ team, med huvudfokus på anestesisjuksköterskan, under ett Kejsarsnitt i Ghana. Metod: En etnografisk design med ostrukturerade deltagande observationer utfördes för denna kvalitativa studie. Studien genomfördes under 2 veckor i januari 2011 på Oda regions sjukhus i Akim-Oda i Ghana. Innehållet analyserades genom tematiska innehållsanalyser av field notes. Resultat: Vid 7 observationer fann författarna att anestesisjuksköterskan arbetade ensam utan en anestesiolog. Innehållsanalysen uppvisade 5 olika kategorier av anestesisjuksköterskans praxis och det kirurgiska teamet under ett Kejsarsnitt. Arbetsmiljö, vård och behandling av patienten, resurser, hygien, säkerhet och trygghet. Slutsats: Behandlingen av patienten jämfört med vården som ges till patienter i Sverige var märkbart annorlunda . Trots detta fann författarna att arbetsmiljön för anestesisjuksköterskan fungerade, med begränsade medel och resurser. |
author |
Larsson, Della Evensen, Renate |
author_facet |
Larsson, Della Evensen, Renate |
author_sort |
Larsson, Della |
title |
"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
title_short |
"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
title_full |
"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
title_fullStr |
"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
title_full_unstemmed |
"Thanks, but I´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in Ghana |
title_sort |
"thanks, but i´m not too hot." : an observational study of the nurse anesthetists practice, during cesarean sections in ghana |
publisher |
Röda Korsets Högskola |
publishDate |
2011 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-113 |
work_keys_str_mv |
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1718494492721414144 |