How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status

作者：Calebrant Honey; Sandh Marie; Jansson Inger^*

来源：Journal of PeriAnesthesia Nursing, 2016, 31(5): 406-414.

DOI：10.1016/j.jopan.2015.04.005

• nursing assessment
• fluid therapy
• intraoperative
• qualitative content analysis

Purpose: 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.

• 出版日期2016-10