A sense of being rejected : Patients’ lived experiences of cancelled knee or hip replacement surgery
| Autor: | Jon Karlsson, Eva Lidén, Elisabeth Hansson-Olofsson, Lars-Eric Olsson, Ulla Caesar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi medicine.medical_specialty Waiting Lists Arthroplasty Replacement Hip medicine.medical_treatment media_common.quotation_subject Knee replacement cancelled surgery Affect (psychology) qualitative interviews 03 medical and health sciences Dignity 0302 clinical medicine phenomenological hermeneutic Hip replacement Health care medicine Humans 030212 general & internal medicine Arthroplasty Replacement Knee Social rejection health care economics and organizations media_common Sweden lived experiences 030504 nursing business.industry Palliative Care Perspective (graphical) Public Health Environmental and Occupational Health Health Care Service and Management Health Policy and Services and Health Economy Surgery Feeling arthroplasty suffering to care orthopaedic surgery 0305 other medical science business Psychology social rejection human activities |
| Popis: | Background Growing care queues, reduced access to care and cancelled surgery are realities for some patients being treated with total hip or knee replacement surgery in Sweden. Most of the patients on the waiting lists have experienced pain and limited motion for a varying period of time, with a negative effect on their everyday lives. Overbooked surgical schedules are already contributing to the lengthy waiting times, but, with the addition of cancellations, longer waiting times will increase still further and may affect patients' well-being. Methods In the present study, we aimed to illuminate the experience of having planned surgery cancelled, based on narratives from 10 participants. The interview transcriptions were analysed using a phenomenological hermeneutic approach. Results The comprehensive analyses revealed that the participants described the agony of being deselected and the additional impression of being excluded. Metaphors of being damaged and feeling physical pain were used and the interpretations referred to the cancellations as unpleasant. Additionally, the important relationship and the trust between the health workers and the patient were negatively affected by the cancellation. Conclusion After the cancellation, the participants expressed being vulnerable and from their perspective the cancelled surgery affected them deeply; in fact, much more than the healthcare workers appeared to understand. Therefore, information around the cancellation must be given respectfully and with dignity, in a dialogue between the patient and the healthcare workers. Taken together, to enable an opportunity to be involved in the continued care. The cancellations should be seen as an interruption, in which the patients' chance of living a pain-free, active life is postponed. |
| Databáze: | OpenAIRE |
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