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'Like a trip to McDonalds': A grounded theory study of patient experiences of day surgery

Mottram, A 2011, ''Like a trip to McDonalds': A grounded theory study of patient experiences of day surgery' , International Journal of Nursing Studies, 48 (2) , pp. 165-174.

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Background: The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological frame of reference. Objective: The study investigated patients’ experiences of day surgery using a sociological frame of reference. Design: A qualitative study using the Grounded Theory approach was used. Setting: The study was based in two day surgery units in two urban public hospitals in the United Kingdom. Participants: 145 patients aged 18-70 years and 100 carers were purposely selected from the orthopaedic, ear nose and throat and general surgical lists. They were all English speaking and were of varied socio-economic background. Methods: The data was collected from 2004-2006. Semi-structured interviews were conducted on 3 occasions: before surgery, 48 hours following surgery and one month following discharge. Permission was received from the Local Research Ethics Committee. Analysis of the data involved line-by line analysis, compilation of key words and phrases (codes) and constant comparison of the codes until categories emerged. Findings: Patients liked day surgery and placed it within the wider societal context of efficiency and speed. Time was a major issue for them. They wished surgery, like all other aspects of their life to be a speedy process. They likened it to a McDonald’s experience with its emphasis on speed, predictability and control. Conclusion: This study throws new light on patient experiences and offers an understanding of day surgery against a western culture which emphasises the importance of speed and efficiency. It is a popular choice for patients but at times it can be seen to be a mechanistic way of providing care. The implications for nurses to provide education and information to add to the quality of the patient experience are discussed.

Item Type: Article
Uncontrolled Keywords: Day Surgery, ambulatory surgery, McDonaldization, grounded theory, peri-operative nursing
Themes: Subjects / Themes > R Medicine > RT Nursing
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
Journal or Publication Title: International Journal of Nursing Studies
Publisher: Elsevier
Refereed: Yes
ISSN: 0020-7489
Funders: University of Salford
Depositing User: A Mottram
Date Deposited: 22 Jul 2010 11:42
Last Modified: 24 Jul 2014 12:31
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