'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.
|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
|Journal or Publication Title:||International Journal of Nursing Studies|
|Funders:||University of Salford|
|Depositing User:||A Mottram|
|Date Deposited:||22 Jul 2010 12:42|
|Last Modified:||27 Sep 2011 11:40|
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