'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
Themes: Subjects / Themes > R Medicine > RT Nursing
Health and Wellbeing
Schools: Schools > School of Health and Society
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: 16 Feb 2022 09:33
References: References Adam, B., 1992. Time and health implicated: a conceptual critique. In: Frankenberg, R. (Ed.), Time, Health and Medicine. Sage, London, pp. 153-164. Armstrong, D., 1998. Decline of the hospital: reconstituting institutional dangers. Sociology of Health and Illness 20 (4), 445- 57. Barthelsson, C., Lutzen K., Anderberg, B, Nordstrom, G., 2003. Patient experiences of laparoscopic cholecystectomy in day surgery. Journal of Clinical Nursing 12 (2), pp. 253-259. British Association of Day Surgery, 2009, Directory of Procedures. BADS, London. Bryman, A., 2004. The Disneyization of Society. Sage, London. Castoro,C., Rampado,S., Nassali,G., Kakande,I., Ekwaro, L., 2006. Development of a day surgery programme in an urban hospital in Africa: a model for developing countries. East and Central African Journal of Surgery 11 (1), 69-70. Castoro, C,, Baccoglini, U., Drace,C., McKee, M., 2007. Policy Brief: Day Surgery: Making it Happen. World Health Organisation European Centre for Health Policy, Brussels. Charmaz, K., 1990. Discovering chronic illness: using grounded theory. Social Science and Medicine 30, 1161-1172. Charmaz, K., 2006. Constructing Grounded Theory. Sage, London. Cooke, H., 1993. Why teach sociology? Nurse Education To-day 13, 210-216 Darzi, A., 2007. Saws and Scalpels to Lasers and Robots-Advances in Surgery. Department of Health, London. Drane, J., 2008. McDonaldization of the Church: Consumer Culture and the Churches Future. Smyth and Helwys Publishing, Macon, GA. Eldridge, J.E.T., 1983. C. Wright Mills (Key Sociologists). Tavistock Publications, London. Falk, P., 1994. The Consuming Body. Sage, London. Fox, N. J., 1992. Social Meaning of Surgery. Open University Press, Buckingham. Fox, N.J., 1999. Power, control and resistance in the timing of healthcare. Social Science and Medicine 48 (10), pp.1307-1319. Freeman, K., & Denham, S.A., 2008. Improving patient satisfaction by addressing same day surgery wait times. Journal of PeriAnesthesia Nursing 23 (6), pp. 401-409. Giddens, A., 1991. Modernity and Self-Identity: Self and Society in Late Modern Age. Polity Press, Cambridge. Gilmartin, J., 2007. Contemporary day surgery: patients’ experiences of discharge and recovery. Journal of Clinical Nursing 16, pp. 1109-17. Gilmartin, J., Wright, K., 2009. Day surgery patients felt abandoned during the pre-operative wait. Journal of Clinical Nursing 17 (18), pp. 2418-2425. Glaser, B., Strauss, A., 1967. Discovery of Grounded Theory. Aldine Publishing. Chicago Glaser B., 1978. Theoretical Sensitivity. Sociology Press, Mill Valley. CA. Glaser, B., 1992. Basics of Grounded Theory Analysis: Emergence v Forcing. Sociology Press, Mill Valley, CA. Glaser, B., 1998. Doing Grounded Theory: Issues and Discussions. Sociology Press, Mill Valley, CA. Glaser, B., 2004. Re-modelling grounded theory. Grounded Theory Review 4 (1), pp. 1-24. Gordon, S., 2005. Nursing Against the Odds. ILR Press, Ithaca. Hall, E.T., 1984. The Dance of Life: The Other Dimension of time. Anchor Press, New York. . Hayes, D., 2005. “Diploma? Is that with fries?” The Times Educational Supplement June 10, 2005 p.6. Helman, C., 1992. Heart Disease and the Cultural Construction of Time. In; Frankenberg, R. (Ed.), Time, Health and Medicine. Sage, New York, pp. 31-35. Jarrett, P., Staniszweski, A., 2006. The development of ambulatory surgery and future challenges. In: Lemos P., Jarret P., Philip B. (Eds.), Day Surgery Development and Practice. International Association for Ambulatory Surgery (IAAS), London, pp. 21-34. Kellner, D., 1998. McDonadization and Its Discontents-Ritzer and His Critics. In: Alfino, M., Caputo, J., Wynyard, R. (Eds.), McDonaldization Revisited. Critical Essays on Consumer Culture. Praeger, Westport, London, pp. vii-xiv. Kellner, D., 1999. Theorizing McDonaldization: A Multiperspectivist Approach. In: Smart, B. (Ed.), Resisting McDonaldization. Sage. London, pp. 186-206. Kemmesies, U.E., 2002. Hamburgers and Drug Care. Journal of Drug Issues pp. 691-695. Krakauer, J., 1997. Into Thin Air. Anchor Books, New York. Krishnan, P., Ntima, O., Armanious, S., Davies, C., 2007. Patient Satisfaction with day surgery service in a busy district general hospital. Journal of One Day Surgery 17, (Supplement). Kvale, S., 1996. Interviews: An introduction to Qualitative Research Interviewing. Sage, New York. Layder, D., 1993 New Strategies in Social Research. Cambridge, Polity Press. Lee, M., 2003. One Size fits all in McFashion. The Observer Review. Sunday May 4, pp.5. McWhinnie, D., 2009. President’s Letter. Journal of One Day Surgery 19 (3), p.60. Minatti, W.R., Flavio, B., Pablo, C., Raul, R., Guillermo, P., Miguel, S., 2006. Post discharge unplanned admission in ambulatory surgery: a prospective study. Ambulatory Surgery 12, pp. 107-112. Mitchell, M., 2006. Nursing knowledge and expansion of day surgery in the United Kingdom. Ambulatory Surgery 12 (3), pp.131-138. Moran, J., 2007.Queuing for beginners: The story of daily life from breakfast to bedtime. Profile Books, London. Mottram, A., (2009) Therapeutic relationships in day surgery: a grounded theory study. Journal of Clinical Nursing 18, pp.2830-2837. Naresh Row, T., 2010.Progress of Day Surgery in India. Ambulatory Surgery Vol.16 (1) 15-18 NHS Modernisation Agency, (2004). 10 High Impact Changes for Service Improvement and Delivery. HMSO, London. Norgate, S., 2006. Beyond 9 to 5 –Your Life in Time. Weidenfeld and Nicolson, London. Offer, A., 2006. The Challenge of Affluence: Self-Control and Well- Being in the United States and Britain since the 1950’s. Oxford, Oxford University Press. Polit, D., & Hungler, B., 2004. Nursing Research, Principles and Methods. Lippincourt, Philadelphia. Pollock, L., Trendholm, J., 1997. All in a Days Work. Which Magazine? Magazine of the Consumers Association. Feb 1997, pp. 14-17. Raley, S., 2006. McDonaldization and the Family. In: Ritzer G (Ed.), (2nd Edition), McDonadization the Reader. Pine Forge Press, Thousand Oaks, pp. 119-129. Rhodes, L., Miles. G., Pearson, A., (2006). Patient subjective experience and satisfaction during the peri-operative period in day surgery: A systematic review. International Journal of Nursing Practice 12, pp. 178-92. Ritzer, G., 1996. The McDonaldization of Society. Pine Forge Press, Thousand Oaks. Ritzer, G., 2000. The McDonaldization of Society. (New Century Edition). Pine Forge Press, Thousand Oaks. Ritzer, G., 2004. The McDonaldization of Society. (Revised New Century Edition), Pine Forge Press, Thousand Oaks. Ritzer, G., 2008. The McDonaldization of Society 5. Pine Forge Press, Los Angeles. Rolfe, G., 2006. Validity, trustworthiness and rigour: quality and the idea of qualitative research. Journal of Advanced Nursing 53 (3), pp. 304-310. Roth, J., 1963. Timetables: studying the passage of time in hospital treatment and other careers. Bobs-Merrill, New York. Royal College of Surgeons of England, 1992. Report of the working party on guidelines for day case surgery. RCS, London. Silverman, D., 1993. Interpreting Qualitative Data, Methods for Analysing Talk, Text and Interaction. Sage, London Sowande, O.A., Takure, A.O., Salako, A., A., Badmus T.A., 2009. Day case urology in a dedicated day case surgery unit in a Nigerian teaching hospital. Ambulatory Surgery 15 (2), pp. 3-13 Toftgard, C., 2009. Day Surgery Development. Ambulatory Surgery 15 (1), pp. 4-9. Tysome, J. R., Padgham, N.D., 2006. A comparative study of patient satisfaction with day case and in-patient major ear surgery. Journal of Laryngology & Otology 120 (8), pp. 670-5. Turner, B.S., 2003. McDonaldization: Linearity and Liquidity in Consumer Cultures. American Behavioral Scientist 47, pp.137-152. Weber, M., 1948. The Protestant Ethic and the Spirit of Capitalism. Allen and Unwin, London. Wright Mills, C., 1959.The Sociological Imagination. Oxford University Press, Oxford. Wynard, R., 1998. The Bunless Burger. In: Alfino, M., Caputo, J., Wynyard. R., (Eds.), McDonaldization Revisited. Critical Essays on Consumer Culture. Praeger, Westport, pp. 159-174.
URI: https://usir.salford.ac.uk/id/eprint/9494

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