Nurse Anesthetists' Reflections on Caring for Patients With Previous Substance Dependence: Balancing Between Professionalism and Preconceptions.
PURPOSE
The study aim was to describe nurse anesthetists' reflections on the provision of perioperative care to patients with previous substance dependence.


DESIGN
A qualitative approach with a descriptive design.


METHODS
Semistructured interviews based on clinical vignettes were conducted with 10 nurse anesthetists.


FINDINGS
The perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anesthetists felt that anesthetizing this group of patients constituted a challenge with regard to knowledge, experience, and time. However, the nurses also had feelings of distrust and uncertainty because of lack of knowledge.


CONCLUSIONS
The nurse anesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses' sense of uncertainty minimized.
['Forsberg|Markus|M|', 'Björn|Catrine|C|', 'Engström|Maria|M|', 'Nilsson|Annika|A|']
D006801:Humans D009719:Nurse Anesthetists D011361:Professional Competence D019966:Substance-Related Disorders D013548:Sweden
nurse anesthetist perioperative care relapse substance abuse