Woodhouse Alun
King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Nurs Stand. 2006;20(21):41-8. doi: 10.7748/ns2006.02.20.21.41.c4055.
To explore the knowledge, past experience, perceptions and opinions of nurses working in surgical units at a local hospital with regard to pre-operative fasting times.
A qualitative research design, using a grounded theory approach, was adopted. Semi-structured interviews were undertaken with a sample of 15 staff nurses employed within five surgical units in one hospital.
After thematic analysis, three core categories emerged from the data: knowledge, practice and systems. Nurses stated that there were significant barriers to an individual approach to pre-operative fasting within the organisation. These included lack of knowledge and skills, limited autonomy with regard to changing practice, and an operating room system that contributed to patients being fasted for a longer period than necessary.
Further research is required on how long patients should be fasted before theatre. In addition, all healthcare professionals require education pertaining to best practice, and organisations should have in place clear policies and guidelines to prevent variances in fasting procedures.
探讨当地一家医院外科病房护士关于术前禁食时间的知识、过往经验、认知和看法。
采用定性研究设计，运用扎根理论方法。对一家医院五个外科病房的15名在职护士进行了半结构式访谈。
经过主题分析，数据中出现了三个核心类别：知识、实践和系统。护士们表示，在该机构内，采用个性化的术前禁食方法存在重大障碍。这些障碍包括知识和技能的缺乏、改变实践的自主权有限，以及手术室系统导致患者禁食时间超过必要时长。
需要进一步研究患者在手术前应禁食多长时间。此外，所有医护人员都需要接受有关最佳实践的教育，各机构应制定明确的政策和指南，以防止禁食程序出现差异。
