Carr Tracey, Teucher Ulrich C, Casson Alan G
University of Saskatchewan, Saskatoon, Saskatchewan, Canada
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Qual Health Res. 2014 Dec;24(12):1673-85. doi: 10.1177/1049732314549022. Epub 2014 Sep 5.
Research on patients' experiences of wait time for scheduled surgery has centered predominantly on the relative tolerability of perceived wait time and impacts on quality of life. We explored patients' experiences of time while waiting for three types of surgery with varied wait times--hip or knee replacement, shoulder surgery, and cardiac surgery. Thirty-two patients were recruited by their surgeons. We asked participants about their perceptions of time while waiting in two separate interviews. Using interpretative phenomenological analysis (IPA), we discovered connections between participant suffering, meaningfulness of time, and agency over the waiting period and the lived duration of time experience. Our findings reveal that chronological duration is not necessarily the most relevant consideration in determining the quality of waiting experience. Those findings helped us create a conceptual framework for lived wait time. We suggest that clinicians and policy makers consider the complexity of wait time experience to enhance preoperative patient care.
关于患者等待择期手术时间体验的研究主要集中在感知等待时间的相对可忍受性以及对生活质量的影响上。我们探讨了患者在等待三种不同等待时间的手术(髋关节或膝关节置换术、肩部手术和心脏手术)时的时间体验。32名患者由他们的外科医生招募。我们在两次单独的访谈中询问了参与者在等待时对时间的看法。通过解释现象学分析(IPA),我们发现了参与者的痛苦、时间的意义以及在等待期间的能动性与时间体验的实际持续时间之间的联系。我们的研究结果表明,在确定等待体验的质量时,按时间顺序计算的持续时间不一定是最相关的考虑因素。这些发现帮助我们创建了一个实际等待时间的概念框架。我们建议临床医生和政策制定者考虑等待时间体验的复杂性,以加强术前患者护理。