title: The best way possible! A fieldwork study outlining expectations and needs for nursing of patients in endoscopy facilities for short-term stay.
abstract: This paper is a descriptive study of nursing in facilities for short-term stay, aiming to outline the expectations and needs for nursing of patients undergoing gastroscopy in outpatient endoscopy clinics. Existing research finds it important to meet patients' expectations and needs for help to get through a procedure in the best and safest way possible. Despite recent years' focus on patient expectations, little attention has been paid to understanding the patients' distinct expectations and needs for nursing in the context of facilities for short-term stay. A fieldwork study influenced by practical ethnographic principles was performed in high-technology endoscopy outpatient clinics during 2008 - 2010. Data were collected using triangulation of participant observation for 12 weeks including participant reports and semi-structured interviews with eight patients and four nurses. The expectations and needs for nursing of patients undergoing gastroscopy were related to two main areas, summarized by the categories: 'Nervousness and anxiety' and 'Maintaining control'. The former concerned how patients managed their nervousness and anxiety and was described differently in terms of 'Getting it over with', 'The meaning of words' and 'Taking precautions'. The latter 'Maintaining control' concerned how patients in different ways managed to maintain control over their situation and was described in terms of 'Being informed', 'Others are in the same "boat"' and 'Being proactive'. The study concludes that nervousness and anxiety are expressed differently in patients undergoing gastroscopy and that patients have individual ways of claiming their right to elements of control over the situation and the course of gastroscopy. In order for nursing in endoscopy settings to be tailored to the individual patient, it must be adapted to the individual patient's ways of managing nervousness and anxiety as well as ways of claiming control.
authors.affiliation: Department of Production, The Faculties of Engineering, Science and Medicine, Aalborg University, Aarhus C, Denmark; Department of Gastroenterology, Aarhus University Hospital, Aarhus C, Denmark.
authors.forename: Karin
authors.initials: K
authors.lastname: Bundgaard
authors.forename: Karl Brian
authors.initials: KB
authors.lastname: Nielsen
authors.forename: Erik Elgaard
authors.initials: EE
authors.lastname: Sørensen
authors.forename: Charlotte
authors.initials: C
authors.lastname: Delmar
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D006801:Humans; D007902:Length of Stay; D009732:Nursing Care; D010361:Patients / Q000523:psychology*
keywords: anxiety; control; endoscopy out-patient; expectations; nervousness; nursing; patients