• Monica E Pettersson, Joakim Öhlén, Febe Friberg, Lars-Christer Hydén, Catarina Wallengren, Sarenmalm Elisabeth Kenne EK Research and Development, Skaraborg Hospital, Skövde and Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Goth, and Eva Carlsson.
• Institute of Health and Care Sciences and Centre for Person-Centred Care, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
• J Clin Nurs. 2018 Jul 1; 27 (13-14): 2904-2916.

Aims And ObjectivesTo describe preoperative communication after a person-centred intervention in nurses' consultations with patients undergoing surgery for colorectal cancer.BackgroundPatients all over the world scheduled for surgery are referred to preoperative consultations with healthcare professionals. The goal is to assess the risk of perioperative complications, improving quality of care and enabling patients to be prepared for surgery and recovery. A person-centred intervention was developed, which consisted of an interactive written patient education material and person-centred communication.DesignAn explorative quantitative and qualitative study based on 18 audio-taped transcriptions.MethodsEighteen patients preoperative nursing consultations at three Swedish hospitals were analysed quantitatively regarding structure: words, time, phases, questions, discursive space, and qualitatively: topics and how the person-centred communication appeared in the consultations.ResultsThe median time for consultations was 27 min (range 13-64 min). The nurses used two-thirds of the discursive space in the consultations with the patients. The patient education material was used as a support to structure the consultation and discuss sensitive and difficult issues. Seven topics were discussed during the consultation. Two different approaches to communication were identified: Talking with the patient versus Talking to the patient. Talking with the patient (seen as person-centred communication) was defined as: listening to the narrative and confirming each other, raising difficult topics, seeing each other as persons, building on strengths and resources, preparing for surgery and asking open questions.ConclusionWays of communicating influence how the preoperative consultation develops. Talking with the patient could be seen as person-centred communication in the preoperative care, and when using this approach, the intervention purpose of person-centred communication was met.Relevance To Clinical PracticeEducation in person-centred communication is important for nurses to improve their skills in performing preoperative consultations.© 2018 John Wiley & Sons Ltd.

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