After colonic surgery: The lived experience of participating in a fast-track programme.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Standard

After colonic surgery: The lived experience of participating in a fast-track programme. / Norlyk, Annelise; Harder, Ingegerd.

In: International Journal of Qualitative Studies on Health and Well-Being, Vol. 4, No. 3, 09.2009, p. 170-180.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Norlyk, A & Harder, I 2009, 'After colonic surgery: The lived experience of participating in a fast-track programme.', International Journal of Qualitative Studies on Health and Well-Being, vol. 4, no. 3, pp. 170-180. https://doi.org/10.1080/17482620903027726

APA

Norlyk, A., & Harder, I. (2009). After colonic surgery: The lived experience of participating in a fast-track programme. International Journal of Qualitative Studies on Health and Well-Being, 4(3), 170-180. https://doi.org/10.1080/17482620903027726

CBE

Norlyk A, Harder I. 2009. After colonic surgery: The lived experience of participating in a fast-track programme. International Journal of Qualitative Studies on Health and Well-Being. 4(3):170-180. https://doi.org/10.1080/17482620903027726

MLA

Norlyk, Annelise and Ingegerd Harder. "After colonic surgery: The lived experience of participating in a fast-track programme.". International Journal of Qualitative Studies on Health and Well-Being. 2009, 4(3). 170-180. https://doi.org/10.1080/17482620903027726

Vancouver

Norlyk A, Harder I. After colonic surgery: The lived experience of participating in a fast-track programme. International Journal of Qualitative Studies on Health and Well-Being. 2009 Sep;4(3):170-180. https://doi.org/10.1080/17482620903027726

Author

Norlyk, Annelise ; Harder, Ingegerd. / After colonic surgery: The lived experience of participating in a fast-track programme. In: International Journal of Qualitative Studies on Health and Well-Being. 2009 ; Vol. 4, No. 3. pp. 170-180.

Bibtex

@article{e47e8988cf26460a806ad2468f6fedc4,
title = "After colonic surgery: The lived experience of participating in a fast-track programme.",
abstract = "Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of participating in a fast-track programme after colonic surgery. Sixteen patients were interviewed twice. The interviews were analysed using a descriptive phenomenological approach. Participating in a fast-track programme is characterized by a process where patients experience how the daily regimen works both with them and against them. To succeed in the overall goal of recovering fast according to the evidence-based care plan involves facing dilemmas and mobilizing courage and will to follow the regimen. Support from the professionals is crucial. The participants had a strong desire to comply and regain health; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient participation in care is an accepted ideal, it is demanding and difficult to accomplish. More studies on fast-track programmes are needed, with special attention to patient autonomy and partnership.",
keywords = "colonic surgery, fast-track recovery, patient perspective, caring science, phenomenology, patient participation",
author = "Annelise Norlyk and Ingegerd Harder",
year = "2009",
month = sep,
doi = "10.1080/17482620903027726",
language = "English",
volume = "4",
pages = "170--180",
journal = "International Journal of Qualitative Studies on Health and Well-Being",
issn = "1748-2623",
publisher = "Co-Action Publishing",
number = "3",

}

RIS

TY - JOUR

T1 - After colonic surgery: The lived experience of participating in a fast-track programme.

AU - Norlyk, Annelise

AU - Harder, Ingegerd

PY - 2009/9

Y1 - 2009/9

N2 - Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of participating in a fast-track programme after colonic surgery. Sixteen patients were interviewed twice. The interviews were analysed using a descriptive phenomenological approach. Participating in a fast-track programme is characterized by a process where patients experience how the daily regimen works both with them and against them. To succeed in the overall goal of recovering fast according to the evidence-based care plan involves facing dilemmas and mobilizing courage and will to follow the regimen. Support from the professionals is crucial. The participants had a strong desire to comply and regain health; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient participation in care is an accepted ideal, it is demanding and difficult to accomplish. More studies on fast-track programmes are needed, with special attention to patient autonomy and partnership.

AB - Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of participating in a fast-track programme after colonic surgery. Sixteen patients were interviewed twice. The interviews were analysed using a descriptive phenomenological approach. Participating in a fast-track programme is characterized by a process where patients experience how the daily regimen works both with them and against them. To succeed in the overall goal of recovering fast according to the evidence-based care plan involves facing dilemmas and mobilizing courage and will to follow the regimen. Support from the professionals is crucial. The participants had a strong desire to comply and regain health; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient participation in care is an accepted ideal, it is demanding and difficult to accomplish. More studies on fast-track programmes are needed, with special attention to patient autonomy and partnership.

KW - colonic surgery

KW - fast-track recovery

KW - patient perspective

KW - caring science

KW - phenomenology

KW - patient participation

U2 - 10.1080/17482620903027726

DO - 10.1080/17482620903027726

M3 - Journal article

C2 - 20523886

VL - 4

SP - 170

EP - 180

JO - International Journal of Qualitative Studies on Health and Well-Being

JF - International Journal of Qualitative Studies on Health and Well-Being

SN - 1748-2623

IS - 3

ER -