Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study
Article first published online: 4 AUG 2011
© 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 68, Issue 1, pages 94–103, January 2012
How to Cite
McCloud, C., Harrington, A. and King, L. (2012), Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study. Journal of Advanced Nursing, 68: 94–103. doi: 10.1111/j.1365-2648.2011.05720.x
- Issue published online: 15 DEC 2011
- Article first published online: 4 AUG 2011
- Accepted for publication 19 March 2011
- day surgery;
- philosophical hermeneutics;
- vitreo-retinal pathology
mccloud c., harrington a. & king l. (2012) Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian guided study. Journal of Advanced Nursing68(1), 94–103.
Aim. This paper is a report of a study that aimed to understand the individual’s experience of day surgery for repair of vitreo-retinal pathology.
Background. Day surgery evolved as a global phenomenon in response to tensions existing between community demand for health-care services and fiscal limitations. Since then vitreo-retinal surgery has been routinely performed as day surgery. Whilst studies have reported on patients’ experience’s following inpatient surgery, there has been limited investigation of vitreo-retinal day surgery from the patient’s perspective.
Methods. In-depth unstructured interviews with 18 people were conducted between July 2006 and December 2007. Data analysis using philosophical hermeneutic techniques enabled a co-constructed understanding, where, the ‘conditions of understanding’ as described by Gadamer were established.
Findings. Guided by a Gadamerian approach to analysis, four constitutive themes were identified: ‘the physical Self’, ‘the psychological Self’, ‘the historically located Self’ and ‘the Self located in the community’. Within each theme the participant’s positive and negative experiences were understood in the context of human need, and gaps in nursing care became illuminated. These experiences included: pain, nausea, problematic self-care and psychological angst.
Conclusion. Insights into the experience of vitreo-retinal day surgery, gained from this study can be used to inform nurses planning care for people with vitreo-retinal pathology. Nursing care must address broader patient needs that span multiple human domains, particularly when vision has been threatened by complex pathology.