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Nurses’ and Anesthesiologists’ Perspectives on Family Involvement in the Care of Frail Older Patients in the Holding and Postanesthesia Care Unit: A Qualitative Study

Year: 2025

Type: article

Abstract: PURPOSE: To explore nurses' views, expectations, and needs regarding perioperative family involvement among frail older patients in the preoperative holding and postanesthesia care unit. Additionally, to explore anesthesiologists' perspectives as essential stakeholders in these settings. DESIGN: A descriptive exploratory qualitative study. METHODS: Semistructured interviews were conducted with 12 recovery nurses and 4 anesthesiologists after purposive sampling. An inductive thematic analysis was conducted using MaxQDA software. The study was reported according to the Consolidated criteria for reporting qualitative research. FINDINGS: Four main themes emerged: (1) embracing family involvement; (2) clarifying criteria for family involvement; (3) lacking facilities in the department; and (4) managing expectations toward family members. Family involvement among frail older patients was perceived positively, though met with specific conditions for implementation. CONCLUSIONS: Nurses are open to perioperative family involvement but need clear criteria identifying frail older patients. Departmental adjustments are also necessary to facilitate family presence in the perioperative setting. Lastly, it is essential to manage family members' expectations. Anesthesiologists share this perspective. Family involvement in the perioperative care process can improve patient outcomes but must be carefully implemented to avoid practical issues.

Source: Journal of PeriAnesthesia Nursing

DOI: 10.1016/j.jopan.2025.08.025