Abstract：
Traditionally, the focus of the operating theatre has been on conducting safe, efficient surgery with unconscious patients. However, the care of awake patients is now a prominent feature of modern perioperative practise as the volume of surgery performed under regional anaesthesia increases. The aim of this novel study was to understand the experience of being a conscious patient during regional anaesthesia and knee surgery in the perioperative environment. Data were gathered through observation and ethnographic interview and analysis followed a constant comparative grounded theory approach. The concepts of Trust and Faith are identified as recurrent themes highlighted in the data. This article identifies the need to understand patients\' expectations regarding the clinical encounter and how subsequent treatment will develop, so that, reasons for any deviation can be discussed openly and an explanation provided. Each clinical encounter takes place within a relationship based upon an uneven distribution of power, enacted through the interaction itself, with the health care professional in a dominant role. It is the responsibility of health care staff to recognise and negate this power imbalance and reinforce trusting relationships so information and treatment options are not presented as a \'fait accompli\' but negotiated through jargon free easy to understand language.
摘要：
传统上,手术室的重点一直是进行安全，对昏迷患者进行有效的手术。然而,随着在区域麻醉下进行的手术量的增加，清醒患者的护理现在是现代围手术期实践的突出特征。这项新颖研究的目的是了解在围手术期环境中进行区域麻醉和膝关节手术的有意识患者的经历。数据是通过观察和人种学访谈收集的，并遵循持续的比较扎根理论方法进行分析。信任和信仰的概念被确定为数据中强调的经常性主题。本文确定了需要了解患者对临床治疗的期望以及后续治疗将如何发展，所以，任何偏差的原因都可以公开讨论，并提供解释。每次临床相遇都发生在基于权力不均匀分布的关系中，通过互动本身制定，医疗保健专业处于主导地位。医护人员有责任认识并消除这种权力失衡并加强信任关系，因此信息和治疗方案不会以“既成事实”的形式出现，而是通过无术语的易于理解的语言进行协商。
