Purpose: The aim was to describe and gain a more comprehensive understanding of the phenomenon anesthesia induction of a child based on the perspectives of children, parents, and anesthesia staff.

Methods: A general structure was created based on a secondary synthesis of three empirical studies. The analysis was based on a reflective lifeworld research approach.

Results: The induction of anesthesia in children is a complex emotional and existential experience. Children face a loss of control and bodily autonomy, provoking significant anxiety, while parents have a dual role, navigating tension between protecting their child and compliance with the situation. Anesthesia staff must balance technical proficiency with emotional sensitivity, fostering trust and empathy. Communication plays a key role in modulating anxiety, and power dynamics influence interactions: children may resist, parents negotiate advocacy and compliance, and staff rely on parental cooperation to manage emotional and procedural challenges.

Conclusions: Trust is a fundamental element in the child's anesthesia experience, enabling courage, security, and cooperation among children, parents, and anesthesia staff. Built through empathetic and consistent interactions, trust fosters collaboration and confidence in care. From a phenomenological perspective, anesthesia induction emerges as a deeply human encounter grounded in vulnerability, relationality, and the need for holistic, compassionate pediatric care.

Background: Relatives play an important role for patients cared for in the ICU. Relatives contribute with several positive aspects for the patient receiving care, which also leads to shorter hospital stays and lower mortality rates in cases of serious illnesses. It is therefore important how relatives describe their own engagement and involvement in the care process.

Aim: The aim of this study is to explore the meaning of participation in the ICU from the close relatives’ perspective.

Study Design: The study has a qualitative research design using interviews with 12 close relatives (female 9, male 3) of patients treated in the ICU, conducted in one county hospital. The interviews were analysed with thematic analysis.

Findings: Our analysis resulted in one main theme and three subthemes. The main theme showed that relatives described participation as conditional during critical illness that requires care in the ICU. Three subthemes emerged: being at the centre of the event, being seen as a unique person and being informed.

Conclusions: Participation in the ICU is contingent upon physical and emotional proximity, relational dynamics, and access to information. Caregivers facilitate this engagement through consistent relationships, adaptive strategies, and transparent communication. To strengthen family involvement, ICUs should implement structured approaches, ensuring participation is inclusive, meaningful, and responsive to individual needs. As research advances, a holistic framework for family engagement will be essential to improving.

Relevance to Clinical Practice: Strengthen oral and written communication structures in the ICU. Promote continuity in care relationships. Utilise technology to enhance remote participation.

The purpose of both precision medicine and precision nursing is to improve patient outcomes. This theoretical article is designed as a conceptual and position paper situated within caring science, with a specific focus on understanding precision nursing across diverse clinical contexts. Rather than presenting empirical findings, the paper synthesizes theoretical perspectives, caring science foundations, and selected scholarly literature. In this position paper, we seek to expand the concept of precision nursing from a caring science perspective with clinical examples, vignettes, from an emergency care context. Precision medicine can be viewed as an effort to truly individualize a treatment and make it as accurate and effective as possible. While the focus on measurable outcomes saves lives, it also carries the risk of narrowing attention to what can be observed and quantified. These visible clinical markers represent only part of what matters in care. To get the full picture of a patient and their treatment, caring must serve as the foundation for precision nursing, as it is caring that ensures that technological advancements remain aligned with individual patient needs. Precision medicine and precision nursing may offer direction, but to provide meaning to the concepts, a grounding in caring science is provided in this study.

Denna helt nya bok belyser omvårdnad av patienter på en operationsavdelning. Kapitlen i del 1 behandlar gemensamma arbetsområden inom intraoperativ omvårdnad, alltså det som anestesi- och operationssjuksköterskor tillsammans har ansvar för. Del 2 och 3 är uppdelade i professionsspecifika delar. Boken är i huvudsak skriven av specialistsjuksköterskor inom anestesi- och operationssjukvård med lång klinisk erfarenhet. I flera kapitel i den anestesispecifika delen är anestesiologer medförfattare för ett fördjupat medicinskt perspektiv. Boken riktar sig främst till specialistsjuksköterskestudenter inom anestesi- och operationssjukvård. Även yrkesverksamma inom anestesi- och operationssjukvård kan ha nytta av att läsa boken.

Anxiety in children, as well as their parents, is common in high-tech environments such as an operating room. This study aimed to describe parents' experiences of being present when their child is being anaesthetised. Twenty-four parents were interviewed and data were analysed using a descriptive phenomenological approach. Findings show that being present at a child's anaesthesia and surgery is a long, continuous process that begins at home. Parents struggle to face strong emotions in a special and frightening environment, focussing on their child's well-being while trying to remain control in this situation. Security and trust are vital, but it's challenging to relinquish control in an uncertain situation. Professional caregivers can promote trust and participation, but an awareness that something can go wrong affects parents on a deep level. In conclusion, parental presence at induction of anaesthesia is important but can be overwhelming and anxiety-inducing for some parents. Parents should be seen as a resource rather than a disturbance. Overall, the healthcare system should prioritise parents' involvement and seek to create an environment where they feel supported and included.