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The role of the nurse in perioperative nursing care.
RŮŽIČKOVÁ, Anna
The bachelor thesis focuses on the importance of nurses in nursing care during the perioperative phase, which is one of the main parts of the surgical process. The aim of this thesis is to explore the roles of perioperative nurses and to clarify the motivation for their profession. The data was collected by questionnaire method, semi-structured interview technique. The research sample consisted of ten perioperative nurses working in central operating rooms. The results of the interviews showed that the instrumental nurses carefully prepare for each surgical procedure, ensure hand hygiene and disinfection, prepare the necessary instruments and assist in the preparation of the operating team. During the operation, they administer the instruments, assist the surgeon and check the progress of the procedure. After the operation, they check the instruments and clean up. The circulating nurses are involved in preparing instruments and supplies, checking the patient's condition, assisting with drape fitting and providing documentation. They work with the team during the procedure, completing paperwork and replenishing supplies. After the procedure, they check documentation, perform housekeeping, and ensure that instruments are dispatched for sterilization. The sterilization nurse position has been moved from the operating room to the central sterilization area, which is part of the central operating rooms and specializes in sterilizing and disinfecting surgical instruments and supplies. Nurses defined motivation in terms of positive factors (teamwork, safe surgery, high nursing proficiency, successful outcome, modern equipment, and the opportunity to help patients) and negative factors (sudden complications, stress, long standing procedures, excessive paperwork, negative physician reactions, and burnout syndrome). The survey also revealed that a love of the field, a passion for patient care, and the opportunity to help others are essential for doing this work. The results of the research point to the possibility of implementing a structured mentoring programme in perioperative care, through regular meetings and mutual sharing of experiences, to enable nurses to act as mentors to younger colleagues. The aim is to promote a supportive working environment and professional development. The work has the potential to motivate and inspire students in their choice of future careers and can contribute to the optimization and coordination of work in the operating room through practical recommendations and suggestions.
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Potential health and hygiene risks of staff work in the orthopedic operating room
SVOBODOVÁ, Viera
Work in operating theatres is very demanding. The specifics of operating theatre operations imply a number of potential risks to which operating theatre staff are exposed. The aim of the Bachelor's thesis was first to briefly describe the possible risks, to find out the opinion of general nurses on the occurrence of selected risks in the orthopaedic operating room and then to compare the level of concern in relation to age. In order to achieve the stated aim, we developed a questionnaire based on the theoretical part of the thesis and conducted a survey among general nurses working in the orthopaedic ward. A total of 110 questionnaires were completed by perioperative and anaesthetic nurses. The results were then evaluated including statistical processing. Three hypotheses were set in relation to the objectives. For all three hypotheses, we hypothesized that the perception of the difficulty of the work and the level of risk apprehension in the orthopedic ward would be related to age. The results obtained can be briefly summarized as follows: in the perception of the individual respondents of risks and stressful situations, in relation to the age of the respondents, the dependence on age was demonstrated in only one category. Only in the evaluation of the question on the observance of meal breaks, a link with age was demonstrated. Thus, only in this single category did the level of negative perception decrease with increasing age. The result of the research showed that the older the OR staff is, the less stressful this particular situation is for them. The negative perception of the physical stress associated with the work increases with age. Similarly, the questionnaires confirmed a higher perception of the psychological demands of working in the operating theatre in relation to age. Furthermore, there was evidence of a high prevalence of health and psychological problems that staff associated with working in an orthopaedic operating theatre. Accurate knowledge of the perception of health and hygiene risks and stressors by operating room staff can provide useful information when trying to improve working conditions in a targeted manner.
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Nursing care and communication with patient at operating theatre
VELIMSKÁ, Dana
The theme of the Bachelor Degree Work Nursing Care and Communication with the Patient in the Operating Theatre was chosen to map out the issue of the current level of the nursing care and communication with the patient in the environment which is for most of them stressful and makes increased demands both on the nursing care and on communication too. Nowadays this theme is very topical as patients´ participation in their treatment come to the fore and their awareness of the types of treatment and carried out surgeries is generally being increased. The proper communication level undoubtedly influences the patient´s state. The theoretical part of the work deals with the environment of the operating theatre and the nursing care provided by the anaesthetic nurse. Further it deals with the kinds of communication and its significance for the patient. The practical part contains the results of the quantitative research on the anaesthetic nurses providing nursing care in the operating theatre who also communicate with the patient in the operating theatre most of all. Further there are described results of the qualitative research on patients having experience with the stay in the operating theatre. The Bachelor Degree Work contains much information about particular characteristics of the nursing care in the operating theatre. It reveals hidden reserves in communication with the patient in this environment. It refers to the most often patients´ problems in communication with the operating team. It maps out the knowledge level of the anaesthetic nurses in the sphere of the nursing care and communication. There have been set several aims, hypotheses and research questions to write this work. For aim no. 1, to find out the level of the nursing care for the patient in the operating theatre from the nurse´s point of view, there were made three hypotheses. Hypothesis no. 1 - Nurses have developed nursing care standard in the operation theatre - is confirmed. Hypothesis no. 2 - Nurses have time to provide the nursing care in the operating theatre - is confirmed. Hypothesis no. 3 - Nurses have sufficient material and technical equipment to provide the nursing care in the operating theatre - is confirmed. Aim no. 2 was to map out the communication between the nursing team and the patient in the operating theatre and there were made two hypotheses. Hypothesis no. 1 - Communication between the nursing team and the patient is influenced by the stressful environment in the operating theatre - is confirmed. . Hypothesis no. 2 - Communication between the nursing team and the patient is limited by the operation hours of the operating theatres is confirmed. For aim no. 3, to find out the level of communication in the operating theatre between the nursing team and the patient from the patient´s point of view, there were set two research questions. How does the patient perceive communication with the operating team in the environment of the operating theatre? How is communication in the environment of the operating theatre going on? The research questions have been answered. The set aims of the work have been fulfilled. The results of the research work were used for writing the nursing standard "The Nursing Care for the Patient in the Operating Theatre". This standard can serve nurses as a brief and clear aid in the nursing process and in order to provide the patient with comfort and security of the quality nursing care in the operating theatre.
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