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The quality of nursing care in aseptic treatment of operative wounds
KARŠULÍNOVÁ, Pavla
The present diploma thesis deals with the quality of nursing care in aseptic treatment of surgical wounds. High quality nursing care is desired in order to satisfy patients' needs. Equally high level of quality is required from the healthcare organizations where patients are treated. The diploma thesis is divided into two sections: a theoretical section and an empirical section. The theoretical section focuses on surgical wound, its healing, aseptic care, complications of wound healing, nosocomial infections, quality of nursing care, nursing care indicators, and quality of health care from the patient's point of view. The empirical section's aim is to evaluate the quality of nursing care in selected surgical departments. The thesis aims to answer two research questions: 1) How do nurses employ the aseptic technique when changing a surgical wound's dressing? 2) Nurses must enhance their expertise in surgical wound care. How do head nurses at selected surgical wards secure the aforementioned training? A qualitative research survey was used to process the empirical part of the thesis. Semi-structured interviews with ward managers and head nurses were conducted for data collection. The nurses answered 20 questions each. During the interview, valuable answers were provided by 17 nurses. The results indicate high quality of nursing care in aseptic treatment of surgical wounds, as nurses employ modern trends and techniques in surgical wound care; the high quality of nursing care is reflected in the minimally occurring complications that affect surgical wounds. Aseptic approach is a priority for the nurses working in the wards where the research was conducted. Nurses follow standardized procedures for aseptic dressing of surgical wounds. The head nurses and ward managers consider education of nurses in the issue of aseptic treatment of surgical wounds to be of the utmost importance, and they supervise or arrange education in aseptic care of surgical wounds for nurses on a regular basis. The information obtained in the research can serve as a basis for seminars on aseptic treatment of surgical wounds.
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Planned surgery from patient's point of view
KARŠULÍNOVÁ, Pavla
The present bachelor's thesis deals with planned surgical procedure from a patient's point of view. Planned surgical procedures include unfamiliar experiences and information for the patients. A proper preoperative patient teaching is, thus, advisable. The thesis is divided into two sections: a theoretical and a practical section. The theoretical section focuses on surgical procedure (surgery), preoperative procedures, intraoperative care, preoperative patient education, nurse-patient communication, postoperative care, and cooperation with patient's family. The practical section consists of a research into the matter. The aim of the practical research section is to map patient's subjective preparedness for planned surgical procedure. To reach a conclusion, it is crucial to answer the following questions: 1. What is the patient's assessment of preoperative education performed by nurse? 2. What are the patient's preoperative expectations? 3. What are the patient's postoperative experiences? A qualitative research has been conducted. Semi-structured interviews with patients who were to undergo planned surgical procedures were used as the primary source of data for the research. The interview has two parts, first is before procedure and second is after procedure. The patients were to answer 17 questions. The 9 patients were to answer. The results have shown that almost all of the patients were well-prepared for the planned surgical procedures thanks to the preoperative education performed by nurses. They were preoperatively educated by a nurse, who provided education on essential nursing care related to the planned procedure. Some patients were educated by a nurse of a particular specialized outpatient department. According to the research results, the patients were satisfied with nurse-patient communication that took place in the surgery department. The patients also expected the nurses to be at a professional behaviour, to be kind, and to deliver essential nursing care. A professional article that informs nurses about the importance of preoperative patient education is the practical outcome of this thesis.
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