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Management of chronic wound healing in post-surgical patients
ŠKORNIČKA, Matěj
The theoretical part of the thesis presents the definition of the term chronic wound and its specification after surgery. The second part is focused on the factors that support its formation and healing. The third section presents aspects related to patient interaction and management of chronic wound healing. In addition, there are innovations in the healing of chronic wounds. The aim of the diploma thesis was to find out what assessment methods nurses use to assess wounds and map how they implement the care of a patient with a chronic wound after surgery. The effort was to find out the maximum aspects and then get answers to the research questions. The empirical part is processed by qualitative research using the technique of semi-structured interviews and non-participant observation in surgical departments. The interview was given by 11 informants from different regions and different departments, and 6 observations were also made. The results revealed that one of the most important methods used is their senses, evaluation tools or scales and photo documentation. Nurses like to use these methods. According to the nurses, education and professional assertive communication is an integral part of the wound healing process. Supporting methods in the treatment of the wound are regular debridement and the use of current methods, which include moist healing and negative pressure methods. From the results, it can be concluded that nurses like to use new methods and techniques, but everything depends on the doctor's office. An important aspect that the nurses mention is the cooperation between health professions.
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Factors influencing nurse's adaptation and fluctuation
ŠKORNIČKA, Matěj
The aim of this bachelor thesis is to map the factors that affect the adaptation and fluctuation of nurses in health care. The nurses were selected from different medical facilities, with different lengths of work in healthcare. To meet the objectives - to identify the factors that affect the adaptation and fluctuation of nurses, three research questions have been identified: "What factors do affect the nurses' fluctuation?"; "What factors do influence nurses' adaptation?" And "How does the adaptation process work in health care facilities?" The theoretical part of the thesis is focused on defining the concepts of adaptation and the adaptation process. We deal with the diversity of internal and externalfactors of the employee and the preconditions for managing the adaptation process. The second part of the theoretical part is devoted to fluctuation. For many medical facilities with a shortage of nurses, their departure is a complication in providing patient care. The empirical part of the thesis is processed using a qualitative research survey technique of semi-structured interview. The research group consists of 10 nurses from various organizations or hospital departments. The results have shown that many nurses have the same or very similar factors influencing their adjustment and fluctuation. Adaptation to the team and management by the management department is the most involved in the adaptation process. The active approach of all involved is important for the successful course of the adaptation process. Thanks to it, it is possible to get acquainted with the environment and it gives confidence to the new employee. The nurses agree that they need time to adapt and appreciate management support from, for example, the nurse's mentor. Factors for leaving the job included, for example, bad experience with team, organizational changes, bossing or mobbing, as well as insufficient financial evaluation. The output of the thesis will be an article in a professional periodical for nurses. The contribution of the thesis is to reveal the reasons that will or will not support the adaptation process and fluctuation.
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