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Centralization of operating rooms from the perspective of nurses
DRAŽANOVÁ, Monika
The aim of the work: The aim of this thesis is to provide detailed information about organization and operation of today's operating rooms from nurse´s point of view. Operational treatment requires high demands on technical and material equipment, special staff training, perfect adherence to asepse, antisepsis, sterility as well as work organization. The thesis should also introduce the most urgent problems of the current situation of the operating rooms management. The most recent discoveries and proven methods are summarized in a simple and comprehensible form that will serve as a guide for perioperative nurses. Method: Qualitative research methods in the form of a semi-structured interview have been used. This thesis will use the qualitative survey method in the form of a semistructured interview along with snowball sampling. The research consists of respondents with finished specialization in instrumentation for the operating room who are still active in the given field. Current status: The organization and operation room management consists of two functional models. These are so called "sideline sterilization" versus central operating rooms. Both ways have their advantages and disadvantages related to workload, general nursing education, and operating rooms management. However, the least preferred option is a combination of both perioperative operations. Results: The results of the research focused on the centralization and operating rooms management show that "sideline sterilization" is considered an obsolete model of tool sterilization for operating rooms. The results also show that the model of central operating rooms with the combination of central sterilization is more modern and efficient both in terms of expenses and effort, not just for nurses but for all healthcare professionals. Conclusion: In accordance with the aim of this work the issue of centralization of operating rooms is pointed out, considering both the construction with the necessity to follow all known procedures in compliance with aseptic conditions, as well as the need of good management or nurse education. The results can be used for further research and as a further source of information for non-medical fields, mainly perioperative care.
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Ensuring patient safety in implementing the operational position in the operating room from the perspective of nurses.
DRAŽANOVÁ, Monika
The Bachelor Thesis deals with ?Ensuring patient safety in setting the operation position at an operating theatre from nurse?s point of view?. The text deals among others with the present situation of the issue of perioperation care for patient?s safety. This applies to operation theatres, where a patient comes premedicated, in stress and fear, we never know what the patient will intend doing; just a small movement on a narrow operation table may result in patient?s fall. The setting into the operation position itself is often performed in anaesthesia, with an inert body, the patient feels nothing, no pain and we do not know whether the patient feels insufferable pressure of the bed, burning, etching etc. This is why a perioperative nurse has to be emphatic, forecast and prevent possible problems to avoid patient?s injury. The aim of the work is to identify the possibilities and obligations of a perioperative nurse in setting operation position during the whole operation, to find if the nurses? knowledge related to patient safety in setting the operation position corresponds to the present recommended procedures, to find how patient safety in operation position on an operation table is ensured. To gain the necessary data qualitative research was applied in the form of semi-structured interview with perioperative nurses with completed specialization at PSS Brno in the field of operation instrumentation working in the České Budějovice Hospital. A semi-structured interview with patients hospitalized after operation in the České Budějovice Hospital is also used in the Thesis. This work outlines the problem of poor knowledge among perioperative nurses, whose main nursing care priority is to ensure patient?s safety and comfort when setting the operation position. Even though they try to adhere to all these aspects an unfavourable fact results from the research, namely pain of a shoulder of the arm anaesthesia is applied to. The Bachelor Thesis will be provided to the Hospital management, may serve as a supplementary resource of information for studying the issues, may be used for better information of perioperative nurses and familiarization of students with the problems. The research results will be published on instrumentarky.cz website if possible.
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