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Management organ harvesting in terms of perioperative nurses transplantcentra
EIGNEROVÁ, Anna
Transplant medicine has been developing fast, bringing about also development of nursing care in this field. The purpose of this thesis was to examine the experience of perioperative nurses with organ procurement at the IKEM Transplant Centre and to obtain information on the procurement of different organs, organ storage, the organisation of perioperative nurses' work and on how the nurses perceive their work. This thesis applied a qualitative method, using semi-structured interviews divided into several parts, and the results were subsequently categorized. Meister's questionnaire was used to assess the mental workload of perioperative nurses. A total of 8 perioperative nurses working in full-time positions at the IKEM Transplant Centre and 8 perioperative nurses working in surgery units, all of them chosen by non-probability sampling, participated in the survey. Perioperative nurses perceive differences in the procurement of different organs from cadaver donors and know the possible modification of the procedure. What matters to them is the organ that is procured - kidney procurement or multiple organ procurement in cooperation with multiple surgeon teams, split-liver or reduction-liver transplantation or the donor's age. The nurses emphasize that their job requires responsibility, is demanding and causes stress. More experienced nurses participate in organ procurement in donor hospitals, bearing their own responsibility, but at the same time working in a well-functioning transplant team that includes also the coordinator and procurement surgeon. These nurses work on-call and are responsible for organising the work in the surgery room. They know that their job is demanding and are proud of where they work; however, they very often point out the stressfulness of their work. They know it is necessary to take time to relax and regenerate. Transplant centre perioperative nurses can be assessed as the second category of Meister's questionnaire, while perioperative nurses in surgery units as Meister's first category. This thesis may be used as study material and was used for a presentation at a medical conference.
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Evaluation of nutrition habits of nurses on ICU and ARW by NutriDan programme
EIGNEROVÁ, Anna
Nutrition and eating habits are one of the items of healthy lifestyle as well as mental and physical well-being. Eating should be performed on regular basis and all nutrition components have to be represented in proper proportion. The interrelation of sugars, fats (seba) and proteins is very important (55 - 60 % : 25 - 30 % : 10 - 15 %), sufficient protein ingestion (3-6 portions a day), fruit and vegetables (3 - 5 portions a day), dairy products (2 - 3 portions a day), meat and meat products (1 - 2 portions a day). Drinking liquids should be sufficient and should be kept within the range of about 30ml per 1 kg of our body weight, and of course the drinking liquids is important integral part of our nutrition. The aim of this work has been to evaluate and assess quality of eating habits of nurses working at Intensive Care Units (ICU) and Anaesthesiological Resuscitation Ward (ARW) according to NutriDan programme. In order to accomplish this aim the following four hypotheses have been postulated: H 1 The nurses working at ICU and ARW eat their meals on regular basis. H 2 The nurses working at ICU and ARW have their menus containing fruit and vegetables with ratio in accordance with recommended quantities for daily consumption (4 x 100 g). H 3 The consumption of liquids at work is lower than that out of work (at home). H 4 The interrelation of sugar, fat and proteins in nurse menus is in harmony with individual estimate of energy expenditure. Research has been outlined and drawn up as quantitative one and anonymous questionnaire (answer sheet) has been used containing 3 parts (general pat, special part and the menu mentioned above applied in time period of 24 hours). One hundred and four questionnaires (104) have been distributed in all while fifty-two (52) pieces of which have been given to nurses working at Anaesthesiological Resuscitation Ward and fifty-two (52) pieces of the questionnaire have been given to nurses working at Intensive Care Units.The aforementioned questionnaires have been distributed in three hospitals and seventy-three (73) have been received for our evaluation, of which forty-three (43) from nurses working at Anaesthesiological Resuscitation Ward and thirty (30) from nurses working at Intensive Care Units. For research data processing we have applied two programs: Microsoft Excel program and NutriDan program; the results obtained have been processed so as to be presented as graphs. The aim of the work has been fulfilled and the hypotheses 1, 2 and 4 se have been invalidated i.e. disconfirmed whereas the hypothesis 3 has been confirmed. The nurses working at Intensive Care Units and Anaesthesiological Resuscitation Ward do not eat their meals on regular basis, they often have lower energy taking, moreover they do not have correct interrelation of sugar, fat and proteins. The aforementioned nurses show lower and irregular consumption of fruit and vegetables, meat and dairy products and dietary fibre. Consumption of liquids is sufficient both at work and at home. The management of hospitals and wards as well will be made familiar with the results of this bachelor's degree diploma work i.e. those where the research has been carried out. This work can be used as a source material for lectures and enlightenment material in order to change the attitude of nurses of intensive care to eating habits of theirs.
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