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Nursing Perioperative Care in the Cardiac Surgery Department
VÍTKOVÁ, Aneta
The incidence of civilisation diseases is rising not only in the Czech Republic but also worldwide. The incidence of cardiovascular diseases is widely represented in the population. To ensure proper and continuous development in the field of cardiac surgery, seamless interdisciplinary cooperation is necessary, which includes also perioperative nurses. The aim of this thesis is to identify the specifics of nursing care provided by perioperative nurses in the cardiac surgery department and to determine whether these nurses are motivated in the area of lifelong education. The empirical part consisted of both qualitative and quantitative research. Qualitative research was conducted through semi-structured interviews with perioperative nurses working in cardiac surgery operating theatres. Nurses were deliberately selected from three different healthcare facilities. The interviews were transcribed verbatim, processed using the "pen and paper" method, and categorized. For the quantitative research was used a non-standardized questionnaire which consisted of 18 questions and was distributed among perioperative nurses working in cardiac surgery operation theatres throughout the Czech Republic. Distribution was also carried out through NCO NZO (National Centre of Nursing and Non-medical Healthcare fields) and the Faculty of Health Studies in Pardubice. A total of 62 respondents participated in the questionnaire survey. The resulting data was processed using MS Excel and the Realstatistics add-on, with the help of graphs, contingency tables, and statistical calculations. The results of the qualitative research allowed us to map the activities performed by perioperative nurses in the role of a scrub or circulating nurse in cardiac surgery operating theatres. Perioperative nurses carry out a wide range of tasks which include care before, during and after the surgery. Communication and proper functioning of the entire surgical team are also essential. By carefully preparing for the procedure, complying with all duties and fulfilling good workplace relationships, they can provide the best possible care to patients. The results of the quantitative part of the research showed that there is no correlation between years of experience and the motivation of perioperative nurses in cardiac surgery departments for lifelong education, or between the highest level of education attained and their motivation for lifelong education. Despite this, the research had positive results. We found that all perioperative nurses in our research sample are sufficiently motivated for lifelong education. This thesis and its results can be valuable by newly employed perioperative nurses. They can learn basic information about the work of perioperative nurses in the cardiac surgery department and about opportunities for specialization or lifelong education. The section of lifelong education may also be supportive for all other nursing fields.
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Problematics of Nursing Care about Foreigners During Hospitalization.
VÍTKOVÁ, Aneta
This bachelor thesis deals with the problematics of nursing care of foreigners during hospitalization. The choice of this topic is based on more frequent encounters of health professionals with patients from other cultures. This fact is largely impacted by migration, where foreigners travel to Czech Republic for work, and also for the quality of Czech healthcare. The aim of this bachelor thesis is to comprehensively map the problematics of nursing care of foreigners and to point out the challenges or areas that could be improved in terms of quality care for foreigners. The empirical part of this bachelor thesis contained qualitative and quantitative research survey. For quantitative research survey we chose non-standardized questionnaire. The questionnaire consisted of 26 questions and it was distributed among nurses at surgical and orthopedic departments and at the surgical or orthopedic ICU of hospitals in the Vysočina region. A total of 102 respondents participated in the questionnaire survey. The obtained data were processed in MS Excel using pivot tables and graphs. For qualitative research survey we chose observation. This research survey took place in the surgical department, where foreign patients often commute for planned procedures. The results of the questionnaire survey clearly do not indicate that nurses with longer experience have more knowledge in the field of nursing care of foreigners. For example, it was found that almost half of the research group does not know the specifics of other cultures. However, they are able to deal with possible language barriers. From the observation we can highlight the communication of nurses with patients. The communication of nurses and their use of interpreter took place without major difficulties. Furthermore, the nurses passed on the necessary information to each other and were able to provide appropriate care to the patients. This bachelor thesis can be used a basis for further educational materials and thus contribute to the process of improving nursing care of foreigners.
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