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Educational activity of a nurse in preoperative preparation
PROKOP, Jiří
Education such as upbringing, teaching and training has become a common and undisputed part of nurse professional activities. Nurses take an equal and autonomous part in treatment teams at present time full of significant changes. In addition nurses are often considered to be a basic source of reform strategies. Their importance is growing steadily. Together with changes in nurse roles, the traditionally passive roles of patients have been tranformed into the active ones, that is patients realise their responsibility for their health, diseases and operations. One of the most important activities a nurse in preoperative preparation deals with is an educational activity which should support client´s comfort and prevent him from complications or at least minimise them. The aim of this activity is to inform a patient with suitable methods on preoperative preparation and prevent misinformation, misunderstanding and complications. Nurse competence is done by the Law 20/1966 in § 23, par 1 called ``About public health care`` : a health care worker can provide information on those activities which he/she is allowed to perform so nurses can inform on nurse treatment. Within the framework of the Law 424/2004 a nurse provides health care in terms of legal regulations and standards, provides information and educates in accordance with his/her qualifications. There are some differences between a nurse and a registered nurse in their competences, however, a general nurse can deal with highly specialised nurse activities under supervision of a registered nurse. The aim of this work consisted in finding out if nurses educated patients during a preoperative preparation and pacients were informed about the availability of preoperative education. The aim was accomplished. The research was based on a quantitative method, an anonymous questionnaire. There were 396 questionnaires distributed to 198 patients after a surgical operation and 198 operating room nurses in Praque in March 2008. Among 349 questionnaires which were analysed, 175 went back from patients and 174 from nurses. Two hypotheses were stated. H1: Patients are not informed about the availability of preoperative education by nurses before preoperative preparation and H2: Patients are educated in preoperative preparation. The first hypothesis was disproved the other was proved. The research can be concluded with these results: most patient respondents know that they can be educated by nurses in preoperative preparation and they are really educated. The educational standard is not bad but can be improved. Unfortunately the operating room nurse role in preoperative preparation was underestimated. Public and nurses should be informed more about preoperative preparation. The work is composed to be used for educating patients and nurses about this problem. The research conclusions can be published in journals or presented at lectures so that the preoperative preparation can be improved and a new preoperative standard made up.
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The differencis of nurse treatment by Patients with TEP(total hip replecament) and with CCEP(cerviko capital replecament).
BUKÁČKOVÁ, Kristýna
This bachelor thesis focuses on the differences in nursing care of patients after TEP (total endoprosthesis) and after CCEP (cervical-capital endoprosthesis). The reason that led me to deal with this subject was the fact that I consider the knowledge of this matter as well as observing its principles by nurses for necessary. The objective of the thesis was to find out whether nurses know the difference in the nursing care of patients after TEP and CCEP, and whether they observe the differences in the nursing care. These objectives were fulfilled in the bachelor thesis. Two hypotheses were laid down. Hypothesis 1: Nurses know the difference in nursing care of patients after TEP and CCEP. Hypothesis 2: Nurses observe the difference in nursing care of patients after TEP and CCEP. The hypotheses were confirmed. The theoretical part of the thesis is focused on the anatomy and physiology of the hip bone and the historical development of endoprostheses. Further, the subject of the TEP and CCEP is dealt with here. It contains descriptions of the differences in the nursery care that nurses should put a lot of emphasis on and observe them. In the research part, the quantitative investigation by means of the questioning method, in the form of a questionnaire, and the qualitative research by means of the method of participating hidden observation, were chosen to verify the hypotheses. In practice, this thesis may be used in seminars, in which even the results of investigations may be dealt with, thus increasing the quality of the nursing care of patients after TEP (total endoprosthesis) and CCEP (cervical-capital endoprosthesis).
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Preoperative rehabilitative preparation provided by a nurse
SOUKUPOVÁ, Pavla
Summary The bachelor thesis {\clqq}Preoperative Rehabilitation Provided by a Nurse`` is a research project. The thesis is devided into two parts theoretical and practical. In the theoretical part I deal with the branch of gynaecology, gynaecological surgeries, gynaecological treatment as well as the role of nurse working in a surgical gynaecology ward. Further I pay the attention to preoperative preparation and immobilization syndrom. Preoperative rehabilitation, however, forms the most essential part of the thesis.I am concerned with the prevention of postoperative complications occurance and practice of particular rehabilitation excercising. The practical part contains quantitative research provided by the technique of two questionnares ( for both nurses and clients), in which I try to confirm specified hypotheses related to project goals setting. The hypothesis 1 : {\clqq}The nurses in a surgical gynaecology ward don´t train postoperative rehabilitation practice with a client`` was confirmed but the hypothesis 2 : {\clqq}The reason for disusing postoperative rehabilitation by clients is non-practising rehabilitation in preoperative time`` wasn´t confirmed. During the research period there were distributed 156 questionnaires, 56 for nurses and the rest (100 questionnaires) for women after heavy gynaecological surgery. 139 questionnaires turned back , the rate of return was 89 %. The total set of acceptable and thoroughly completed questionnaires was formed by 51 questionnaires from nurses and 81 questionnaires from clients.
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Explanation and reasurance of children before operations
ČADKOVÁ, Barbora
The title of my bachelor diploma thesis is {\clqq}Explanation and reasurance of children before operations``. In the introduction I dealt with a theory of how important a role of a reasurance nurse and other hospital staff is during hospitalization of a child, what the role of the parents is and how necessary it is to prepare the child psychologically for hospitalization and curing process, which the child has to go through during the stay in hospital. Based on this theory I set goals and hypotheses which I tried to confirm or contradict by a research in a form of questionnaires or dialogues. The results of the research are stated in graphs in practical part. In the conclusion and discussion the results are interpreted.
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