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Airconditioning in the clean space
Faltys, Michal ; Ell, Jiří (referee) ; Rubina, Aleš (advisor)
The bachelor´s thesis deals with the designing of air conditioning system for clean spaces of operating rooms and spaces which are necessary for assuring of operation these operating rooms. The system is proposed to meet hygienic, operational and functional requirements for indoor microclimate of clean spaces. The task of this system is the transport of fresh air to interior, the covering of the heat looses during the winter and the covering of heat gains in summer. The equipment is also designed for regulation of air humidity in the interior. The theoretical part devotes to the issue of air conditioning of clean spaces generally, calculating and project´s parts devote of the concrete concept of two air conditioning equipments for the serving of clean spaces in the specified building. The result of this work is the detailed design work of these equipments.
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Preventing misconduct in the operating room from the perspective of nurse anesthetist
FRANTOVÁ, Lenka
This thesis deals with often discussed issue and that is patient´s safety. The topic of the thesis is Error prevention in an operating theater from the nurse anesthetist´s perspective. The current findings show that errors in the operating theater are a big problem in which the patient´s but also the medical staff´s health is threatened. The theoretical part is devoted to the issue of misconducts, the most common mistakes that can occur, which mostly occur by the medical staff in the operating theater. This part is also devoted to the monitoring of emergencies, whether an extraordinary event is an educational element to prevent misconducts. It also looks at the sources of errors. The practical part is processed by a qualitative research made in the ARO department. The interviews are processed by open coding technique, using pencil and paper. In the interviews, the respondents answered questions directly about their work in the operating theater. The interviews are focused on possible risks which a patient may be exposed to from the transfer to the operating theater until the end of the surgery. The respondents also mention error prevention possibilities in the operating theater. The aim of the thesis was to find out which are the most common mistakes made by nurse anesthetists; how the nurses prevent errors and how they perceive misconduct by themselves. The results should show some gaps in preventive measures in the operating theaters.
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Procesní management operačních sálů
Váhalová, Barbora
This diploma thesis deals with optimization of processes in operating theaters in the regional hospital. The largest consumption is in the operating theatre. It is a place where you meet all kinds of costs and where you find the biggest wasting of sources. The aim of the thesis is optimization of key processes taking place in operating theaters in healthcare institute. Optimization of these processes will enable more efficient, thus providing a management of healthcare institute tool for management. Process analysis will be performed using suitable models and methods of Lean Six Sigma.
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Perioperative documentation in Czech republic
KOHOUTOVÁ, Michaela
Now that the nursing process, along with good-quality nursing documentation, is being introduced into all areas of patient care, the need arises to document work of perioperative nurses in the operating theatre. Perioperative documentation is entirely different from nursing documentation, not only in terms of processing but also in terms of scope.This thesis consists of two parts: Theoretical and Empirical. The Theoretical focuses on the general issue of medical documentation used at the various hospital departments. The aim of the work was to (1) map current situation in the area of perioperative documentation at selected hospitals; (2) ascertain which components perioperative documentation is composed of; (3) find the opinion of nurses on the use of perioperative documentation; and (4) set up perioperative documentation. The research part of the thesis was a combination of quantitative and qualitative survey. For the quantitative survey, questionnaires were prepared and distributed to perioperative nurses working in operating theatres of hospitals throughout the Czech Republic. Two hypotheses were proposed. 1. Perioperative documentation is maintained at operating theatres. 2. Nurses consider perioperative documentation useful. Qualitative examination consisted in comparative analysis of perioperative documentation folders. The research set consisted of six perioperative documentation folders obtained from hospitals throughout the Czech Republic. Answers to the following three questions were sought: (1) Is perioperative documentation used at operating theatres? (2) Which parts is perioperative documentation composed of? (3) Does perioperative documentation comply with applicable legislation? The results were analyzed and processed into tables and graphs. The results show that nurses use perioperative documentation at operating theatres. From the research it follows that the processing of the perioperative folders is not fully compliant with applicable legislation. Although mandatory data are included in the vast majority of perioperative folders, the nursing process, as the information which is most important for nursing care, is missing from all of the perioperative folders analyzed. Despite this, nurses consider perioperative documentation useful, not only from the medical aspect but also from the legal, financial and informative aspects. The results of this research may stimulate creation of a unified model of perioperative documentation. This work may also serve as information material for students of medical disciplines.
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Nursing care and communication with patient at operating theatre
VELIMSKÁ, Dana
The theme of the Bachelor Degree Work Nursing Care and Communication with the Patient in the Operating Theatre was chosen to map out the issue of the current level of the nursing care and communication with the patient in the environment which is for most of them stressful and makes increased demands both on the nursing care and on communication too. Nowadays this theme is very topical as patients´ participation in their treatment come to the fore and their awareness of the types of treatment and carried out surgeries is generally being increased. The proper communication level undoubtedly influences the patient´s state. The theoretical part of the work deals with the environment of the operating theatre and the nursing care provided by the anaesthetic nurse. Further it deals with the kinds of communication and its significance for the patient. The practical part contains the results of the quantitative research on the anaesthetic nurses providing nursing care in the operating theatre who also communicate with the patient in the operating theatre most of all. Further there are described results of the qualitative research on patients having experience with the stay in the operating theatre. The Bachelor Degree Work contains much information about particular characteristics of the nursing care in the operating theatre. It reveals hidden reserves in communication with the patient in this environment. It refers to the most often patients´ problems in communication with the operating team. It maps out the knowledge level of the anaesthetic nurses in the sphere of the nursing care and communication. There have been set several aims, hypotheses and research questions to write this work. For aim no. 1, to find out the level of the nursing care for the patient in the operating theatre from the nurse´s point of view, there were made three hypotheses. Hypothesis no. 1 - Nurses have developed nursing care standard in the operation theatre - is confirmed. Hypothesis no. 2 - Nurses have time to provide the nursing care in the operating theatre - is confirmed. Hypothesis no. 3 - Nurses have sufficient material and technical equipment to provide the nursing care in the operating theatre - is confirmed. Aim no. 2 was to map out the communication between the nursing team and the patient in the operating theatre and there were made two hypotheses. Hypothesis no. 1 - Communication between the nursing team and the patient is influenced by the stressful environment in the operating theatre - is confirmed. . Hypothesis no. 2 - Communication between the nursing team and the patient is limited by the operation hours of the operating theatres is confirmed. For aim no. 3, to find out the level of communication in the operating theatre between the nursing team and the patient from the patient´s point of view, there were set two research questions. How does the patient perceive communication with the operating team in the environment of the operating theatre? How is communication in the environment of the operating theatre going on? The research questions have been answered. The set aims of the work have been fulfilled. The results of the research work were used for writing the nursing standard "The Nursing Care for the Patient in the Operating Theatre". This standard can serve nurses as a brief and clear aid in the nursing process and in order to provide the patient with comfort and security of the quality nursing care in the operating theatre.
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Specifics of nurse care at the patient with MRSA on surgery from nurses' point of view.
KALÁBOVÁ, Miroslava
Title of the thesis: Specifics of the nursing care of patients with MRSA in the operating room from an anesthesiology nurse perspective. The aim of this thesis was to identify the specifics of nursing care of a patient with the MRSA in the operating room from the perspective of nurses working in the operating room. In the theoretical part focus is given to nursing care and its specifics for a patient with MRSA. Chapters relating to the regime measures, barrier nursing procedures and the use of specific aids, instruments and tools are treated in detail. The nursing care provided by anesthesia nurses and perioperative nurses in the operating room is defined. To reach the goals the quantitative research through questionnaires was chosen. The research sample consisted of anesthesia nurses and perioperative care nurses. Two types of standardized questionnaires were used, consisted of closed questions where respondents chose an appropriate answer, and from semi-open questions where respondents could specify their answers, and in one case open questions. Both questionnaires were completed by 12 test questions, where respondents had the choice of three possible answers, where one answer was correct. The results of the investigation are summarized in two types of graphs. Bar charts were used in questions where more answers were possible to mark, and for a better clarity the results were supplemented by tables. Results to other questions, where options were limited by one answer, are shown in percentages in pie graphs. Our thesis is very narrowly focused, because we concentrated on specifics of nursing care in a patient with MRSA in the operating room. We have determined the specifics of barrier nursing, nursing problems in a patient with MRSA in the operating room. We have discovered barrier nursing procedures in a patient with MRSA in the operating room. We have also succeeded in assessing the knowledge of nurses working in the operating room. The goal was met. An interesting finding was that most of anesthetic nurses and perioperative nurses had responded that the structural and technical arrangement in the operating room was not satisfactory in terms of barrier nursing of a patient with MRSA. This problem was expected, owing to the author´s experience in operating theaters. Thus Hypothesis 1 is confirmed. In total five hypotheses were stated, four of which were confirmed and one was disproved. The aim of the thesis was to draw attention to problems in the operating room during nursing a patient with MRSA. In the course of the research work there were no problems, however, it is necessary to mention the lack of literature on MRSA with regard to nursing care in operating theaters. The theoretical section of this thesis could be recommended as a resource for the education plan created on the basis of information collected and the results of this research. The results of the research survey may serve for general public, anesthesia and perioperative nurses who could benefit from the educational plan in practice while providing nursing care for a patient with MRSA.
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Nursing Care for Children´s Patients with Injuries with Stress on Perioperative Nurse
TRINKBAUEROVÁ, Eva
"Injury is defined as any unintentional or intentional damage to the body, which resulted from acute exposure to thermal, mechanical, electrical or chemical energy and the subsequent lack of necessary vital energy elements or variables, such as oxygen or heat" In everyday life we often encounter with slight injuries, but few of us are aware that accidents are not just fractures or bruises. The fact is, however, that accidents are annually responsible for three hundred of children's lives and are traditionally the most common cause of child deaths. One of the key persons involved in the rescue of handicapped children is a perioperative nurse. She fulfills the role of a provider of nursing care and the role of an educator, who has a crucial function in the child injury prevention programs, which can significantly influence the rate of child injuries in future. Field surveys were carried out with an objective to map current state of a perioperative nurse role and injured children treated in the operating room. This research results should lead to the minimization of discomfort and reduced perception of negative feelings experienced by children in the operating room plus to the introduction of this nursing process in the operating rooms, where this practice is not currently used.
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Psychosocial support of children around the surgery planned operations
BLÁHOVÁ, Ilona
The study is focused on sufficient psychosocial support for children before and after planned surgical operations. This area of nursing has been still underestimated although medicine and nursing has been developing very fast in the Czech Republic. The importance of this support is often forgotten even if the contact between a child and his mother [parent] in such a difficult situation can definitely bring many positives. Unfortunately, children indicated for an operation are separated from their parents just at the hospital receptions or entering the operating room. The following preoperative preparation usually miss any psychological aspects and satisfactory explanation to children. They are often frightened and cry so it becomes very difficult for a nurse anesthetist to calm them down. Therefore the premedication and anesthetics have to be much stronger. Furthermore the psychic burden and total discomfort can cause many complications during the operation itself or in the postoperative care. The aims of this work was to find out if parents are interested in active attendance in preoperative preparation and postoperative care of their children, map out anaesthetist opinions on the fact that parents can accompany their children up to the operating room and compare advantages and disadvantages of it. In addition I tried to compare the occurrence of postoperative complications with children they have psychosocial support of their parents and those who are unaccompanied. This work was also focused on international comparison of the level and range of psychosocial care of children surgical patients among the Czech Republic, Hungary and Austria. All aims stated at the beginning were fulfilled. Within quantitative research five hypotheses were stated: 1/ Parents are interested in active attendance in preoperative preparation of their children indicated for operations. 2/ Parents are interested in taking part in postoperative care of their children. 3/ Anaesthetist nurses prefer children accompanied by their parents to the operating room. 4/ There are much less operative and postoperative complications if children are supported by their parents. 5/ Other countries (Austria, Hungary) encourage parents to accompany their children for operations much more than it is in the Czech Republic. Two research questions focused on the comparison of the level and range of psychosocial support of children surgical patients in the Czech Republic and abroad were defined for qualitative data analysis. 1/ Are there big differences in psychosocial care of children surgical patients in the Czech Republic and abroad (Austria, Hungary)? 2/ Are there good conditions for solid psychosocial care of children patients in the Czech Republic?
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Operation specialization of perioperational nurse and her influence on the nurges regime.
ROUŠALOVÁ, Vladana
This bachelor{\crq}s thesis deals with the work load of perioperative nurses. It is performed in very specific conditions of operating rooms. The work of the nurses in operating rooms is indispensable. It is both mentally and physically tiring. They work under time pressure and at forced pace. Perioperative nurses have to be qualified theoretically, they have to know the instrumental technology, they must be manually skilled and, most of all, emotionally stable. All this reflects in the feelings and mental health of the nurses. The aim of this work was to study the lifestyle of perioperative nurses and find out whether they know the principles of healthy living and comply with them. We have further focused on the physical and mental strain of these nurse specialists. We were trying to learn whether perioperative nurses suffer from the burnout syndrome and how they relax. For the purposes of reaching the above goals, we have used a quantitative research in the form of questionnaires. We received the total of 142 questionnaires form perioperative nurses. The questionnaires have been processed in the form of descriptive statistics with the help of graphs and tables. The investigation shows that the nurses know the principles of healthy living but do not observe them. It confirmed the fact that perioperative nurses smoke and drink a lot of caffeine drinks. It was also revealed that nurses do not observe the drinking regime although they are aware of its importance for their health. In addition to their work, they have obligations towards their families. As such, they have very little time for themselves and they fail to rest and relax. The research shows that they do not observe the lunch breaks during their working hours. It is alarming that nurses working in operating rooms are often tired, do not sleep well and suffer from backaches and headaches. Their working environment is stressful. It is, however, good to hear that these nurses are interested to know what is new in their field of work and do not plan to change their jobs. The study shows that the profession of perioperative nurses affects the lifestyle of these specialist nurses.
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Psychosomatic stress of nurses on surgery
FIALOVÁ, Lenka
This bachelor work deals with aspects of professional load of peri-operative nurses in the somatic and psychic point of view. The aim of this work was to identify the most frequent proofs of psychosomatic loads of nurses in the operating theatre. The aim was fulfilled. Two hypotheses were set. Hypothesis number 1 confirms that the most frequent proof of somatic load of the nurses in the operating theatre is backache problem. Hypothesis number 2 confirms that the most frequent proof of psychic load of nurses in the operating theatre is stress. The results also show that the theme of somatic and psychic load of peri-operative nurses is an up-to-date topic which is necessary to inform about. As a recommendation for the employers it would be suitable to enable nurses to get to know different relaxing techniques, to contribute to free-time sport and cultural activities which could help to reduce professional stress at peri-operative nurses.
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