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Education of Women by Midwife in the Preoperative Period
TRUXOVÁ, Natálie
The bachelor thesis focuses on the education of women by midwife in the preoperative period. The thesis is divided into a theoretical and a practical part. The theoretical part includes the topic and classification of gynecological surgeries, as well as the division of the perioperative period, with a detailed focus on the preoperative period, its organization, course, and procedures associated with it. Finally, the theoretical part deals with the concept of education, educational methods, goals, and the relationship between the midwife and the educated women. The practical part of the thesis aimed to determine, how midwives educate women in the preoperative period. Qualitative research was conducted using anonymous semi-structured interviews. The research was carried out from February to March 2023 and data was collected from gynecology units in hospitals in České Budějovice, Liberec, and Jablonec nad Nisou. Two research samples were used: the first sample consisted of midwives who educate women in the preoperative period, and the second consisted of women who underwent gynecological surgery. Interviews with the informants were conducted with their expressed consent and were anonymous. The interviews were recorded on audio. The interviews consisted of eight basic questions and additional follow-up questions for midwives, and ten basic questions and additional follow-up questions for women. The acquired data were transcribed and subsequently analyzed using color coding. To evaluate the data, main categories and subcategories were established and included in the research section of the bachelor thesis. The first research sample consists of main categories (Education, Process of Education in the Preoperative Period) that contain subcategories (Importance of Education, Development of an Educational Plan, Education in the Preoperative Period, Women's Cooperation during Education, Feedback from Women after Education). In the second research sample, there are main categories (Education, Behavior of woman), which are further divided into subcategories (Process of Education, Change in Women's Attitude after Education, Perception of Education from the Midwife Assistant). The first research question aimed to investigate how women evaluate the knowledge they acquire. Informants Ž2, Ž3, Ž4, Ž5 were very satisfied with their education as a midwife and considered the acquired knowledge to be sufficient. The information was communicated to them clearly. However, informant Ž1 who received education from a midwife was dissatisfied. Informant Ž1 did not receive education in the preoperative period, which had a negative impact on her mental state. The overall communication between her and the midwife was also problematic. The second research question focused on how midwife educate women in the preoperative period. In the preoperative period, most of informants stated that they first educate about the functioning of the department, its equipment, and spaces. All informants further described how their education in the preoperative period proceeded. The education provided by all midwives was consistent and included all necessary aspects. The education of midwives included information regarding nutrition, elimination, hygiene, sleep, and pre-medication.
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