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The task of nurses in the development of complications after implantation of a pacemaker the Czech Republic and Slovak Republic
VAŠKOVÁ, Andrea
We have set three main goals. First of all, we tried to find out nurses? knowledge concerning the specific care of patients who have undergone the implantation of pacemaker in the Czech Republic and Slovakia, also their workflow when facing the complications after the implantation of pacemaker and, in the end, to find out what are the most common complications occurring in patients after having their heart pacemaker implanted. Based on these aims, research questions were made: 1. What are the nurses? knowledge concerning the specific care of patients with their pacemaker implanted in the Czech Republic? 2. What are the nurses? knowledge concerning the specific care of patients with their pacemaker implanted in Slovakia? 3. What is the workflow chosen by nurses in the Czech Republic when facing the complications after the implantation of pacemaker? 4. What is the workflow chosen by nurses in Slovakia when facing the complications after the implantation of pacemaker? 5. How often do the complications concerning the patients with their pacemaker implanted occur in the Czech Republic and Slovakia? 6. What are the most common complications occurring in patients after having a heart pacemaker implanted? To be able to achieve the aims and research questions of our work, we used the qualitative research by form of interviews with nurses from the Czech and Slovak hospitals. Information obtained were processed into the final charts and then evaluated. To implement these interviews, 30 nurses from various hospitals in the Slovak and Czech Republic were kindly asked to undergo our survey. The result of the research was that Slovak nurses have knowledge and skills similar to the Czech ones. The responses of the nurses from the both countries were basically the same, just with little differences. They were able to name all kinds of pacemakers and choose the right workflow before and after the implantation of pacemaker. Regarding the second goal, we found out that most nurses contact the doctor of the patient and subsequently stick to his instructions. All in all, the two countries proceed similarly when facing the complications of implantations of pacemaker. The most common procedures were prescribing the antibiotics when infection occurs, preparing the patient for reimplantation or in the case of bleeding, applying the pocket filled with sand to the wound. The third aim we set was to identify the most common complications. Nurses from both countries responded that complications do not usually occur but when they do, they are caused by a dislocation of the electrodes, bleeding or infection.
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