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Strategies for providing care within a selected endoscopic procedure
ŠAVRDOVÁ, Soňa
The diploma thesis deals with a strategy of providing care within the framework of a colonoscopy and gastroscopy procedure. The aim of this thesis is to find out what information is provided by the nurses to the patients during a colonoscopy and gastroscopy procedure, what communication techniques are used by the nurses within the framework of reducing the fear at the patients and what expectations the patients have from the nurses before the colonoscopy and gastroscopy procedure. Six research questions were established, which surveyed what information is provided by the nurses to the patients during the procedure, what communication techniques are used by the nurses within the framework of reducing the fear at the patients and what expectation the patients have from the nurses. Furthermore, they surveyed what kinds of problem have both the nurses and patients to solve and how the nurses secure the patients´ intimacy within the framework of the colonoscopy and gastroscopy procedure. In the theoretical part, the thesis is focused on the anatomy and physiology of the digestive system, progress of endoscopic devices, on endoscopy procedures and nursing process within the framework of the colonoscopy and gastroscopy procedure. And at last but not least, the security of the patient´s intimacy and a role of a nurse - communicator within the framework of the colonoscopy and gastroscopy procedure. To achieve the aim, the qualitative method of research construction was used with a method of an interview, face-to-face technique at the patients undergoing the colonoscopy and gastroscopy procedure and at the nurses providing these patients with nursing care. The research construction was supplemented with the nurses´ observation. The results from the obtained data led to the conclusion that the nurses ensure the patients´ intimacy properly, use the communication techniques for reducing the fear efficiently, provide the patients with information concerning the endoscopy procedure and that they rarely experienced any problems. Furthermore, the research construction revealed that a varied part of the patients never experienced any problems and their positive expectation from the nurses was fulfilled. The results of the research construction will be offered to the employees of the endoscopy department where the research was performed as a feedback for the approach to the patients within the framework of the colonoscopy and gastroscopy procedure.
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Experience in patients with invasive procedures
Pechová, Jana ; Mareš, Jiří (advisor) ; Gigalová, Veronika (referee)
Author: Jana Pechová Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Experience in Patients with Invasive Procedures Academic advisor: prof. PhDr. Jiří Mareš, PhD. Number of pages: 96 Number of attachments: 2 Defended in: 2015 Key words: invasive examination, colonoscopy, gastroscopy, patient's experience Bachelor's thesis discusses patient's experience with invasive examination (colonoscopy, gastroscopy). The theoretical part explains the main symptoms of gastrointestinal disease, describes problems of colonoscopy and gastroscopy. It deals with nursing care before and after the examination and characterizes nursing diagnosis. It includes patient's education before colonoscopy, particularly in preparation for this examination. In the empirical part, using a mixed approach, the author examines patient's experiences with examination closer. Semi - structured interview were used for ten selected respondents and other fifty patients filled in questionnaire IPQ-R-CZ (B) (with the agreement of J. Mares, the author of the Czech version). All patients suffer from gastrointestinal disease and patients who I interviewed also have experience with endoscopic examination. It maps the general awareness, information given immediately before the...
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Experience in patients with invasive procedures
Pechová, Jana ; Mareš, Jiří (advisor) ; Gigalová, Veronika (referee)
Author: Jana Pechová Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Experience in Patients with Invasive Procedures Academic advisor: prof. PhDr. Jiří Mareš, PhD. Number of pages: 96 Number of attachments: 2 Defended in: 2015 Key words: invasive examination, colonoscopy, gastroscopy, patient's experience Bachelor's thesis discusses patient's experience with invasive examination (colonoscopy, gastroscopy). The theoretical part explains the main symptoms of gastrointestinal disease, describes problems of colonoscopy and gastroscopy. It deals with nursing care before and after the examination and characterizes nursing diagnosis. It includes patient's education before colonoscopy, particularly in preparation for this examination. In the empirical part, using a mixed approach, the author examines patient's experiences with examination closer. Semi - structured interview were used for ten selected respondents and other fifty patients filled in questionnaire IPQ-R-CZ (B) (with the agreement of J. Mares, the author of the Czech version). All patients suffer from gastrointestinal disease and patients who I interviewed also have experience with endoscopic examination. It maps the general awareness, information given immediately before the...
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The role of nurses in endoscopic examinations
URBANOVÁ, Radka
Nowadays, endoscopy is considered one of the most widely used methods of examination. It enables not only the examination of bodily cavities, but also the extraction of tissue or other medical procedures. Endoscopic examinations are widely used. Thanks to preventive colonoscopies, diagnoses of the widely spread colorectal carcinoma occur in time. Another type of an endoscopy selected for the thesis is a gastroscopy. It allows the removal of foreign objects or the diagnosis of pathological changes in the upper part of the gastrointestinal tract. The last of the selected examinations is the Endoscopic Retrograde Cholangiopancreatogram (ERCP). It is considered the most reliable method for the diagnosis of pancreatic cancer, which occurs with increasing frequency. Additionally, it is the only one of the selected endoscopic examinations which combines endoscopy with X-ray imaging. It has, therefore, become unique due to the direct imaging of the pancreatic and biliary tracts. This disadvantage of endoscopic examination creates certain complications. These may occur during the procedure as well as in various intervals following the examination. It is, therefore, essential that patients are thoroughly prepared, examined by a doctor beforehand and that the execution of each examinations is sufficiently thought through. The work of nurses in endoscopic workplaces has certain specifics. These nurses must be able-bodies and must have technical and manual skills, since they need to operate costly endoscopic equipment. It is of utmost importance that the nurses have good communication skills, as they are the ones who come into contact with the patients most often. They should be able to alleviate the concerns of the patient, since this is the main purpose of their work. Last but not least, every endoscopic nurse should also have very good theoretical knowledge regarding the anatomy and physiology of the digestive tract, as well as expertise in the field of endoscopy.
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Patients awareness before endoscopic examination
BERNÁTOVÁ, Ivana
Abstract Patients awareness before endoscopic examination This baccalaureate thesis deals with informedness of patients prior endoscopic examinations. The theoretic part deals with the issues of informing and preparing endoscopic examinations. Generally, informedness is a broad issue that can be discussed in professional circles as well as by the laic public. As the patient is considered an active element of the treatment process nowadays, informedness has gained an important role. This work tried to explain endoscopic methods, to map preparation for individual endoscopic examinations, and to stress the importance of information and communication skills when providing such information. Two objectives were set down. The first one was to find out the details about informedness of patients prior endoscopic examinations. The other one was to find out what method is used to inform patients prior endoscopic examinations. Two hypotheses were set down in the practical part. The first hypothesis is based on the presumption of sufficient patient informedness and it was defined as follows: Patients are informed sufficiently prior endoscopic examinations. The other hypothesis was based on a presumption defined as follows: The most frequently used method of informing patients prior endoscopic examinations is oral explanation. To find out about the current situation, the quantitative method using an anonymous questionnaire was employed. Only one kind of questionnaire containing 25 questions was used. The questions were closed, semi-closed and one open. Introductory questions were informative ones, the others focused on informedness prior an endoscopic examination and on the methods of providing information. A hundred questions were distributed at preselected wards at Nemocnice Tábor, a. s. (Hospital Tábor). The research group consisted of patients at the surgical, internal and gynaecological departments. The results were processed into graphs showing the percentage of the distribution of the respondents{\crq} answers. The discussion was assessed and compared with professional literature. At the end of this thesis, the project summation results are presented as well as confirmed or unconfirmed hypotheses and possible proposals that may lead executive workers to consider what ways could be taken in the future to better patient informedness prior endoscopic examinations.
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Specifice of nursing care for children undergoing endoscopic examination of the gastrointestinal tract
HALÁMKOVÁ, Hana
Although it is not a new method endoscopy has undergone incredible development in recent years. The examination is however very unpleasant for a patient, which is why health care staff should be well trained, particularly for child patients. The aim of the thesis was to map the specifics of nursing care for children undergoing endoscopic examination of the gastrointestinal tract. We approached the whole issue from the point of view of caring staff ? nurses. In the theoretical part we first described the gastrointestinal tract anatomy, endoscopy development and types of endoscopic examination. Then we dealt with the role of a nurse in the care for child patients undergoing these examinations. We formed three goals for the research. Goal 1: To find out how nurses prepare child patients for the individual endoscopic examinations. Goal 2: To verify whether nurses caring about a child patient undergoing gastrointestinal tract endoscopy are specifically trained. Goal 3 served as the output of the work: To elaborate recommendation for nurses preparing child patients for the individual endoscopic examinations. We chose quantitative research for collection of the necessary information. A questionnaire designed for nurses caring for child patients was the data collection technique. The questionnaire was anonymous, distributed at paediatric clinics of faculty hospitals of Moravian region. 104 questionnaires suitable for processing returned from 140 issued. The research has shown that nurses working at the clinics where the research was performed master the correct nursing care for child patients undergoing endoscopic examination of the gastrointestinal tract. Nevertheless the fact that most information is gained upon practical experience, with low emphasis on initial and repeated training of nurses also results from the research. A recommendation was elaborated upon the gathered information in the form of a standard nursing procedure proposal.
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