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Problems in nursing care for klient with general and epidural, spinal anesthesia
PŘEDOTOVÁ, Jana
Abstract:Problems of nursing care for a client with general and epidural spinal anaesthesia.The topic of the Bachelor Thesis is ?Problems of nursing care for a client with general and epidural spinal anaesthesia?. The Thesis has three goals. The first goal is to map the knowledge of the general anaesthesia issues among nurses. The next goal is to map the knowledge of epidural spinal anaesthesia among nurses and the last goal is to check adherence to the nursing care principles in general and epidural spinal anaesthesia.The work consists of a theoretical part and a practical part. The theoretical part deals with definition of general and epidural spinal anaesthesia, their indications and counter indications, the spinal canal anatomy, applied pharmaceuticals and nursing care before, during and after general and epidural and spinal anaesthesia.The research part is based on quantitative data collection method by means of a questionnaire. Standard surgical, gynaecology and orthopaedic wards and an intensive care unit including casualty ward were involved. The questionnaire was designed for nurses and consisted of 35 questions, which may be divided into identification and knowledge ones.The goals of the Thesis have been met. Hypothesis No. 1 ?Nurses are better informed in the field of general anaesthesia then spinal, epidural anaesthesia? was refuted. Hypotheses No. 2 ?ICU and casualty ward nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia better than those at standard wards? and No. 3 ?Nurses adhere to the principles of nursing care for clients with general and epidural spinal anaesthesia? were refuted. Hypotheses No. 4 ?Nurses of standard wards care about more patients after general anaesthesia?, No. 5 ?ICU and casualty ward nurses valuate epidural spinal anaesthesia higher than general anaesthesia? and No. 6 ?Nurses observe that patients prefer general anaesthesia to epidural spinal anaesthesia if they can choose? were confirmed.The research results show that nurses do not have sufficient information in the field of general and epidural spinal anaesthesia. This is why this Thesis may be used for further education of nurses to improve their knowledge and to make them adhere to the nursing care principles in the field of general and epidural spinal anaesthesia. This is why educational material dealing with the general and epidural spinal anaesthesia will be prepared, designed for nurses to improve their information. Better information for nurses might lead to improvement of the health care provided.
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