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Nursing perioperative care on the gynekological section.
WOLFOVÁ, Petra
The bachelor thesis focuses on nursing care before, during and after a gynaecological surgery. Gynaecological surgeries are divided into small and big. Small gynaecological surgeries require only one surgeon and the hospitalization of the patient is shorter than 24 hours. Big surgeries require more surgeons, the patient is under anaesthesia for a longer time and the hospitalization is longer than 24 hours. In this bachelor thesis, we focused on perioperative care in women after a big gynaecological surgery. Care during the preoperative period is an integral part of the work of a birth assistant, as gynaecology is largely a surgical specialisation. With advancing technical progress and development of new surgical methods, various types of surgeries appear with specific requirements for nursing care. Effective perioperative care is important for trouble-free convalescence of women after surgeries. Perioperative care includes both nursing procedures and informing the patient about the hospitalization and care course. Perioperative care is very demanding for the woman herself and for the whole team participating in the care. Interaction of all the medical staff is necessary in perioperative care to provide specialised care according to the standards. The aim of this bachelor thesis was to determine the needs of patients that are affected in the highest extent during perioperative period. The research focused on the way women perceive perioperative period and the approach of health care professionals and the extent these items meet their expectation. The research was performed at a gynaecology-obstetrics department of a hospital, using qualitative assessment in deep interviews. The interviews included 13 open questions. The research group consisted of 8 women after a big gynaecological surgery. The participation in the interview was voluntary. The results of this research were carefully transcribed and analysed using the "pen-paper" method. These results were divided into four categories and further subcategories.
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Perioperative nursing care from the perspective of the patient
LHOTSKÁ, Jana
The bachelor's thesis deals with the nursing care which is provided to the patients before, during and after the surgery until discharge to home care. In the research nurses of surgery and their cooperation in the perioperative nursing care are also included. The theoretical part is focused on the issue of the perioperative nursing care, on the preoperative preparation and the postoperative care and how the patient perceives the time just before the surgery when he/she is passed to the operating room. In the theoretical part there is also the task of the nurses included providing the perioperative care and their mutual cooperation. The first aim of the thesis was to find what is the level of continuity of the care in the perioperative time from the perspective of the patient. The other aim of the thesis was to find the cooperation of healthcare workers in the perioperative care. The survey was conducted through the qualitative research, through the method of questioning. The data collection technique were the depth individual interviews with the patients and nurses. The choice of the patients was intentional, the patients had to be after a surgery and already in home care. The choice of the nurses was intentional, too, the surgical nurses had to care for patients after surgeries, the nurse anesthetists had to work in the surgical operating theatres. The results of the survey show that in the preoperative time the patients see the biggest problem in giving lack of information about the postoperative care. In ensuring the intraoperative care the nurse anesthetist introduced herself/himself only to one patient at the first contact. In the postoperative time none of the patients were in contact with the nurse after full awakening, they only had signalling device. Further the interviews with the patients show that no patients were instructed on the first postoperative getting out of bed and further postoperative rehabilitation. Out of the results of interviews with the surgical nurses and nurse anesthetists we find out that the nurse anesthetist participates in the preoperative preparation just on the day of surgery. The problem in the cooperation of the surgical nurses and nurse anesthetists is transmission of the information and documentation during the transfer of the patient from the operating room. In the postoperative rehabilitation the nurse can cooperate with the physiotherapist but only on weekdays. The results of my bachelor's thesis could be submitted to the head nurse of the hospital but especially to the head nurses of the surgical and anestheziology department to have opportunity to agree on better cooperation and communication. Because I work in the surgical postoperative department I suppose then it would be appropriate to consult together possible improvement of providing the nursing care with the colleagues in the department throughout the perioperative period, or to organize seminars focused on the issue of nursing perioperative care. The nurses can only point out that the establishment of a sleep-in room would be a benefit both for patients and for nurses however its establishment is not real. Then my bachelor's thesis could be used as an information resource for nurses working in surgical fields.
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