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Ensuring patient´s privacy during re-bandaging
BELLOVÁ, Daniela
This bachelor thesis investigates the way nurses ensure patient´s privacy in surgery departments during re-bandage. Beginning of the thesis´ theoretical part is focused on theoretical knowledge necessary for wounded patients care, the basic knowledge of anatomy and skin physiology. Next, what are a wound and what the healing process itself looks like. Which factors, either local or general, can negatively affect healing and how the care of particular nurse can contribute to it. Further, the process of wound treatment followed by post-surgery care and theoretical procedure of the bandaging itself, focusing on ensuring patient´s intimacy during the procedure. The entire knowledge of aseptic bandage procedures and good general patient care allows fast and uncomplicated healing. The number of re-bandages is decreased as well as the risk of violating the patients´ intimacy. Therefore, following chapters are focused on patient´s needs, his/her dignity and holistic approach of man. Patient´s needs are centered around self-concept and self-respect. Dignity and an emphasis on its compliance is the core of this thesis. The perception of intimacy, shame and nudity brings us to this issue. It is the reason this thesis was written and why it is so important to ensure such things as intimacy. Theoretical part of the thesis then brings information about legislative protection of privacy and highlights Patient´s rights and Code of Ethics for Nurses that should be remembered and followed by every nurse. Research in this thesis was conducted by the method of quantitative investigation in surgery departments in České Budějovice hospital, specifically in its surgical, orthopedic, traumatology, gynecology, urology, neurosurgery and cardiac surgery departments. Two kinds of survey were held. First was intended for patients hospitalized in surgery departments who underwent re-bandage and second one was given to the nurses working there. The aim of the thesis was to find out the way patient´s intimacy is ensured during re-bandaging. According to the highest number of positive answers from both clients and nurses, it was shown that nurses, when preparing to bandage patients, always ensure that the door is closed. When exposing a client, they make sure not to uncover his body more and longer than necessary. Despite this finding, we didn´t confirm the hypothesis number one: Surgery department nurses ensure patients intimacy during bandaging. The cause of the low number of achieved points was the failure to ensure patients intimacy in front of the other patients in the room, where majority of the bandaging were held. This finding contributed in the confirmation of the second hypothesis: Surgery department nurses do not use the equipment for ensuring patient´s intimacy during bandaging. Results from patient´s answers positively showed that nurses do not use either the curtain or the bandaging room. Therefore, clients are bandaged in front of other patients in the room. The kind of bandaging wasn´t taken into account in the survey. However, the intimacy is perceived differently by each individual and even its slightest disruption might be taken negatively. The third hypothesis: Intimacy violation occurs more frequently among long-term hospitalized patients, was confirmed. The results was not contributed by the majority of answers as with the previous hypothesis, but even small number of respondents confirming the decrease in quality during their hospitalization, could not be left unnoticed and was considered sufficient for confirming the hypothesis. The results of this bachelor thesis will serve as feedback for nurses and if it increases their interest in ensuring patients´ intimacy, then this work has fulfilled its purpose.
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