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Changes in the manner of dressing of surgical wounds in the last 30 years
SPILKOVÁ, Eliška
Surgical wound care - dressing is a set of activities that favorably affect the healing process. The course of dressing under aseptic conditions is important to avoid infection in the wound and unpleasant complications. The aim of this diploma thesis is to analyze the changes in the way surgical wounds are used, especially in the last three decades. In connection with the analysis of the text, a research question was asked: How has the method of dressing surgical wounds changed in the last 30 years? We set 5 hypotheses. H1: nurses who have been in practice for more than 10 years prefer sterile devices stored in containers to wound dressings over nurses who have been in practice for less than 10 years. H2: Nurses who have been in practice for more than 10 years prefer the no-dose system more often than nurses who have been in practice for less than 10 years. H3: Nurses who have been in practice for more than 10 years have seen more changes in the method of dressing in the last 30 years than nurses who have been in practice for less than 10 years. H4: Nurses who have been in practice for more than 10 years claim that there have been no changes in the disinfectant and treatment solutions used for dressings during their practice. H5: From the point of view of nurses who have been in practice for more than 10 years, wound dressings are performed more aseptically now than 30 years ago. The empirical part of this diploma thesis was processed on the basis of qualitative and quantitative research. Data collection was performed through a questionnaire and a semi-structured interview. After saturating the answers, a total of 10 interviews and 272 questionnaires were included in the empirical part of this work. The results of the research show that the main changes that have occurred in the last three decades include changes in medical and disinfectant solutions, wound dressings, sterilization packaging, sterile material handling system, wound dressings used and, last but not least, wound healing .
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Nursing care of surgical wounds on a surgical department
OCHMANOVÁ, Miroslava
The thesis deals with the care of surgical wounds in a surgical department. The aim of this thesis is to map a nursing care of surgical wounds in a standard surgical department and in an intensive care unit. Also it tries to answer what aids nurses have at their disposal in the individual surgical departments and then to compare all the parameters with each other. The following research questions were created from the aims: How do nurses treat a surgical wound in a standard surgical department? What kind of aids for nursing wounds do they have available in a standard surgical department? What are the differences in a care of surgical wound in a standard surgical ward and in an intensive care unit? What are the differences in aids for nursing wounds in a standard surgical ward and in an intensive care unit? We chose a qualitative method for the research survey. The data collection was carried out in the form of a semi-structured interview in a total of 14 addressed nurses. Seven of them work in a standard surgical department and the remaining seven nurses work in a surgical intensive care unit. From the interviews we can conclude that the process of nursing care of surgical wounds in both wards are mostly performed according to the recommended practice. The biggest difference in the care of the surgical wounds is in the care of the scar. The difference comes from different parameters of each wards. In the intensive care unit patients are hospitalized after major operations and they are then transferred to a standard surgical unit and after all this they are released to a home care. There were not found any differences in the aids which they are using for care of surgical wounds in each wards. The results of the survey can help students in preparing for future careers and to improve the awareness of nurses in the care of surgical wounds working in surgical departments.
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The quality of nursing care in aseptic treatment of operative wounds
KARŠULÍNOVÁ, Pavla
The present diploma thesis deals with the quality of nursing care in aseptic treatment of surgical wounds. High quality nursing care is desired in order to satisfy patients' needs. Equally high level of quality is required from the healthcare organizations where patients are treated. The diploma thesis is divided into two sections: a theoretical section and an empirical section. The theoretical section focuses on surgical wound, its healing, aseptic care, complications of wound healing, nosocomial infections, quality of nursing care, nursing care indicators, and quality of health care from the patient's point of view. The empirical section's aim is to evaluate the quality of nursing care in selected surgical departments. The thesis aims to answer two research questions: 1) How do nurses employ the aseptic technique when changing a surgical wound's dressing? 2) Nurses must enhance their expertise in surgical wound care. How do head nurses at selected surgical wards secure the aforementioned training? A qualitative research survey was used to process the empirical part of the thesis. Semi-structured interviews with ward managers and head nurses were conducted for data collection. The nurses answered 20 questions each. During the interview, valuable answers were provided by 17 nurses. The results indicate high quality of nursing care in aseptic treatment of surgical wounds, as nurses employ modern trends and techniques in surgical wound care; the high quality of nursing care is reflected in the minimally occurring complications that affect surgical wounds. Aseptic approach is a priority for the nurses working in the wards where the research was conducted. Nurses follow standardized procedures for aseptic dressing of surgical wounds. The head nurses and ward managers consider education of nurses in the issue of aseptic treatment of surgical wounds to be of the utmost importance, and they supervise or arrange education in aseptic care of surgical wounds for nurses on a regular basis. The information obtained in the research can serve as a basis for seminars on aseptic treatment of surgical wounds.
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Importance of enzymatic solutions (Enzymel) in postoperative treatment of upper respiratory tract wounds
Šimurdová, Marcela ; Tomová, Šárka (advisor) ; Nikodemová, Hana (referee)
Bakalářská práce Význam Enzymelu v pooperačním ošetřování ran v horních cestách dýchacích 1 Abstract Healing surgical wounds in upper respiratory tract is often difficult and painful due to constant presence of food (contamination), movements during talking and continuous presence of aggressive saliva. Most of the surgery clinics use natural solutions especially chamomile to accelerate healing and to remove patient's postoperative problems. Gel Enzymel parodont, which contains proteolytic enzymes and its application limits bacteria production and accelerates healing of the surgical wounds, hasn't been used in a clinical treatment in surgical ORL yet and its effects on healing haven't been studied. The theoretical part of this study is focused on a brief introduction of selected surgical procedures in upper respiratory tract and the corresponding nursing process including a summary of possible complications in the postoperative period. The empirical part of the thesis contains a summary of the results of non-standardized questionnaire survey, which was conducted on selected patients of the ORL (ENT) Clinic of Motol University Hospital. Using a surrogate survey of a selected group of patients (80 in total), data were obtained to compare the effectiveness of the investigated agents, especially in the area of...
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