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The use of nursing care quantification on the gynaecology obstetrical ward
HELEŠICOVÁ, Nela
The bachelor's thesis on "The use of nursing care quantification on the gynaecology-obstetrical ward" focuses on special nursing performances done by midwives in the department. The theoretical part of the bachelor thesis specifies the subject of gynecology and obstetrics with the division of its parts and methods of provided care. The nursing care and nursing process for women with gynecological problems is defined in the chapter of nursing, which is very closely related to provided care. It thoroughly describes the competencies, education and qualification of non-medical health care staff in the department, as well as the managerial stratification of the staff. The aim of the work was to map the special nursing performances occured in the gynecological and obstetric department, to find out their average time difficulty and to determine the time demands of nursing care in selected groups of patients. A research question had been asked to map the performance, which aims to find out what is the most common performance at stations. The first determined hypothesis presumed that average time demands of each performance differ from one another. The second hypothesis presumed that average time demands differ at selected group of patients. The empirical part was worked out through a quantitative research survey. The research was done in accordance with the Methodology of Nursing Care Quantification for the Enumeration of Nursing Staff, created in 1999 by Pochylá and Pochylý. In the research part, the method of structured observation was used. In the first part, performances at surgical gynecology and puerperium departments were recorded at 15 patients during the 12-hour day shift and the patiens formed the study. In the second part, the average time values of 27 outputs from 30 measured values were determined and the performances served as the research body. In the third part, the research group consisted of three groups of patients after physiological delivery, caesarean section and women at risk of pregnancy observed within 24 hours. Through a robust research survey were by inventories mapped 27 performances recorded at the stations. The most used performance was drug administration per os, but the least frequent one was bladder catheterization and discharge with documentation. In the second part of the research, it was found that the average time consuming performance varied from one another, and when comparing the two shortest performances it was found that drug administration was subcutaneously faster than oral medication. In the third part, the most demanding overall length of treatment was found at women with risk pregnancy, but the time difference between the comparative groups of women is not statistically significant. Due to the inventory of performances and the determination of their average time values, can this bachelor thesis serve as a basis for a new methodology that will determine the number of nursing staff at gynecology and obstetrics. It can be assumed that time values will be beneficial to healthcare professionals and patients too who can imagine the duration of a certain performance.
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