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Potential health and hygiene risks of staff work in the orthopedic operating room
SVOBODOVÁ, Viera
Work in operating theatres is very demanding. The specifics of operating theatre operations imply a number of potential risks to which operating theatre staff are exposed. The aim of the Bachelor's thesis was first to briefly describe the possible risks, to find out the opinion of general nurses on the occurrence of selected risks in the orthopaedic operating room and then to compare the level of concern in relation to age. In order to achieve the stated aim, we developed a questionnaire based on the theoretical part of the thesis and conducted a survey among general nurses working in the orthopaedic ward. A total of 110 questionnaires were completed by perioperative and anaesthetic nurses. The results were then evaluated including statistical processing. Three hypotheses were set in relation to the objectives. For all three hypotheses, we hypothesized that the perception of the difficulty of the work and the level of risk apprehension in the orthopedic ward would be related to age. The results obtained can be briefly summarized as follows: in the perception of the individual respondents of risks and stressful situations, in relation to the age of the respondents, the dependence on age was demonstrated in only one category. Only in the evaluation of the question on the observance of meal breaks, a link with age was demonstrated. Thus, only in this single category did the level of negative perception decrease with increasing age. The result of the research showed that the older the OR staff is, the less stressful this particular situation is for them. The negative perception of the physical stress associated with the work increases with age. Similarly, the questionnaires confirmed a higher perception of the psychological demands of working in the operating theatre in relation to age. Furthermore, there was evidence of a high prevalence of health and psychological problems that staff associated with working in an orthopaedic operating theatre. Accurate knowledge of the perception of health and hygiene risks and stressors by operating room staff can provide useful information when trying to improve working conditions in a targeted manner.
Nursing care and communication with patient at operating theatre
VELIMSKÁ, Dana
The theme of the Bachelor Degree Work Nursing Care and Communication with the Patient in the Operating Theatre was chosen to map out the issue of the current level of the nursing care and communication with the patient in the environment which is for most of them stressful and makes increased demands both on the nursing care and on communication too. Nowadays this theme is very topical as patients´ participation in their treatment come to the fore and their awareness of the types of treatment and carried out surgeries is generally being increased. The proper communication level undoubtedly influences the patient´s state. The theoretical part of the work deals with the environment of the operating theatre and the nursing care provided by the anaesthetic nurse. Further it deals with the kinds of communication and its significance for the patient. The practical part contains the results of the quantitative research on the anaesthetic nurses providing nursing care in the operating theatre who also communicate with the patient in the operating theatre most of all. Further there are described results of the qualitative research on patients having experience with the stay in the operating theatre. The Bachelor Degree Work contains much information about particular characteristics of the nursing care in the operating theatre. It reveals hidden reserves in communication with the patient in this environment. It refers to the most often patients´ problems in communication with the operating team. It maps out the knowledge level of the anaesthetic nurses in the sphere of the nursing care and communication. There have been set several aims, hypotheses and research questions to write this work. For aim no. 1, to find out the level of the nursing care for the patient in the operating theatre from the nurse´s point of view, there were made three hypotheses. Hypothesis no. 1 - Nurses have developed nursing care standard in the operation theatre - is confirmed. Hypothesis no. 2 - Nurses have time to provide the nursing care in the operating theatre - is confirmed. Hypothesis no. 3 - Nurses have sufficient material and technical equipment to provide the nursing care in the operating theatre - is confirmed. Aim no. 2 was to map out the communication between the nursing team and the patient in the operating theatre and there were made two hypotheses. Hypothesis no. 1 - Communication between the nursing team and the patient is influenced by the stressful environment in the operating theatre - is confirmed. . Hypothesis no. 2 - Communication between the nursing team and the patient is limited by the operation hours of the operating theatres is confirmed. For aim no. 3, to find out the level of communication in the operating theatre between the nursing team and the patient from the patient´s point of view, there were set two research questions. How does the patient perceive communication with the operating team in the environment of the operating theatre? How is communication in the environment of the operating theatre going on? The research questions have been answered. The set aims of the work have been fulfilled. The results of the research work were used for writing the nursing standard "The Nursing Care for the Patient in the Operating Theatre". This standard can serve nurses as a brief and clear aid in the nursing process and in order to provide the patient with comfort and security of the quality nursing care in the operating theatre.

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