Strategies for providing care within a selected endoscopic procedure

The diploma thesis deals with a strategy of providing care within the framework of a colonoscopy and gastroscopy procedure. The aim of this thesis is to find out what information is provided by the nurses to the patients during a colonoscopy and gastroscopy procedure, what communication techniques are used by the nurses within the framework of reducing the fear at the patients and what expectations the patients have from the nurses before the colonoscopy and gastroscopy procedure. Six research questions were established, which surveyed what information is provided by the nurses to the patients during the procedure, what communication techniques are used by the nurses within the framework of reducing the fear at the patients and what expectation the patients have from the nurses. Furthermore, they surveyed what kinds of problem have both the nurses and patients to solve and how the nurses secure the patients´ intimacy within the framework of the colonoscopy and gastroscopy procedure. In the theoretical part, the thesis is focused on the anatomy and physiology of the digestive system, progress of endoscopic devices, on endoscopy procedures and nursing process within the framework of the colonoscopy and gastroscopy procedure. And at last but not least, the security of the patient´s intimacy and a role of a nurse - communicator within the framework of the colonoscopy and gastroscopy procedure. To achieve the aim, the qualitative method of research construction was used with a method of an interview, face-to-face technique at the patients undergoing the colonoscopy and gastroscopy procedure and at the nurses providing these patients with nursing care. The research construction was supplemented with the nurses´ observation. The results from the obtained data led to the conclusion that the nurses ensure the patients´ intimacy properly, use the communication techniques for reducing the fear efficiently, provide the patients with information concerning the endoscopy procedure and that they rarely experienced any problems. Furthermore, the research construction revealed that a varied part of the patients never experienced any problems and their positive expectation from the nurses was fulfilled. The results of the research construction will be offered to the employees of the endoscopy department where the research was performed as a feedback for the approach to the patients within the framework of the colonoscopy and gastroscopy procedure