|
|
Falls in Geriatric Patients at the Follow-up Care Department
CARDOVÁ, Lenka
This diploma thesis is dedicated to falls in geriatric patients in the aftercare department. Thesis Objectives: To carry out a complex analysis of multifactorial causes in chosen cases of geriatric patients that occured during hospitalization in a chosen aftercare workplace from 2020 through 2021 in Nemocnice České Budějovice, a.s. To carry out SWOT analysis of a chosen aftercare workplace in Nemocnice České Budějovice, a.s. with the objective to evaluate interventions used in preventing falls of patients hospitalized in the given workplace. Suggestion of recommendation to improve current practice of the chosen aftercare workplace in Nemocnice České Budějovice, a.s. in preventing falls in hospitalized patients. Methodology and Research File: To reach the objectives, three research questions were chosen. What are multifactorial causes of chosen cases of falls in geriatric patients in the chosen aftercare workplace? What interventions are used to prevent falls in geriatric patients in the chosen aftercare workplace? What interventions might improve current practice in preventing falls in hospitalized geriatric patients in the chosen aftercare workplace? To implement a survey, a qualitative research strategy was chosen. For case study purposes, the following data collection techniques were used - medical documentation content analysis, reporting adverse events, controlled documentation etc., semi-structured interviews with doctors in specific fall cases. In the following part of the survey, where we were finding out about the intervention used and intervention meant for improving the current practice in fall prevention, semi-structured interviews were carried out with doctors and nurses. Interviews with the nurses were completed by participant observations. Based on the survey results, a SWOT analysis was processed. The research file consisted of 14 chosen falls that happened in hospitalized geriatric patients in the aftercare department from 2020 through 2021, of 12 nurses working in the aftercare department, of 9 doctors that were informed of a fall. A deliberate choice of both nurses and doctros was used, the criterium for being included in the research file was the minimum of a year-long practice in the aftercare deparment. The obtained data was processed using the pen-and-paper method, open coding, and data was subsequently categorized and noted down into tables and schemes. Results: Complex analysis of multifactorial causes of chosen fall cases proved that falls happened due to internal as well as external factors. The risk of a fall was increased by the pateints´ age, morbidity, polypharmacotherapy, cognitive deficit, sarcopenia, fragility syndrome, instability, bed siderails lifted, and human resource failure. Based on the results, we carried out SWOT analysis and we suggested a recommendation to improve the current practice in the chosen aftercare workplace. Practice Recommendations: Based on the survey, we would recommend for a repetitive evaluation of the risk of patients falling to be carrried out. Another recommendation would be educating the nursing staff in the area of fall prevention, in the area of communicating with geriatric patients and patients suffering from dementia. Further on, we would recommend ensuring the use of suitable positioning aids and securing a movement-detection system inside the bed. Last but not least, we would recommend increasing numbers of nursing staff.
|
|
|
The problems of communication between nurse and patients with dementia
CARDOVÁ, Lenka
This bachelor thesis deals with the problems of communication between nurses and patients with dementia. Aims of the Thesis: To find out what barriers there are in communication among nurses and patients suffering from dementia - mental, physical, and duration difficulties. To map out nurses´ experience in communicating with patients suffering from dementia. To find out how nurses communicate with patients suffering from dementia. Methodology and Research File: To reach goals set, three research questions have been posed. What barriers are there in nurses´ communication with patients suffering from dementia? What is nurses´ experience with communicating with patients suffering from dementia? How do nurses communicate with patients suffering from dementia while nursing? To carry out the survey, a qualitative approach was chosen, using a semi-structured interview as the data collection method. The semi-structured interview was accompanied by a long-term direct observation carried out in the after-care department. The research file consisted of 11 nurses from three departments of a chosen South-Bohemian hospital. A deliberate choice of nurses was carried out, the main criterion of being included within the research file was minimal nursing practice of 3 years of working in the given department. The data was processed using the pen-and-paper method using open coding, and the data was subsequently categorized. 6 categories and 14 subcategories were set. Results: The survey has proven that nurses are experienced in communicating with patients suffering from dementia, they have theoretical knowledge, as well as proven methods for communication purposes. Some nurses do use these communication methods in practice. Other nurses have (theoretical) knowledge of how to communicate, however they do not use these communication techniques in practice. Practical Recommendations: We recommend to include self-experience courses in communication with patients suffering from dementia as part of nurse education, where the nurses would not only gain theoretical knowledge, but also be enabled to rehearse their communication with that specific group of patients in simulated model situations, getting a feedback.
|
guest ::
RSS feed.