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Specifics of nurse care at the patient with MRSA on surgery from nurses' point of view.
KALÁBOVÁ, Miroslava
Title of the thesis: Specifics of the nursing care of patients with MRSA in the operating room from an anesthesiology nurse perspective. The aim of this thesis was to identify the specifics of nursing care of a patient with the MRSA in the operating room from the perspective of nurses working in the operating room. In the theoretical part focus is given to nursing care and its specifics for a patient with MRSA. Chapters relating to the regime measures, barrier nursing procedures and the use of specific aids, instruments and tools are treated in detail. The nursing care provided by anesthesia nurses and perioperative nurses in the operating room is defined. To reach the goals the quantitative research through questionnaires was chosen. The research sample consisted of anesthesia nurses and perioperative care nurses. Two types of standardized questionnaires were used, consisted of closed questions where respondents chose an appropriate answer, and from semi-open questions where respondents could specify their answers, and in one case open questions. Both questionnaires were completed by 12 test questions, where respondents had the choice of three possible answers, where one answer was correct. The results of the investigation are summarized in two types of graphs. Bar charts were used in questions where more answers were possible to mark, and for a better clarity the results were supplemented by tables. Results to other questions, where options were limited by one answer, are shown in percentages in pie graphs. Our thesis is very narrowly focused, because we concentrated on specifics of nursing care in a patient with MRSA in the operating room. We have determined the specifics of barrier nursing, nursing problems in a patient with MRSA in the operating room. We have discovered barrier nursing procedures in a patient with MRSA in the operating room. We have also succeeded in assessing the knowledge of nurses working in the operating room. The goal was met. An interesting finding was that most of anesthetic nurses and perioperative nurses had responded that the structural and technical arrangement in the operating room was not satisfactory in terms of barrier nursing of a patient with MRSA. This problem was expected, owing to the author´s experience in operating theaters. Thus Hypothesis 1 is confirmed. In total five hypotheses were stated, four of which were confirmed and one was disproved. The aim of the thesis was to draw attention to problems in the operating room during nursing a patient with MRSA. In the course of the research work there were no problems, however, it is necessary to mention the lack of literature on MRSA with regard to nursing care in operating theaters. The theoretical section of this thesis could be recommended as a resource for the education plan created on the basis of information collected and the results of this research. The results of the research survey may serve for general public, anesthesia and perioperative nurses who could benefit from the educational plan in practice while providing nursing care for a patient with MRSA.
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Satisfaction of patients psychosocial needs at ophthalmology department
KALÁBOVÁ, Miroslava
The aim of my bachelor work was to find out the psychosocial needs and their satisfying by the patients at the ophthalmology department. Before the very research we picked two hypotheses out. The first hypothesis referred to a question whether the patients at the ophthalmology department have problems with the three-dimensional orientation. The other one focused on a question whether the patients at the ophthalmology department have problems to arrange contacts with the co-patients during the hospitalization. The bachelor work consists of the theoretical and the practical part. In the theoretical part I targeted to give in sufficient information about the needs and their satiation. To mark out problems of the patients at the ophthalmology department before and also after the operation. To describe nursing care of the visual ill in hospital and also home care. There are also problems which the patients can battle with by release and follow- on socialization gathered here. The applied part was conducted by a quantitative search where the methodology of work made a non-standardized anonymous questionnaire. The questionnaire was made of 30 questions, which were focused on satisfying of the biopsychosocial needs. The research group made the patients at the ophthalmology department in Jihlava. In all 60 questionnaires were handed out, 50 of them were used for a research. The results of the research were elaborated in the graphs and the charts completed some of them. In a discussion there were particular results discussed and the hypotheses were evaluated. The first hypothesis concerning the three-dimensional orientation of the ophthalmology department patients was rebutted and the other one, which was related to the arrangement of contacts between the patients, was also not confirmed. Thanks to this research work I faced difficulties with considerable lack of special literature. It was mainly related to the satisfying of the needs and nursing care of the visual ill. These sick people occur not only at the ophthalmology department but they can also be hospitalized at other specialized nursing centers. I would be glad if there was some specialized literature produced by means of this work, which could help not only the students but also the nurses working at the ophthalmology department and outside of it, too.
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