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Analysis of drug administration by nurses in health facility XI
Altmannová, Tereza ; Doseděl, Martin (advisor) ; Dvořáčková, Simona (referee)
Analysis of drug administration by nurses in health facility XI Author: Tereza Altmannová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Medication errors are intrinsically linked to the practice of the medical profession. They can occur at several levels - prescription, drug preparation, dispensation, administration, and subsequent use of the drug by the patient. Nurses play an important role in the process of the drug administration in a hospital setting. Because of the occurrenceof medication errors and the consequent inability to achieve desired health outcomes, efforts are nowadays made to detect and minimize them. The aim of this study was to detect and analyze medication errors occurring during drug administration by nurses in a healthcare facility in South Bohemia. Methodology: The study is a part of a multi-year project involving the Faculty of Pharmacy of Charles University. The methodology is based on an observational study. The data collection took place in April 2022. Three hospital wards were assigned for the observation, where morning, midday and evening drug administration was monitored for three consecutive days. Data were recorded on a pre- generated form based on the...
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Paliative care from the point of view of non-medical healthcare workers
Štětinová, Natálie ; Klokočková, Šárka (advisor) ; Nikodemová, Hana (referee)
This bachelor thesis describes dying from the view of nurses and compares implementing principles of paliative care of the dying patient lying on a hospital bed with care in a hospice. The goal of this work was to find out how nurses with practice in both types of institutions look at this care and what differences between them they recognize. The theoretical part involves definitions of basic notions and introduces the the whole themes of dying to the reader. Also basic principles, thoughts and values, that paliative medicine has and practices, will be mentioned. Further it submits basic information about history of this specialization in our country and also in the world, approaches typical expressions and problems of a dying patient and explains what specifics the hospice institutions have and what kind of care they provide. For the comparison, there will be also described how the paliative care for the patient in the terminal phase laying on a hospital bed is implemented. The basis for this part will be mainly appropriate literature and internet sources. For the empirical part the method of qualitative research was chosen. It works with informations gained from interviews with four nurses that have the experience with a dying patient from their earlier practice in a hospital and who are taking...
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Analysis of drug administration by nurses in health facility II
Bančíková, Natalie ; Malý, Josef (advisor) ; Horký, Pavel (referee)
Analysis of drug administration by nurses in a health facility II Author: Natalie Blizňáková Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Ondřej Tesař Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Medication errors are one of the main causes of adverse events that can lead to damage to health or death of the patient. The aim of this work was to analyze the administration of drugs by nurses to patients hospitalized in one health facility providing inpatient care in the South Bohemian region with emphasis on medication errors and their prevention. Methodology: This diploma thesis is part of a long-term observation-intervention project, which takes place in the years 2020-2023. The surgical, internal medicine and aftercare departments were observed. Data collection for this work took place in the form of direct observation by a trained team of pharmacists and nurses, from June 28 to July 1 and from August 23 to August 26, 2021, for three consecutive days. The following data were collected: patient data (e.g., age; gender; all drugs used), data on the nurse administering the drugs (e.g., length of practice and education) and data on the actual administration of drugs (e.g., method of patient identification; nurse...
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Analysis of drug administration by nurses in health facility XV.
Chudovská, Denisa ; Malý, Josef (advisor) ; Dvořáčková, Simona (referee)
Analysis of drug administration by nurses in health facility XV. Author: Denisa Chudovská Tutor: doc. PharmDr. Josef Malý. Ph.D. Consultant: Mgr. Ondřej Tesař Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: The role of nurses is key not only in the occurrence of medication errors, but also in their prevention. The aim of the thesis was to analyze the administration of medications by nurses to patients hospitalized in three departments within a healthcare facility and to compare the results with the first year of monitoring in the given hospital. Methods: This is an observational-interventional study. The data collection method was passive observation. The study included patients in surgical, internal medicine, and post-care departments within one of the four hospitals in the Czech Republic. Data collection took place over three consecutive days. The collected data encompassed information: about the patient, the nurse and medication name, strength, preparation, administration, usage verification. The analysis of obtained data was performed using a Summary of Product Characteristics and relevant information sources available at the Pharmaceutical Faculty of Charles University in Hradec Králové. To assess the impact of...
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The role of nurse from physician perspective in pharmaceutical care
Poláková, Lucie ; Hocková, Jana (advisor) ; Švárová, Beáta (referee)
Introduction to the problem: Pharmacotherapy is a very complex and specific topic. Many of healthcare professionals, including nurses, are involved in pharmacotherapy management. Although this field is ensured by various legal standards, some competences of nurses are not clearly defined. The primary aim of this research was to analyse the current role of the nurse in pharmacotherapy out of a physician's perspective. Methodology: The data as a part of the multicentric project was collected in the form of semi- structured in-depth interviews with selected physicians also called key-informants. The obtained data were analysed by open coding followed by categorisation. Finally, SWOT (strengths, weaknesses, opportunities, and threats) analysis was used to assess the opportunities and threats, which are related to determination of the ideal role of the nurse in drug administration. Results: Current practice shows that nurses are performing activities beyond their competences. Therefore, I consider legislative changes in this area appropriate. At many departments is not cooperation with the clinical pharmacist well established, moreover in some cases doctors are not interested in it. In contrast, the literature also the workplaces, where the clinical pharmacist is part of the team reports many benefits....
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Analysis of drug administration by nurses in health facility VIII
Vaclaviková, Iveta ; Malý, Josef (advisor) ; Šorf, Aleš (referee)
Author: Iveta Vaclaviková Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Ondřej Tesař Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Medication errors contribute significantly to the occurrence of adverse events that can impact patient health. The aim of this thesis was to analyze the administration of drugs to patients hospitalized by nurses in one of four studied health facilities in the South Bohemia region in the surgical, internal medicine and aftercare wards. Methods: This diploma thesis is part of an observational-interventional study, in years 2020- 2023. Observations took place in internal medicine, surgery and aftercare wards. Collection of data was held from 23th May to 26th May 2022 by a multidisciplinary team made up of a pharmacist and a nurse by direct observation method. These following data were collected: information about pacient (e.g., gender, age, and any medications taken), information about the nurse by whom the medications were administered (e.g., age, years of experience, highest educational attainment), and information recorded during the actual administration of the medications (e.g. nurse compliance with hygiene requirements; patient identification; checking originality of the drug; whether the...
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Analysis of drug administration by nurses in health facility VII
Polášová, Barbora ; Malý, Josef (advisor) ; Kolmanová, Eliška (referee)
Analysis of drug administration by nurses in health facility VII Author: Barbora Polášová Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Medication errors can cause a great risk in administration of drugs to health of patients. The aim of this thesis was to analyze the administration of drugs by nurses to patients hospitalized in three different wards in a medical facility in the South Bohemian region. Mathods: This thesis is a part of an observational-interventional study, ongoing in 2020-2023. Collection of data was held in one of South Bohemian hospitals in the surgery, internal medicine and aftercare wards between 17th May and 19th May. Data were collected by a direct observation method by a trained multidisciplinary team consisting of pharmacists and nurses. The observed parameters were: information about patient (e.g. gender, age and used medications), information about nurse (e.g. gender, age, length of practice) and drug administration's data (e.g. hygiene, patient identification, correct medication, right dose and strength, right patient, correct time, way of drug's manipulation, used drink for wash down, time interval from food). All collected data were anonymized,...
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Analysis of drug administration by nurses in health facility XIV
Newaldová, Sandra ; Doseděl, Martin (advisor) ; Rejmanová, Anna (referee)
Analysis of drug administration by nurses in health facility XIV. Author: Sandra Newaldová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Medication errors are one of the causes of adverse events in healthcare facilities, leading to patient endangerment or harm. A study looking at this issue reports that the most common errors occur when a nurse administers medicines in a healthcare facility. Aim: The aim of the thesis is to monitor medication errors of nurses during the preparation and administration of medication to patients and to analyse the prevalence of medication errors, determine their type, their relationship to other influencing factors, and their severity with respect to the patient's condition. Methods: Prospective observational study with direct observation method, conducted in a specialized medical rehabilitation facility. The study included two pre- and post- intervention phases in which nurses' medication and procedural errors were monitored, analysed and evaluated. Observations were conducted in each phase over three days each time during morning, midday and evening administration. The results were analysed in programs Microsoft Excel and Wolfram Mathematica. Results: The...
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Analysis of drug administration by nurses in health facility IX
Blažková, Kateřina ; Doseděl, Martin (advisor) ; Košťálová, Barbora (referee)
Analysis of drug administration by nurses in a health facility X Author: Kateřina Blažková Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy, in Hradec Králové, Charles University Introduction and aims: Currently, patients are treated primarily through pharmacotherapy. As a consequence of this fact, an ever-increasing incidence of medication errors can be expected. Medication errors and the resulting adverse events can have adverse consequences for the patient and, consequently, for the entire healthcare system. The aim of this study was to analyse the whole process of drug administration by nurses in inpatient wards in a South Bohemian hospital. Methods: This thesis is part of an ongoing research project involving the Faculty of Pharmacy of Charles University. The first data collection took place in 2021, followed by interventions towards nurses, doctors and hospital management. The data collection for this work was similarly conducted using the direct observation method for three consecutive days from 2 to 5 May 2022. Using a trained multidisciplinary team consisting of a pharmacist and a nurse, the internal medicine, surgery and aftercare departments were observed. Morning, midday and evening medication administration was observed in each ward....
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