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Conflict prevention and de-escalation in pediatric nursing
Prosová, Iveta ; Raudenská, Jaroslava (advisor) ; Vlachová, Marie (referee)
Background: This paper focuses on conflict prevention and de-escalation in pediatric nursing. Aims: The theoretical aim of this thesis is to review relevant information on conflict prevention and de-escalation in paediatric nursing from the available Czech and international literature. The obtained knowledge is to be sorted, critically assessed and evaluated. The empirical aim of this thesis is to carry out quantitative research using a non-standardized questionnaire distributed distributed to nurses working in paediatric inpatient wards of Motol University Hospital, to statistically process and evaluate the obtained data and to formulate conclusions and recommendations on conflict prevention and de-escalation for practice based on the results of the questionnaire survey. Methodology: The research was conducted in the form of a non-standardized anonymous questionnaire of our own design, distributed to paediatric, general and practical nurses working in the paediatric wards at Motol Hospital. 144 correctly completed questionnaires are included in the final study. Results: The research survey revealed that although 72% of nurses consider education on conflict prevention and de-escalation important, only 21% of nurses have received such education in the last 5 years. Of the 68% of nurses who report...
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The importance of experiential education in nursing program at the university
Melicharová, Anna ; Tomová, Šárka (advisor) ; Raudenská, Jaroslava (referee)
The importance of experiential education in the higher education of nurses is a topic that deserves to be treated, but unfortunately in the Czech Republic it is basically unexplored compared to abroad. Hence, in the discussion, the results of the research investigation within this bachelor thesis were compared only with foreign studies. The main aim of the bachelor thesis is to document the findings on the impact of experiential learning on the quality of teaching of subjects where this teaching method is used in the study of nursing. Furthermore, to document the findings on the positives and negatives of the experiential learning method from the perspective of nursing students and to map the subjective perceptions and benefits of experiential learning by nursing students. The bachelor thesis has two parts. The theoretical part focuses on defining the experiential education system and its different components. At the same time, teaching methods typical of higher education are defined. The practical part focuses on quantitative research in the form of a self-constructed survey, focusing on the teaching of communication in undergraduate nursing education. The respondents in this case were students of Nursing at selected universities. The evaluation of the questionnaire survey demonstrated the...
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Pain monitoring and relief in pediatric patients after atrial septal defect surgery with sternotomy
Demjanová, Monika ; Raudenská, Jaroslava (advisor) ; Vlachová, Marie (referee)
Pain after cardiac surgery to correct developmental defects in pediatric patients is one of the most common nursing problems that affect overall recovery after surgery. This bachelor's thesis on "Monitoring and pain control in pediatric patients after atrial septal defect surgery with sternotomy" discusses in detail in the theoretical part about developmental heart defects, how they are diagnosed and treated, and the pain that accompanies postoperative recovery during hospitalization. The empirical part of the bachelor's thesis considers the results of quantitative research, and Mircosoft Excel and Statistica 14 software were used for their statistical and graphical evaluation. The research method chosen was retrospective data collection from the patient records of the Children's Cardiac Centre of the 2nd Faculty of Medicine of and Motol University Hospital. The aim of the study was to determine to what extent certain factors (gender, hospitalization with a parent, presence of chest drains and CRP level) influence the experience of pain in pediatric patients after cardiac surgery. The conclusion of the paper discusses the evaluation of the results of the research and points out the differences in pain experience mainly based on gender and the presence of chest drains after surgery, but also the...
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Factors associated with a high risk of pressure ulcers at long-term inpatient health care patients
Matoušek, Pavel ; Raudenská, Jaroslava (advisor) ; Nikodemová, Hana (referee)
Objectives: This bachelor's thesis deals with risk factors for the development of pressure ulcers among providers of long-term inpatient health care in the Czech Republic. The theoretical part provides an overview of information about pressure ulcers, the main scales assessing the degree of risk of their occurrence and other risk factors. The aim of the research is to verify the connection of selected risk factors with the development of pressure ulcers in patients admitted to hospital and the ability of the Norton scale to predict the risk of pressure ulcers. Methods: The sample consisted of 1,954 patients who received care in two health facilities on 209 beds with the treatment day code 00005. Statistical processing used descriptive statistics, further processing took place using appropriate tests according to the nature of the data, calculation of correlations, regression and multi-regression analysis. Results: The research demonstrated statistically significant associations between the existence of pressure ulcers on admission and the degree of risk according to the Norton scale, with all its separately assessed components, the degree of self-sufficiency according to the Barthel index, diseases of the urinary and genital systems, death during hospitalization and the degree of pain...
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Communication strategies in managing an aggressive patient
Štefek, Jiří ; Tomová, Šárka (advisor) ; Raudenská, Jaroslava (referee)
The bachelor thesis on the topic "Communication strategies in coping with an aggressive patient" focuses on the issue of patient aggression in emergency departments. In the theoretical part, there is an excursion into the issue, which generally deals with the causes of aggression and the role of communication in solving and preventing aggression. The empirical part is devoted to the evaluation of data obtained in the form of a non-standardized questionnaire on a sample of 102 respondents from five hospital facilities. The evaluation found that 96% of all respondents encounter a manifestation of aggression, with verbal aggression predominating, but a high proportion of brachial aggression was also found. Brachial aggression is reported by 78% of respondents. The most common target of aggression is nursing staff. The most common cause of aggression was clearly identified as intoxication of the patient, where alcohol was the riskiest substance. The results revealed several interesting findings, especially the declining sense of self-confidence to handle a physically aggressive patient with increasing age of the respondents. Furthermore, the results indicated a higher interest of the survey participants in mandatory training in communication with an aggressive patient. The thesis also includes...
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Procedural pain and emotions in children during Covid -19 vaccination
Hnyková, Veronika ; Raudenská, Jaroslava (advisor) ; Vlachová, Marie (referee)
Premises: This thesis focuses on mapping the share of fear and procedural pain during Covid-19 vaccination of children aged 5 to 18 years. Objectives: The aim of the bachelor thesis was to map the extent of fear and procedural pain during Covid-19 vaccination and to determine which factors influence them. Methodology: Data collection for this bachelor thesis took place at the vaccination centre of the Motol University Hospital and Thomayer University Hospital. The statistical dataset was collected from 39 children meeting inclusion and exclusion criteria. The questionnaire survey was conducted personally by approaching the parent whose child was vaccinated against Covid -19, obtaining the parent's written informed consent to provide information, obtaining the child's verbal consent, and then conducting a 5-10 minute joint interview while asking questions. Results: Based on the statistical data processing, a statistical dependency was confirmed in the perceived intensity of pain during injection between girls and boys. The differences lie in the fact that girls show a greater dispersion in responses, meaning they distinguish the perceived pain more, while boys generally report the same intensity of pain. From the analysis of hypotheses, a significant statistical correlation was also found between...
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Aberrant behavior, opioids and pain
Jirásková, Michaela ; Raudenská, Jaroslava (advisor) ; Neugebauer, Jan (referee)
UNIVERZITA KARLOVA 2. LÉKAŘSKÁ FAKULTA Ústav ošetřovatelství Michaela Jirásková Aberantní chování, opioidy a bolest Bakalářská práce Praha 2023 ABSTRACT Background: Objectives: The aim is to determine the frequency of risk of aberrant behavior based on screening and the actual incidence of aberrant the group of patients with chronic pain without opioid treatment. Methods: 30 patients with chronic non-cancer pain not using opioid analgesics and 30 patients with chronic non-cancer pain using opioid analgesics hospitalized at the Department of Rehabilitation Medicine, 2nd Faculty of Medicine Charles University and Motol University Hospital. Patients were presented with the following tests in paper form: Structured Interview, ORT, ET, COMM, SOAP-R, CADE AID. Respondents signed an informed consent form based on EC approval. The study was approved by the EC. Results: For socio-demographic and clinical variables, we used chi-square testing for statistical significance as appropriate and concluded that there was a statistically significant difference between the opioid analgesic user group and the non-user group. When examining the effect of sociodemographic variables on quality of life in patients with chronic non-cancer pain compared to the effect of sociodemographic variables on the group of patients without...
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Locus of control and subjective health perception in patients with chronic pain in nursing
Dančíková, Marcela ; Raudenská, Jaroslava (advisor) ; Jirkovský, Daniel (referee)
The bachelor's thesis looks at how Locus of control, spirituality and religiosity affect health and chronic pain. The theoretical part deals with the issue of pain, with emphasis on pharmacotherapy. The terms Locus of control, religiosity, spirituality and their effect on physical, psychological health and pain are explained, including an overview of methods to measure the listed 3 domains. It also focuses on linking the relationship of religiosity, spirituality, Locus of control, quality of life and emotional experience in people with chronic pain. Objectives: The aim of the empirical part was to identify differences between individuals with external Locus of control and internal Locus of control in sociodemographic, religiosive, clinical and affective variables, and how the locus of control predicts the variables. Methods: It involved 43 patients with chronic pain who were hospitalized at the Clinic of Rehabilitation and Physical Medicine 2. LF UK and FN Motol. We were interested in sociodemographic data, including pain data, where intensity, discomfort and pain duration were included. The VAS scale was used to measure intensity and discomfort. We have used the LOC scale to determine whether an individual is an internalist or an externalist.Furthermore, questionnaires from GHLC, DUREL, FPQ-III,...
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Fear and procedural pain in COVID - 19 vaccination in adult nursing
Rotreklová, Anežka ; Raudenská, Jaroslava (advisor) ; Neugebauer, Jan (referee)
Background: The bachelor thesis deals with the fear and procedural pain accompanying vaccination within the framework of the vaccination against sars-CoV-2 virus in the pandemic starting in 2020 in the Czech Republic. Objectives: This quantitative study aims to map fear and procedural pain before and after all doses of COVID-19 vaccination, regardless of vaccine, in a demographic sample of 100-200 nurses aged 18-100 years. Furthermore, to place the intensity of fear and pain in the context of sociodemographic data and to suggest possible non- pharmacological or psychological approaches to reduce these feelings in relation to the COVID-19 vaccination Methods: .... nurse respondents who met inclusion criteria participated in the study. These included both healthy individuals and those with chronic illness or pain. High school or college degree attained in nursing education with years of nursing experience, demographic data, and diagnosis of psychiatric illness with a focus on anxiety and unreasonable fear in the physician were collected. The anamnestic questionnaire also included the types of vaccines within each dose and the dates on which vaccinations were given. The Visual Analogue Scale (VAS) and the Adult Faces Anxiety Scale were used to assess fear and pain before and after administration of...
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Fear of movement in patients with chronic neck spain pain - validization of Tampa Scale
Vodičková, Šárka ; Raudenská, Jaroslava (advisor) ; Lexová, Eliška (referee)
The bachelor thesis deals with measuring fear of movement using the Tampa Scale of Kinesiophobia (TSK) and validating the scale in a Czech population of patients with chronic cervical spine pain. The design of the theoretical part of the thesis is a scoping review, and it aims to identify suitable validation studies, interpret their results and evaluate their strengths and limitations. The thesis presents different versions of TSK and their use in different patient groups. In the empirical part of the thesis, an eleven-item TSK is validated in a sample of Czech patients with chronic illness (n = 191). The scale showed good reliability (internal consistency and stability) and validity (criterion and construct). Somatic focus (TSK-SF) and activity avoidance (TSK-AA) were identified as factors, and both were strongly associated with the constructs of anxiety, depression and disability. In addition, anxiety, depression and pain intensity emerged as significant predictors of kinesiophobia. In the discussion, the results of the study are compared with previous research, the clinical use of TSK-11 is evaluated, and opportunities for further research are also identified.
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