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Assesment of quality of postoperative analgesic care
Rákosová, Andrea ; Burišková, Klára (advisor) ; Hakenová, Renata (referee)
Introduction: The acute postoperative pain management is recently a concern of many expert committees and professional associations. The evidence of an increased interest in this issue is the Practice Guidelines for Acute Pain Management released by American Pain Society. According to these recommendations, the pain should be monitored as a fifth vital function. As a logical consequence of modern trends of pain management, Czech Society of Anaesthesiology and Intensive Care Medicine issued guidelines for acute pain management in postoperative setting. This paper is an attempt to describe and evaluate the quality of postoperative analgetic care after total knee and hip replacements in a selected institution's department.………………………………..…………………………………… Methods: The aim of our empirical survey was to assess the level of quality of postoperative care and analgesia in the selected department. We focused mainly on the question of pain trivializing from the nurses side, their approach towards patients suffering from acute pain and, finally, the level of patient's awareness of pain intensity assessment systems and treatment options. Using the quantitative research methods, we evaluated the differences in perceiving of postoperative pain treatment quality from patient's and nurse's point of view. The survey...
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Nursing care of patients after abdominal aortic aneurysm surgery
Bělková, Blanka ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
The Bachelor thesis is focused on nursing care of patients post abdominal aortic aneurysm surgery. The objectives of this work include identifitying of differences in nursing care of AAA patients after EVAR and robot-assisted surgery. The second objective is to find out differences in respiratory therapy. The third objective is to evaluate the recovery time after EVAR and robot-assisted AAA surgery, with a focus on self-sufficiency, wound healing and nutrition. The theoretical part is focused on AAAs etiology, symtomatology, diagnosis and treatment, in particular the EVAR and robot-assisted aneurysm repair. Another important section of the theoretical part is dealing with management of nursing care of patients with AAA. The empirical part is focused on qualitative research. There were two case studies created and compared. The thesis describes the metodology and organization of the research investigation. The qualitative research was conducted through data collection, observation and interviews with two patients post AAA surgery. The empirical evidence shows that the differences in the preoperative preparation are marginal, and that the respiratory therapy depends on the patient's individual state and the anesthesia management during surgery. There was no differences in the postperative recovery in...
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The arterial cannulation in the competence of general practice nurses
Bošnovič, Michal ; Burišková, Klára (advisor) ; Hladká, Petra (referee)
Introduction: Arterial catherer placement by a general nurse at the departments of intensive care, resuscitation and anaesthesiology is still rather exceptional, despite the fact that this competence was defined in our legal system for the first time already in 2004 by the Decree no. 424/2004 Coll. of the Ministry of Health. The authorisation to execute this highly professional operation by a nurse specialised in intensive care is generally not reflected by the employer in the job description, although it might be one of the possible ways to increase the prestige of this profession. Objectives: The main objective of the thesis was to determine the current state in the area of arterial line placement from the perspective of intensive care nurses, to quantify their interest and clarify their readiness to execute the operation. Methodology: The quantitative method of anonymous questionnaire of own design was selected for the research survey. The questionnaire was distributed in electronic way to hospitals established by the Ministry of Health, regional government or private owners. We contacted one large hospital in every region, with the exception of Prague. The research sample consisted of general nurses working at the departments of intensive care, resuscitation and anaesthesiology, who at the same...
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The education of patient with cardiovascular diseases
Laubeová, Štěpánka ; Burišková, Klára (advisor) ; Vaňková, Milena (referee)
Backgroud: This thesis deals education of patienton the departmen of cardiovascular surgery where I work. Type of the work is theoratical- empirical. The theoretical part deals overal educational proces, concept of education, signifikance in health care with other principles and forms of education and concepts concerning education. Other parts of the theoretical work is a description of cardiovascular diseases, risk factors and subsequent treatment. Methods: The empirical part is realized the quantitative research using questionnaires. The group of respondent sis between 18-60 years and over. The aim of my work was to determine in they know the concept of education and the extent to patients are educated in educational proces taking place in the department in which processes are most educated as understood, to find out hoiw the most common way informations are delivered and where they find the most common barriers. The last of the goals was to determine if patients have enough information about other options for their treatment. Meaning of work consists of mapping of ongoing education to identify shortfalls in certain educatinal processes and to identify proposals for improving the quality of education. Results: I found that half of those surveyed were familiar with the concept of education but...
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Optimizing the number of nursing staff in intensive care and resuscitation department for adults
Burišková, Klára ; Strnadová, Alice (advisor) ; Novotná, Jindra (referee)
Over the last few years there has been a significant differentiation of medical professions. At the same time their role and position has changed in the nursing process. Genesis of new professions and distribution of employees in the work field, based on their expertise, has led to changes in the work organization in individual departments. Therefore we can encounter highly specialized care in the intensive care departments, which places on its staff a number of specialized requirements. Aim of this thesis was to map the positions of individual workers and especially on the application of medical assistants. The thesis continues on with the issue of setting the optimal amount of nursing staff in the intensive care departments. Outcome of the thesis is that workers under supervision are currently not finding the proper use. However, in the future, we can count on more of these workers, in the intensive care units, to be more needed. Thesis conclusion is dedicated to available options of setting standards in order to calculate the necessary amount of nursing staff. keywords: competence, paramedical professions, headcount optimisation, scoring system in health care nurse, health assistant,
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Adult Advanced Life Support in Hospital
Jarešová, Petra ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
The Thesis deals with the issue of provision of advanced life support in a Hospital. The main focus is the process, algorithm, of successive individual steps, its correct performance in practice should lead to the provision of effective CPR or to minimize subsequent post-resuscitation complications. The Thesis is mainly focused on non-medical health worker, as an important member of the healthcare team, his tasks, responsibilities and competences. The theoretical part will be processed according to the current guidelines of the European Resuscitation Council. Within the subsequent empirical part is included the methodology of realized research, the process of data collection, and the final interpretation of the results, followed by analysis and discussion. The survey is conducted by quantitative research, using the questionnaire survey. The aim of the research was to determine respondents' level of theoretical training, ways of continuing education and current conditions at selected workplaces. Based on detected results, the steps for nursing practice are proposed. KEY WORDS: advanced life support, sudden cardial arrest, sudden respiratory arrest, ventricular fibrillation, electrical defibrillation, algorithm of KPCR, post - resuscitation syndrome, activities of nurse.
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Nursing Care for Patients with Vascular Disease
Šestáková, Anežka ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
This thesis deals with diseased peripheral blood vessels, namely thrombosis of veins affecting limbs and the pelvic area and acute arterial blockages in extremities. In addition to data concerning these illnesses, the thesis also presents the treatment of these patients and treatment of those patients who are given anti-coagulants either preventatively or as part of treatment. The empirical portion includes quantitative research through an anonymous survey instrument. The respondents were nurses who worked in internal, surgery, or general units of intensive care in university and regional hospitals. The goal of the research was to determine whether nurses are aware of the general areas of non-coronary blood-vessel issues and of the idiosyncrasies of treatment of patients with warfarin and heparin, and whether the nurses were aware of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. We discovered that nurses were most aware of the idiosyncrasies of treatment of patients with warfarin and heparin. On the other hand, the nurses had almost no awareness of the idiosyncrasies of treatment of patients with non-coronary arterial blockages. Exactly half of the respondents were aware of the general areas of non-coronary blood-vessel issues. The conclusion of the thesis...
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Alzheimer's disease and department of intensive care
Ježková, Kateřina ; Burišková, Klára (advisor) ; Nejdlová, Tereza (referee)
Introduction: The thesis "Alzheimer's disease and department of intensive care" deals with the specifics and difficulties of nursing care for patients with this chronic and degenerative disease in intensive care units (ICUs). The number of patients with Alzheimer's disease is constantly growing and caring for them in such specific wards is extremely demanding. The purpose of this thesis was to map the most problematic areas in the care provided and propose their solution. Methods and results: The empirical part presents the results of a conducted qualitative research which took place in the form of interviews with 10 general nurses who have experience with such patients. Following a word-for-word transcription of the obtained interviews, the results are summarized in a final discussion. They show that when caring for a patient with dementia, general nurses see the main problems in his decreased ability to cooperate, behavioral changes, which often appear as a result of environment change, and difficult communication. They consider the patient's confusion, his negativism, and the inability to find the right words to be communication barriers. This results in enormous demands on the caring staff's patience. The interviewed general nurses however approach patients with dementia generally positively...
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Nursing Care for Patient after Surgery of Valvular Defects
Beranová, Veronika ; Burišková, Klára (advisor) ; Hocková, Jana (referee)
This thesis is focused on the nursing care for patient after valvular defects surgery. The aim of this final paper is to ascertain the principles of specialized nursing care for patient after valvular defects surgery, analyse the condition of written standards for providing aftercare to patients who underwent valvular defects surgery, or the state of the nursing protocols in specialized nursing care. The purpose of qualitative - observational research in providing specialized nursing care is to find an answer to the question of whether the specifics of nursing care in Prague cardiac centres are significantly different. The theoretical section contains chapters describing cardiac centres, the history of surgical treatment of heart valves, and the most common valvular heart defects in adulthood. In the theoretical section of this study, I focus in detail on the nursing care for patients following cardiac procedure, ensuring not to forget the monitoring of physiological functions, artificial pulmonary ventilation, and immediate position after elective cardiac surgery. The empirical section is divided into quantitative and qualitative research. The quantitative empirical investigation is focused on an anonymous questionary survey that has been applied in three Prague cardiac centres. Approximately 150...
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The need of sleep of the patients in the Intensive Care
Svobodová, Karolína ; Hošťálková, Monika (advisor) ; Burišková, Klára (referee)
Diploma thesis deals with the problems of sleep of the patients in intensive care. Sleep is the very basic of human needs and its correct pattern is crucial for any activity of an organism. A person who is sick has an increased need for sleep and are among the most frustrated needs. The theoretical part defines sleep as a basic human need to deal with physiology and sleep disorders. I include a chapter dealing with intensive care and aspects of the environment that affect sleep of the patients. The main objective is to determine whether the need for sleep of the patients is saturated or not. I also set milestones as to gain information regarding patients sleeping pattern at home.To find out, what influence nurses in approaching sleep as a matter and to look for factors that have an influence of some sort from the nurses point of view regarding the sleeping pattern same as from the patients view of the matter. In the empirical part, I reached the set goals through interviews and questionnaires. Thanks to interviews with patients, I discovered that need of sleep of patients in intensive care is not saturated.Out of the 30 respondents I interviewed, 17 of them therefore deemed their sleep as poor and insufficient. I also worked out the factors that have the greatest negative effect on the need of...
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