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Early postoperative care of the patient with the left ventricular assist device HeartMate II
Malá, Irena ; Hocková, Jana (advisor) ; Slabý, Josef (referee)
Author's name: Bc. Irena Malá School: Charles university, Prague 1st Faculty of Medicine Institut of Theory and Practice of Nursing Vídeňská 800, 140 59 Prague 4 - Krč Program: Health Care Administration Title: Early postoperative care of the patient with the left ventricular assist device HeartMate II Diploma thesis supervisor: PhDr. Hocková Jana, PhD. Number of pages: 170 Number of attachments: 41 Year: 2013 Key words: early postoperative care, hypotermia, blood transfusion, fluid resuscitation, perioperative cardiovascular dysfunction, pharmacologic support, ventricular assist device HeartMateII, monitoration, device, cardiac arrhythmias, ventilation management, postoperative anticoagulation, glycemic kontrol, renal insufficiency, nutrition, nursing, complications, physiotherapy, psychological aspects The occurrence of the heart failure is similar to an epidemic with high mortality. This fact, together with stagnate or even decreasing number of suitable donors, led to a need of replacing the heart pump activity with an artificial one. Mechanical cardiac support systems are sophisticated devices that are able to support a certain period of time or completely replace the function of the heart as a pump. The indications implantation of mechanical cardiac support is significant symptomatic heart...
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Nursing documentation in the Intensive Care Unit
Matoušková, Lenka ; Prošková, Eva (advisor) ; Hocková, Jana (referee)
The dissertation is about nursing documentation in the Intensive Care Unit (ICU) and resuscitation units of Ústřední Vojenská Nemocnice (ÚVN). The paper describes the development of the nursing process and all required documentation used when completing this task. From a theoretical perspective the paper deals with the content and application of all nursing documentation in terms of the relevant legislation. From the practical perspective the research was completed utilizing a questionnaire approach. The questionnaire was delivered at ÚVN in Prague. The research focus is about getting the information about documentation, how information is interpreted between departments as well as the incidence or impact of incorrect documentation. One of the goals of the research was to determine the satisfaction of staff regarding nursing documentation. The research concluded that clear education regarding nursing documentation requirements is required when the nurse first is exposed to the area. Furthermore the research describes that nurses are well informed about the required documentation during the orientation process. It also demonstrates that nurses are kept informed regarding legislation changes as well as the consequences of incorrect documentation. Key words: nursing process, nursing documentation
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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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Enteral nutrition in terms of intensive care - Experiences of nurses
Nejdlová, Tereza ; Hocková, Jana (advisor) ; Novák, František (referee)
My thesis is about enteral nutrition in intensive care with a focus on nurses. Enteral nutrition is a very hot topic not only in the field of intensive care, therefore my goal was to map the knowledge and experience of nurses in this important area of nursing. The final work consists of two parts. In the first part deals with the latest available knowledge in the field of enteral nutrition in intensive care in the country. This chapter contains individual subchapters consisting of definitions, indications, contraindications, distribution, technology and complications of enteral nutrition. In the second part I use research methods and statistical processing of data related to the enteral nutrition, and knowledge of nurses in this area. Prior research, I identified five hypotheses, which I after statistical processing of the questionnaires filled by the above- mentioned nurse intensive care or resuscitation, confirmed. The practical part is a discussion of the work and overall appreciation in the form of conclusions. I included the some topical pictures and diagrams to the appendix. Key words Enteral nutrition, nutrition, sipping, tube, intensive care, nurse, patient
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Application Basal Stimulation in Intensive Care Unit
Hornychová, Petra ; Hocková, Jana (advisor) ; Hošťálková, Monika (referee)
Precis This graduation theses discusses about application of the concept of Basal stimulation in the work of nurses in intensive care. A theoretical part explains the concept of basal stimulation, briefly outlining the history of this concept and describes the different elements. Elements' name are include somatic, vestibular, visual, olfactory, auditory, oral and tactile - haptic stimulation. The work also highlights the importace of biographical history of the client. Research part determines the level of knowledges about basal stimulation between nurses in the ICU (intensit care units) and its use in the ICU at University Hospital in Hradec Králové. Research method is a survey. The questionnaire established author. Keywords: basal stimulation, nest location, location mummy, biographical history, communication.
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Problems of Nurse's Scarcity in Intensive Care
Kašpárková, Lucie ; Pavlíková, Pavla (referee) ; Hocková, Jana (advisor)
The theoretical part deals with the work of nurse in intensive care, the problem of nurse's scarcity and stabilization measures of general nurses. The main objective of this work was to map out the problem of nurse's scarcity in intensive care. Another aim was to find out whether the scarcity of nurses in intensive care has an effect on the quality of nursing care and how nurses react to the measures of securing the stabilization of nurses. Information were collected on the basis of two questionnaire surveys. The first form of questionnaire was intended to matrons and the second form was addressed to nurses working in intensive care. The research file was consisted of 8 matrons and 84 nurses from two faculty hospitals in Prague. From results analysis of respondents was confirmed hypothesis No. 1: Problems of nurse's scarcity in intensive care are still actual and the number of nurses is low. Hypothesis No. 2: Scarcity of nurses in intensive care has a considerable impact on the quality of nursing care and hypothesis No. 3: Nurses have problems with maintaining quality of patients care in intensive care. These hypotheses were also confirmed. However the last hypothesis No. 4: Nurses are interested in stabilization measures and they appreciate these changes, wasn't confirmed. On the other hand, the fact that...
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Nurses and Administrative Workers Quality of Life
Cvachoučková, Barbora ; Mellanová, Alena (advisor) ; Hocková, Jana (referee)
The goal of this thesis is in picturing the problems of a life quality of nurses and administrative workers. The comparison is based on their education and work experience. The thesis shall reveal fundamental facts of hospitals suffering from shortage of nurses in connection with life quality and satisfaction in life achievements. The theoretical part is devoted to the term of life quality, research methods and life quality analysis. There is also necessary characterization for both of the professions. The research part is heading towards the goal of this thesis a survey based verification of the lied out hypothesis. It is covering public health sector and financial sector of the Czech Republic. The study revealed nurses suffering from higher levels of frustration in every single area of research when compared to the administrative workers.
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Self-assessment of knowledge of nurses and paramedics in the area of monitoring and interpretation of ECG waveforms in ICU and anesthesiology resuscitation department.
Sedláčková, Andrea ; Di Cara, Veronika (advisor) ; Hocková, Jana (referee)
This diploma thesis is focused on self-evaluation of knowledge of nurses in intensive care and rescue workers' working at ICU and AIC in area of monitoring and interpretation of ECG. The aim of this diploma thesis was to map how nurse in intensive care and rescue workers evaluate themselves in issue of ECG, at what level are their knowledge and abilities to be able to discribe what strategies were contributive for gaining knowledge and what motivation did they have and what barriers they had to face. Quantitative research took place by means of anonymous questionnaire survey. In total, there were 120 respondents from population of nurses in intensive care and rescue workers working at ICU and AIC. As emerged from the questionnaire survey, nurses in intensive care and rescue workers who were included in this survey, evaluate their ECG knowledge on average. Those who passed certificated course of ECG evaluate themselves above average. Respondets said that they must be able to evaluate ECG curvve in their job and it belongs to their competence. It is evident from survey, that they do not have or they do not know they have nursing standart for ECG, and if they have then they get and evaluate acoording to this standart. The most common source of knowledge and abilities in ECG area they gained when...
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