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Nursing care of a paediatric patient with diabetes mellitus type I.
PETŘÍČKOVÁ, Jana
The bachelor thesis is focused on the care of children with type I diabetes mellitus by nuirses working in diabetes clinics. In the theoretical part, there are characteristics of diabetes mellitus, its classification causes, symptoms, diagnosis, complications, treatment, and also the specific needs of paediatric patients diagnosed with type I diabetes mellitus. The first aim of this bachelor thesis was to evaluete the current state of nursing care of paediatric patients with type I diabetes mellitus. The second aim was to find out and identify the specific needs of paediatric patients with type I diabetes mellitu. The third aim was to try to suggest improvements in nursing practices and strategies for paediatric patients with type I diabetes mellitus based on the findings. The pactical part of the bachelor thesis was elaborated by using a qualitative research method. We used a questionnaire method and a semi-structured interview technique to collect the data. The research file consisted of nine nurses working in the Children's Hospital in Brno in diabetes outpatient surgeries with different length of experience. After transcribing the interviews with the respondents verbatim, we analyzed the results by using open coding using the pencil and paper method, where we esstablished a total of seven categories: age of children with type I diabetes mellitus, initial symptoms of children with type I diabetes mellitus, education, violation of treatment regimen, improvement of treatment regimen, limitations of diabetes in personal life, and visit to the diabetes clinic. The results of the research are presented in the various tables and charts of the empirical part of this paper. The research shows that the most common age of children with type I diabetes mellitus is preschool age. Initial symptoms in children with type I diabetes mellitus were most commonly reported by the respondents as frequent urination, excessive thirst, abdominal pain, and lack of appetite. Only one respondent stated that she did not observe any symptoms. Insulin administration was the most frequently reported educational intervention. Within the treatment regimen violation, not applying insulin and improving the treatment regimen, educating the children resulted the most. Limitations of diabetes in personal life most of the respondents said that they do not have any limitations. According to the most frequent answers of the respondents, the visit to the diabetes clinic is regularly once in three months. We believe that the results of this bachelor thesis could be used as educational material in diabetes clinics for paediatric patients to extend information about proper diet and lifestyle.
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Pre-hospital and intensive care for patients after a stroke
KULHAVÝ, Jakub
The thesis is divided into two main parts (theoretical and empirical) and deals with prehospital and intensive care for patients with stroke. The thesis has a total of three objectives. The first objective was to map selected aspects of the process of providing prehospital emergency care to patients suspected of having an acute stroke. The second objective was to describe the course of intensive nursing care for patients after a stroke, and the third objective was to determine the differences in nursing care between patients with ischemic stroke and hemorrhagic stroke. The empirical part focused on studying medical and, primarily, nursing documentation. The obtained data were processed using a quantitative research method based on retrospective data analysis, which was then interpreted. The data was recorded in record sheets created specifically to adhere to the predetermined objectives and hypotheses. The contribution of the thesis is primarily its unusual approach to the issue, addressing at the same time both prehospital and intensive care for patients after both ischemic and hemorrhagic strokes. The results indicate that crucial aspects of prehospital care include correct and rapid diagnosis, assessment of vital functions, consultation of the condition of a patient with a stroke physician and rapid transportation to the nearest appropriate medical facility. The course of intensive care focuses primarily on continuous monitoring of vital functions and their potential stabilization combined with comprehensive nursing care, which depends on the level of self-sufficiency of a patient and includes all care for basic human needs, primarily aimed at restoring the patient's ability to manage basic daily activities. In summary, it could be said that patients with hemorrhagic stroke required more demanding and comprehensive nursing care compared to patients with ischemic stroke.
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Sarcopenia screening at hospitalized patients on standard hospital ward
VÁCLAVÍKOVÁ, Monika
This thesis aims to map nurses' knowledge of sarcopenia and describe the current utilization of screening tools for its identification in practice. Two research questions were formulated: "What knowledge do nurses possess regarding sarcopenia?" and "What screening methods do nurses employ?" Furthermore, two hypotheses were formulated: H1: Nurses' knowledge in the field of sarcopenia varies depending on the department they work in. H2: Nurses' knowledge in the field of sarcopenia varies depending on the length of their practice. Additional hypotheses were formulated during the data analysis, allowing for a better understanding of the research issue. The empirical part of the thesis combined a mixed research strategy using semi- structured interviews and non-standardized questionnaires. Five nurses and one physician participated in the qualitative survey, while 179 nurses from various departments were involved in the quantitative research. The results showed insufficient knowledge of nurses about sarcopenia, which was confirmed in both qualitative and quantitative surveys. Minimal utilization of sarcopenia assessment tools in practice was also identified. Statistical analysis confirmed relationships between nurses' knowledge and their attitudes toward assessment tools, as well as between length of practice and preference for clinical observation over assessment tools. Age of respondents was found to correlate with reactions to assessment tool results. Representation of assessment tools used was consistent across all departments. The research survey results revealed weaknesses in nurses' knowledge and insufficient utilization of sarcopenia screening methods in practice. Based on the research findings, it is evident that improving nurses' knowledge in the field of sarcopenia, especially in departments with a high prevalence of patients suffering from this condition, is necessary. It is also important to train healthcare professionals and ensure that screening methods are actively implemented in practice.
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Saturation of patient needs during acute admission to a surgical ward
JIRÁČKOVÁ, Anna
The diploma thesis deals with the issue of satisfying the needs of a patient acutely admitted to a surgical department. The research focused on feelings and perceptions in the area of satiration of the needs of acutely admitted patients, but also on the view of the nursing staff, who saturate the needs of acutely admitted patients. We investigated whether the patient is perceived as a holistic being, and what problems the nursing staff most often faces during the saturation of the needs of an acutely admitted patient. The theoretical part of the thesis describes the structure of the patient's admission to a hospital facility, and specifies human needs and factors that affect them. In the empirical part, the methodology and results of the research methods used are presented. For the empirical part of the thesis, quantitative and qualitative research was chosen. As part of the quantitative research, a questionnaire was compiled addressing nurses working in surgical outpatient departments or nurses who perform acute admission of patients in surgical wards. The information obtained through the questionnaire survey approximated the opinion of nurses on the saturation of the needs of acutely admitted patients and partly on the working conditions of nursing staff in the surgical department. Methods of semi-structured interview and covert observation were used for qualitative research. Interviews were conducted with acutely admitted patients who were hospitalized after unplanned treatment in the surgical department. Patients were informed about the use of the information obtained and had to give their consent to conduct the interviews. The results of quantitative research have shown that nurses prioritize satisfying the basic (biological) needs of patients, and higher (psychosocial) needs are provided as secondary. The thesis also points out that in many cases nurses act through established competencies. In the interview, the nursing staff mostly said that they would like to have more time for the patient. We also found that most nurses have at least one experience with providing for an urgently admitted patient in one person, and pain relief in an acute admission comes more often from nurses than from doctors. Although nurses cited more staff as the primary factor that would help them reduce stress levels while satisfying the patient's needs. When testing hypotheses, it turned out that the impossibility of satisfying the patient's needs is not related to the working conditions of the nursing staff. The qualitative results of the research answered that patients are unable to assess the validity of the nursing interventions performed during their acute admission. However, the quality of nursing care was most often deduced from the level of communication of the staff, information, reactions to expressed concerns, calm approach, etc. We have found that patients who have previous experience with hospitalization are affected by the experience and often bring negative fears about upcoming hospitalization. Covert observation supported the results obtained from the methods already mentioned. It shows that nurses primarily provided physiological needs in all outpatient departments and surgical wards. And only then did they saturate the psychosocial needs. Nurses satiated the needs of patients both according to the doctor's office and independently, acting as an autonomous part of a multidisciplinary medical team. The results of the diploma thesis could contribute to the improvement of care in the acute admission of the patient, and serve as a possible algorithm for the admission of the patient in the form of a brochure. The thesis can be processed as a teaching material within the framework of lifelong learning for medical staff working not only in emergency departments.
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Therapeutic communication in the nurse´s work
VLKOVÁ, Blanka
Theoretical basis: This diploma thesis describes therapeutic communication in practice and the important elements associated with it. Next, we will describe the most common and individual techniques of therapeutic communication and outline the issue of barriers in therapeutic communication. Goals of the thesis: The diploma thesis sets two goals: Mapping application of therapeutic communication in clinical practice from the nurses´point of view and mapping the barriers in the application of therapeutic communication with the patient from the nurses´point of view. Depending on these goals, two research questions were chosen: "What techniques of therapeutic communication are applied by nurses in clinical practice?" and "What barriers do nurses perceive when applying therapeutic communication in clinical practice?" Methodology: In the empirical part of this diploma thesis, the method of qualitative research was chosen. The interview method was chosen and semi-structured interviews with nurses were chosen as the data collection technique. The data was analysed using Atlas.ti, (2024), in which 4 main categories and 15 subcategories were created. The research group consisted of a total of 21 nurses at selected workplaces in internal medicine and surgery. Results: After a thorough analysis of the interviews, it was found that the techniques most often used by nurses in practice are empathy, building trust and the use of motivational interviewing. Furthermore, it was also found that of the mentioned barriers, the most common obstacle in therapeutic communication is the lack of time, the patient's mood and behaviour, and the language barrier. Conclusion: This thesis expands the overview of the use of individual techniques of therapeutic communication and provides an insight into the barriers of therapeutic communication perceived by nurses. At the same time, it also provides useful information that could form the basis for creating a seminar within the lifelong education of nurses. As part of the diploma thesis, an example scenario was created that could serve as a basis for simulation teaching of nursing students.
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Nursing care for alcohol-intoxicated patients in the traumatology unit
VRCHLAVSKÁ, Aneta
The thesis addresses the issue of nursing care for patients intoxicated with alcohol in the trauma centre, while being divided into two parts, meaning theoretical and practical. The theoretical part focused on defining the field of traumatology, injuries, ethyl alcohol, and the connection between injuries and alcohol. It also provided a description of patient care in traumatology, the specifics of nursing care for alcohol-intoxicated patients, and communication with intoxicated patients, including communication with aggressive patients. The aim of the research part of the thesis was to describe the specifics of nursing care for alcohol-intoxicated patients and to evaluate the communication between the patient and the nurse. Qualitative research was chosen for the research part. Data collection took place through written and verbal methods in the form of semi-structured interviews in early April. Data analysis was conducted using the pen-and-paper method. Subsequently, the data were organized into a system of open coding, comprising three categories and twelve subcategories. The research sample consisted of ten general nurses working in the trauma centre, six in the standard ward, and four nurses in the intensive care unit. The results indicated that except for one nurse, the surveyed nurses regularly encounter patients intoxicated with alcohol in their workplaces. According to the statements of the informants, the most common types of traumas associated with alcohol intoxication include falls, traffic accidents, suicides, assaults, visits to catering establishments or work in construction. Furthermore, the interviews revealed that the surveyed nurses perceive differences in nursing care and communication with patients who have trauma unrelated to intoxication and vice versa. They find the approach to intoxicated patients more demanding in this regard. In the interviews, the nurses mentioned the frequent practice of dealing with aggressive, uncooperative patients. Some nurses admitted that their personal attitudes towards intoxicated patients often influence their approach to these patients. It also emerged from the interviews that the surveyed nurses are not offered any further education in this area. The obtained results provided insights into the specifics of the issue, indicating potential communication shortcomings with patients for correction. The thesis will serve as a resource for creating simulation training scenarios (Appendix 1) to educate general nurses working in the trauma centre.
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Perception of risk factors for atherosclerosis from the perspective of a patient after acute myocardial infarction
SAMCOVÁ, Tereza
This bachelor thesis focuses on examining the perception of atherosclerosis risk factors from the perspective of patients after acute myocardial infarction. The theoretical part delves into the characteristics of atherosclerosis and its associated risk factors. It also addresses myocardial infarction, including its pathophysiology, treatment procedures, and nursing care for patients post-MI.The practical part sets two main objectives. The first objective is to map the perception of atherosclerosis risk factors among patients post-MI, while the second objective is to assess whether these patients have changed their behavior regarding atherosclerosis risk factors. To achieve these goals, qualitative research in the form of semi-structured interviews was conducted with 13 patients who were at least one month post-MI. The research took place in a cardiology outpatient clinic in České Budějovice.The research indicates that the majority of patients are aware of atherosclerosis risk factors and strive to follow preventive measures. Additionally, it is evident that all patients post-MI have exhibited some degree of behavior change concerning atherosclerosis risk factors.These findings could serve as a basis for developing educational programs aimed at preventing atherosclerosis in patients post-MI, thereby contributing to the overall improvement of their health status and quality of life.
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Nursing care of patient with liver cirrhosis
MATIÁŠOVÁ, Michaela
Abstract This bachelor thesis is focused of nursing care about patient with liver cirrhosis and problematics. Liver cirrhosis is disease characterized by nodular transformation of liver which prevalence is increasing By this disease is nursing care focused on pacient´s needs, importatnt is also the education of the patient about regime measures. The aim of this bachelor thesis was to find out what are the specifics of nursing care of a patient with liver cirrhosis. The practical part was processed by using a qualitative research survey. The first research group consisted eight nurses working on gastroenterology department. The second research group consisted seven patients with diagnosed liver cirrhosis. The semistructured interview became the technique of data collection. The results of the research show that the nurses don´t adequately assess the risk of malnutrition. Further we found out, patient aren´t sufficiently informed about potential compliacations of liver cirrhosis. The results also showed us that nurses have good knowledge about liver cirrhosis and they haven´t deficiences in nursing care. Patients were satisfied with nursing care during their hospitalization. Some patients, even they were properly educated about regime measures, were unable to change their lifestyle, so they had to be admitted in hospital again. Based on the results, was designed an information brochure. It can be used as a study material for students or can be used in practise for nurses and patients.
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Nursing care for women after breast gland operations
EISENWORTOVÁ, Lucie
This bachelor's thesis, entitled "Nursing care for women after breast gland operations," investigates the provision of care to women following oncological diseases. The research draws on interviews with nurses who deliver this care, focusing on those employed in surgical departments, oncology clinics, and general practitioners' clinics for adults. The theoretical framework of the thesis concentrates on nursing care post-surgery and the ensuing convalescent care, incorporating anatomical basics and preoperative care into its scope. The objectives of the study were to ascertain the role of the nurse in patient care following breast surgery, to identify specific aspects of postoperative care, and to define the nurse's role during the convalescence period. The empirical section of the thesis employs qualitative research methods, specifically semi-structured interviews with nurses working in the aforementioned departments. Ten nurses participated in this study: five from surgical departments, three from oncology clinics, and two from a general practitioner's clinic. Findings reveal the processes involved in nursing care, detailing preoperative, postoperative, and long-term care from the perspective of nurses. Further insights were gained into the educational activities performed by nurses and the psychological aspects of patient care, as reported by the nurses. The study also highlights current shortcomings in patient care and explores potential future alternatives. Recommendations for future practice emphasize the importance for nurses to engage with emerging knowledge in the care of patients with oncological conditions.
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The nurse's role in the care of clients with schizophrenic disorders.
DOLEJŠÍ, Aneta
The empirical part of the thesis is processed by means of qualitative research with the technique of semi-structured interview. Subsequently, the data generated was processed using open coding, pencil paper method where the data was divided into five categories and eighteen sub-categories. The research population consisted of a total of 10 informants. They were nurses providing care to persons with schizophrenia disorders in inpatient acute, follow-up, as well as outpatient and community psychiatric care settings. The health care experience of these informants ranged from 2 to 30 years. The research population was selected by purposive sampling.
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