|
| |
|
|
Interpretation of electrocardiograms in the resuscitation department and in emergency pre hospital care
Vanča, Michal ; Jirkovský, Daniel (advisor) ; Hocková, Jana (referee)
(v AJ) 1) introduction - introduction to the problem The diploma thesis on the interpretation of electrocardiograms by nurses and paramedics in the resuscitation department and in urgent pre-hospital care includes a theoretical summary of ECG pathologies, as well as addresses the issue of correct interpretation of electrocardiograms in relation to gender, age, workplace experience, and suggestions for improvement. 2) goal formulation, methodology The goal of the diploma thesis was to map the level of knowledge in interpreting electrocardiograms by nurses and paramedics in the resuscitation department and in urgent pre hospital care, depending on age, gender, length of experience, and job placement, with a focus on ECG interpretation. For the empirical part of the thesis, which deals with answering predetermined goals, a quantitative research method was chosen, conducted in the resuscitation department and emergency medical services. Data collection was carried out through a questionnaire survey using a self-constructed questionnaire. The survey focused on the theoretical knowledge of ECG interpretation by nurses and paramedics. 3) main results It was found that orientation in basic ECG pathologies did not pose significant difficulties for respondents, while for more difficult interpretations, the...
|
|
|
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...
|
|
|
Sexual harassment of nurses by patients
Laudová, Kristina ; Tomová, Šárka (advisor) ; Javůrková, Alena (referee)
The bachelor's thesis entitled "Sexual harassment of nurses by patients" discusses sexual harassment in the healthcare sector. Objectives: the purpose of the work is to determine the frequency and form of sexual harassment of nurses by patients, to determine the response of nurses and to compare sexual harassment of nurses in surgical and internal departments. In the theoretical part of the thesis, sexual harassment is defined according to international institutions. Sexual harassment in the healthcare sector, its recognition, risks, prevention and remedial solutions are further described. In the empirical part, the results of the own survey, statistical treatment of hypotheses and comparison of the results with other studies are presented. Methods: To achieve the aims of the work, a questionnaire survey was carried out, the target group of which was nurses from six teaching hospitals in the Czech Republic from internal or surgical clinics. 482 completed questionnaires were collected. Results: A third of the respondents answered that they had been sexually harassed by the patient, and in almost one hundred percent of the cases, the aggressor was a man. The frequency with which the respondents encountered sexual harassment was in the order of a month, about ten times a year. Disgust or anger (44%)...
|
|
|
Education of mothers about breastfeeding at the general practitioner for children and adolescents.
BEŇOVÁ, Aneta
Introduction: This bachelor's thesis is concerned with maternal breastfeeding education in a general practitioner for children and adolescents. Breast milk is the most natural food for the baby if the mother has a proper lifestyle. It also contains all the essential vitamins, nutrients and minerals that a baby needs for healthy development. Breastfeeding is a complex process and mothers are discharged to the home environment very early, thus there is little time for education during hospitalization. After discharge from the hospital, the educational process about the newborn is passed on to the paediatric nurse and the paediatric and adolescent general practitioner, which includes breastfeeding. The aim of the education is that the mother is informed about both theoretical knowledge and appropriate practical practices about breastfeeding. Objectives: The first objective was to find out how nurses at the general practitioner for children and adolescents educate mothers about breastfeeding. The second aim was to find out how mothers are satisfied with the education provided by the nurse practitioner for children and adolescents. Results: The study revealed that nurses most often educate mothers using verbal, practical and written methods. Mothers are most often educated during preventive check-ups, in the nursing clinics or individually according to the mother's needs. Furthermore, the research showed that four mothers out of eleven were not satisfied with the education. Then, the research showed that re-education for mothers who have a second child is lacking or insufficient because nurses assume they already know everything, but two mothers were satisfied. The reassurance given to them by the nurses was sufficient. One mother was not re-educated and another mother of two was partially re-educated. Furthermore, the research shows that two first-time mothers were satisfied with the nurse's breastfeeding education and another mother who had her first child rated her education as sufficient. Conclusion: Our research shows that there are differences in the statements of the two research groups regarding maternal education by the nurse at the GP for children and adolescents. This issue should be further addressed to avoid negative experiences of nurse education about breastfeeding at the paediatric and adolescent GP, and to ensure that more mothers continue breastfeeding after discharge from hospital. This undergraduate thesis can contribute to improving maternal breastfeeding education by nurses at the GP for children and adolescents and the results will be presented at the Lactation League conference.
|
|
|
Kultúrne kompetentná starostlivosť v dvadsiatom prvom storočí
ČERVENÝ, Martin
The issue of providing nursing care for patients from another culture is a hot topic. The rapidly changing sociodemographic makeup of the population brings many benefits and cultural challenges to clinical nursing. However, many cultural challenges can be navigated by developing cultural competence among nurses. The main objective of this dissertation is to evaluate, analyse and compare nurses' cultural competence levels in the Czech Republic, Slovak Republic, Hungary and Poland. Another aim is to discover the cultural challenges encountered when treating patients from other cultures in these countries. The standardized Cultural Competence Assessment instrument and a non-standardized questionnaire examining cultural challenges in nursing clinical practice were used for data collection, both of which were administered online. Data collection was conducted in four countries. SASD 1.5.8 and IBM SPSS ver. 28 were utilized for data processing. The non-parametric Mann-Whitney U test, Spearman's rank correlation coefficient, Chi-square test, test of Independence and Kruskal-Wallis test were used to verify the correlation between variables. The research sample consisted of a total of 766 nurses from selected countries. A total of 202 nurses from the Czech Republic, 222 from Slovakia, 124 from Hungary, and 218 from Poland participated in the study. The results of the study show that the most dominant cultural challenge in the clinical practice of nurses in the selected countries is the language barrier. Evaluation of cultural competencies showed that the majority of nurses in the selected countries consider themselves culturally competent. Female nurses from the selected states exhibit a higher level of cultural competencies than their male counterparts. The nursing position also influences the level of cultural competence. It was found that Slovakian, Czech, and Polish charge nurses demonstrate higher scores in the area of cultural awareness and sensitivity. Conversely, Slovakian, Hungarian, and Polish general nurses have higher scores in the area of culturally competent behaviour, with Czech charge nurses achieving the highest scores. Also, a statistical correlation between education and cultural competence was found. Czech, Slovak, and Hungarian nurses with higher education demonstrate a higher level of cultural competence. It is noteworthy, however, that undergoing diversity education training does not impact cultural competence. The results of this study show the current issues in culturally competent care of patients from different cultures. Cultural competence is an essential component of quality and safe care for any patient. By addressing the identified factors, it is possible to increase the cultural competence of nurses and thus improve the quality of care provided.
|
|
|
The educational role of the nurse working in primary care
MARKOVÁ, Monika
The thesis focuses on the educational role of the nurse working in primary care. Education is the upbringing and training of an individual, the aim of which is to change their behaviour, attitudes, actions and beliefs. Primary care is comprehensive and coordinated care. It is a set of activities that focus mainly on prevention, health promotion, but also on treatment, therapy and examination. High demands are placed on the primary care nurse in terms of the proper and smooth running of the practice, administration or performance of procedures. The first aim of this thesis was to find out how nurses working in primary care educate and motivate their patients to make lifestyle changes. The second aim was to find out in which areas the nurse most frequently educates. The practical part of the thesis is developed through qualitative research. The research population consists of twelve nurses working in practices of adult general practitioners. The data was collected using a semi-structured interview. The nurses were asked 33 questions that focused on patient education. Based on the interviews and the data collected, the results were open coded into six categories. From the results of the research, it was found that nurses working in primary care do not follow any educational process or have any educational plan, rather they draw from their own experience. It was also found that the nurses do not have enough time for the patient nor a proper educational environment in which to conduct education. According to the results, it was found that nurses most frequently educate patients on issues such as diabetes mellitus, hypertension, obesity, preventive vaccinations, or elevated levels of cholesterol. The current issue, as of the month of March 2024, when the data collection was conducted, was the educational activities of nurses focused on the issue of whooping cough. Based on the findings, a material for a seminar for nurses working in practices of general practitioners was developed. The seminar focuses on the implementation of effective patient education by a nurse working in an adult general practitioner's office.
|
|
|
Self-reflection of cultural competences among nurses working in home care
CHVALOVÁ, Miroslava
Cultural competence is a set of cultural knowledge that enables non-medical health professionals to achieve appropriate outcomes when caring for and working with clients/patients from a different country. The main aim of our study was to find out what cultural competencies nurses have in home care. The empirical part used a quantitative research method in home care settings. Respondents answered a questionnaire consisting of 88 questions and two parts namely standardized and non-standardized part. We surveyed the nurses' awareness of the culture of patients/clients, their level of cultural competence, focusing on cultural skills, cultural knowledge and cultural sensitivity and lastly, we surveyed the nurses' self-assessment of cultural competence. 108 respondents took part in the research and the results of the survey indicate that the characteristics mentioned in the hypotheses, age and educational attainment, are not related to the level of cultural competence of non-medical health workers. It also shows that the majority of nurses do not think that knowledge of a foreign language is important in practice and half of them do not even use a foreign language. However, they do not have negative attitudes towards foreigners and recognize the importance of lifelong learning in order to provide culturally competent care. This work could serve as educational material for students, future non-medical health workers. The results of the thesis will be published in a journal that will be beneficial to non-medical health personnel as well as the general public and will also be presented at a conference.
|
|
|
Nurses´ awareness of causes of syncopal states
FOUSKOVÁ, Jitka
Introduction: Syncope is a symptom occurring with disorder of the cardiovascular or autonomic nervous system. It is manifested by a transient loss of consciousness caused by insufficient blood supply to the brain, usually it is associated with loss of balance. After regaining consciousness, there is no impairment of neurological function. Syncope occurs at all age categories. A large portion of the population experiences it during their lifetime. It is important for nurses to be familiar with the underlying causes of syncope so that they can be an equal partner to physicians in the diagnosis, treatment and care of such patients. Methodology: The quantitative research method was used to achieve the stated aims. The research was conducted in 4 South Bohemia hospitals with written permission of the head nurses. The results were collected using non standardised questionnaire to measure the level of nurses´ awareness of the causes of syncopal states. The obtained data were analysed and statistically processed using Microsoft Excel 365. Results: The research sample was made up of 242 respondents, which included nurses working in internal, cardiology, neurology, surgery, traumatology, orthopaedic and emergency departments. The results show that nurses do not have sufficient knowledge about causes of syncopal states. Better awareness is among nurses working in internal medicine departments and emergency departments (p = 0,007), nurses with higher education (p = 0,004) and experienced nurses with longer work experience (p = 0,032). Conclusion: The diploma thesis points out the importance of nurses in the care of patients with syncope, from which the need for nurses to be familiar with this issue is also evident. It emphasises the irreplaceable role of nurses in the multidisciplinary team.
|
|
|
Awareness, knowledge and skills needed to provide culturally competent care
NOVOTNÁ, Štěpánka
Introduction: Population migration is still a topical issue today. Nurses working in general practitioners surgeries should receive lifelong training in cultural competence. Every nurse should have cultural knowledge, attitudes and skills to be able to treat different minorities. The aim of this thesis is to determine the level of cultural competence of non-medical health care workers working in general practitioners surgeries. Methodology: The research investigation was conducted using a quantitative method in general practitioner's offices as part of a GAJU research grant project number 046/2021/S. The research was being conducted from May to November 2022. Nurses from three regions were contacted. The results were collected using an anonymous questionnaire, which consisted of a non-standardized and a standardized part. It contained a total of 79 questions. The questionnaire looked into the nurses cultural knowledge, sensitivity, skills and whether they were aware of all these. Results: The research group consisted of 120 respondents. From the research results, it is clear that nurses in general practitioners surgeries provide culturally competent care. Some flaws concerning nurses work were revealed, which are communication barrier and the interpretation relationship with the set institution. Nurses have cultural knowledge, cultural skills and are culturally sensitive. They realize that cultural competence is an ongoing process and they should be educated continually in this area. It was noted that they do not have negative attitudes towards patients from other cultures. Conclusion: This thesis provides a comprehensive view of multicultural nursing in general practitioners surgeries. Based on the results of the thesis, a journal article will be written that will be beneficial to non-medical health care personnel and also the general public.
|
guest ::
