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The importance of effective communication in the nursing team
BEJČKOVÁ, Eliška
This bachelor thesis is focused on The importance of effective communication in the nursing team. The aim of this thesis was to find out the impact of communication in the nursing team when performing nursing activities. Then to find out what kind of effect communication between staff has on their relationships with each other. The final objective was to determine if effective communication minimizes errors in nursing practice. The thesis was divided into theoretical and practical part. The theoretical part was devoted to general communication, followed by communication in health care, members of nursing team, personality of the health care worker, conflicts, burnout syndrome, health care, and finally basic information about departmental safety goals. In the practical part, qualitative research was conducted in the form of a semi-structured interview, which was subsequently processed in the form of diagrams. The research was conducted with members of the nursing team in different hospital departments. The results of this thesis revealed that the interviewed informants are aware of the impact of communication on their work and relationships within the team and with patients. They also indicated the most frequently resolved conflict situations and most informants indicated their subsequent adequate resolution. With the exception of one informant, all interviewees agreed that staff put patients mental and physical health at risk through ineffective communication. The objectives of the thesis were met and will be of benefit, both for staff working in the hospital setting and for students studying this field. The results of the thesis could also be an indicator of the quality of communication and a motivation for it's improvement.
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Specifics of nursing care for oncology patients in the terminal stage of the disease
FRANTA, Ondřej Darek
Summary This bachelor diploma thesis deals with the issues of nursing care of oncology patients in the terminal phases of the disease. The goal of the thesis is to map specifics of nursing care of oncology patients in the terminal stage and specifics of communication with these patients. Furthermore, the goal of this thesis is to evaluate how demanding it is to nurse oncology patients in the terminal stage. Methodology and research group The results were achieved by the method of questioning via semi-structured dialogues with nurses working at standard oncology departments as well as at intensive care units. The research group consisted of eleven nurses. The data was processed via open coding by method of pen and paper. The analysis of the data subsequently created three categories and eight subcategories. Results The results of the research imply that according to the nurses the most important specific of nursing care of oncology patients in terminal stage is adequate usage of painkilling medication to minimize the suffering and improving the quality of life. The next important specific is the need of patient to be in touch with his or her close people. From the communicating point of view, the research concluded that the nurses consider empathy and friendly face as key elements. Expressing support in difficult times is also very important. The nurses perceive profound awareness as the next key element to avoid possible conflicts or misunderstanding. Among other things, the research declared that the most challenging part for the nurses is the feeling of being powerless while a suffering patient is dying. Therefore, the nurses emphasize the need to separate private and working life. This separation could be understood as a precaution against burnout syndrome that is threating. The acquired data demonstrates that the nurses working in palliative care feel fulfilled when the patient's disease is in remission or when they can assist dignified passing. Results for practice The results of the research were used to create script of simulative teaching for students in the field of communication with oncology patients in terminal stage of the disease.The hope is that this diploma thesis may provide insight into specifics of nursing care of the patients in question, and it may contribute to raise awareness of this field.
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Communication of nurses with hearing impaired patient on covid units
RAUŠOVÁ, Ilona
Introduction: For nurses, communication is a basic instrument in the nursing process. During the Covid-19 pandemic, nurses were obliged to wear protective equipment to prevent the spread of the disease. Protective equipment, especially masks, have a negative impact on nurse - patient communication. They dampen the volume of spoken speech, prevent reading and recognition of facial expressions. Nurses had to deal with these communication barriers while maintaining the nursing standards. Purpose of this work: The aim of the bachelor's thesis was to find out the specifics when communicating with a hearing-impaired patient. Methodology:The empirical part of this thesis was processed using the method of qualitative research analysis. To collect data, a semi-structured interview was used with nurses who worked at a covid-19 unit during the Covid-19 pandemic. The conversations took place in the period from March to May 2023. The conversations were recorded with the participants consent on a mobile phone by the use of the application Záznamník (recorder). The interviews were written afterwards in text, using the Microsoft Word program. Written data were then analyzed by the method of open coding, using the "pencil and paper"technique. The data obtained were divided into three categories, which were subsequently divided into subcategories. For better illustration, the individual categories and subcategories were drawn up in clear diagrams and described in detail. Results:The work results were divided into three categories, which are: hearing-impaired patient, barriers to nursing care and nurses' communication with hearing-impaired patients. Both categories are divided to the period before the Covid-19 pandemic, the period during the pandemic and the period after the end of the pandemic. Research indicates that the Covid-19 pandemic has changed the nurses' approach towards barrier nursing care and nurses have gained invaluable experience in the sense of communication with hearing impaired patients. They learned to improvise and use all available communication tools. They shared information, advice and psychological support with each other. Conclusion: This work documents the view of nurses on barrier nursing care and their influence on communication with hearing-impaired patients. The research showed that nurses overcame the communication barriers and were able to maintain the standards of nursing care. They adapted to demanding conditions, learned to use simple tools which made it easier for them to communicate with hearing-impaired patients. They deepened their mutual cooperation. At the same time, it revealed that most nurses coped with these problems based on their intuition. For nurses, this experience created the need for professional training in the field of communication with hearing-impaired patients. The work provides an overall view of the issue of communication in the nursing process when using protective equipment. It presents tools that can help overcome the communication barrier. The results may help other nurses in practice.
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Gastric tube nursing care at the newborns
Ziková, Tereza ; Průšová, Kateřina (advisor) ; Nikodemová, Hana (referee)
The bachelor's thesis deals with the challenges of nursing care for gastric tubes in newborns hospitalized in perinatal centers. The theoretical part of this work provides an extensive overview of gastric enteral tubes, as well as indications and techniques for tube insertion in neonates. The aim of the practical part is to map nursing care and the techniques used when introducing and checking the position of gastric tubes. The research method of choice was a quantitative questionnaire survey a custom questionnaire. The survey was carried out in six perinatal centers out of total of twelve centers in the Czech Republic. These workplaces are: Institute for the care of mother and child, department of gynecology and obstetrics of the 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Hospital České Budějovice, a.s., Krajská zdravotní, a.s.- Hospital Most o.z., Motol University Hospital, Krajská zdravotní, a.s.- Masaryk Hospital in Ústí nad Labem. Overall 156 questionnaires were analyzed out of a total of 270 distributed, so the return was 58%. From results of our own research that the procedures for inserting and checking the position of the gastric enteral tube in neonatal departments are not uniform. Finally, it should be mentioned that the research confirms the...
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Specifics of nursing care for a paediatric patient after hip surgery
Husárová, Katarína ; Tomová, Šárka (advisor) ; Klokočková, Šárka (referee)
Background: This bachelor thesis deals with the specifics of nursing care for a child patient after hip joint surgery. Objectives: The aim of the research was to find out the specifics of nursing care for a patient after hip surgery in orthopedic departments or clinics located in Slovakia or Czech Republic. Subsequently the findings were evaluated and compared. Methods: The self-constructed questionnaire prepared for the bachelor's thesis was anonymous and non-standardized. A total of 37 nurses working in orthopedic departments or clinics participated in the research exploration. From a geographical point of view, they were employees of 2 Slovak and 2 Czech hospitals.For statistical analysis, given the stated hypotheses and the nature of the data, we used the test of agreement of two proportions, Chi - square association with Yates correction, Cohran's test of equality of pooled proportions and a series of McNamar's tests with Bonferroni correction for multiple comparisons Results: Nurses working in the orthopedic department with children's patients in Slovakia and the Czech Republic prepare their patients for surgery and for what awaits them after it. They also focus on meeting the needs of children's patients, of which they perceive psychological needs the most. Psychological support,...
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Nursing care of a patient with a hemodialysis catheter in a chronic dialysis program
Horniková, Renata ; Hromádková, Jaroslava (advisor) ; Jirkovský, Daniel (referee)
This bachelor's thesis is focused on the treatment of hemodialysis catheters. A hemodialysis catheter is an integral part of every elimination method, and without a functional hemodialysis catheter, hemodialysis is not possible. The aim of the bachelor's thesis was to find out whether and how care for hemodialysis catheters differs at individual workplaces. The theoretical part of the thesis presents knowledge about the anatomy and physiology of the kidneys, pathophysiology of the kidneys, elimination methods, vascular approaches and specifically describes hemodialysis catheters and their nursing care. The empirical part of the work presents the results of our own questionnaire survey, which took place at selected workplaces of the Motol University Hospital and at selected Fresenius Medical Care centers. The target group of respondents were nurses working at these workplaces. At the end of the investigation, 75 duly completed questionnaires were included in the statistical data processing. The obtained data are presented in pie and bar graphs and tables, and these data are subsequently compared with hypotheses oriented to the type of workplace and the level of education of the respondents. The results of the questionnaire survey revealed that there were statistically significant differences,...
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Chronic wound care - shin ulcer
Kümmelová, Tereza ; Hromádková, Jaroslava (advisor) ; Nikodemová, Hana (referee)
The bachelor thesis Chronic wound care - shin ulcer deals with the issue of chronic wounds focusing on tibial ulcers. The aim of the thesis was: To collect data on treatment options for and to study the available resources. To obtain data from the database "Care of the patient with a non-healing wound" at the University Hospital in Motol. These data were then assessed and statistically processed. To calculate a qualified estimate of the burden of nursing staff related to the care of patients with shin ulcer in internal medicine units, surgical units and in general in the University Hospital in Motol. The theoretical part of the thesis gives a basic overview of the problem. The empirical part of the thesis presents the results of the own investigation and their comparison with the results of previously conducted studies. The method of the research investigation was secondary data analysis from the database "Care of a patient with a non-healing wound" at the University Hospital in Motol. The research investigation included 164 patients with shin ulcer hospitalized in the period from January 1, 2022 to June 31, 2022 at the University Hospital in Motol. Results: It was found that more males were hospitalized with shin ulcer than females in Motol University Hospital during the period. More patients with...
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Knowledge of nurses in domain of nursing care for patients with enteral nutrition
Zemanová, Veronika ; Tomová, Šárka (advisor) ; Hromádková, Jaroslava (referee)
The bachelor's thesis deals with the knowledge of nurses in the field of nursing care for patients with enteral nutrition. The work is divided into two parts, the theoretical part and empirical part. The aim of the final thesis is to map the knowledge of nurses in the field of enteral nutrition. Alternatively, increase awareness through professional training of nurses and prevent adverse effects in the administration of enteral nutrition that may occur with inappropriate nursing procedures in patients with enteral nutrition. The theoretical part of the bachelor's thesis deals with the types and types of artificial nutrition, methods of application, its indications and contraindications, and possible complications that may arise during the administration of enteral nutrition to patients. The empirical part of the final thesis is processed by quantitative research, it contains the results of a research investigation and subsequent comparison with the results of similar works. Method: Questionnaire survey - based on a non-standardized questionnaire survey that was anonymized. Results: A total of 140 questionnaires were distributed. In the end, 102 respondents took part in the entire survey. The return rate from the total number of questionnaires was 72,85%. Most of the respondents 99 (97,06%) have a...
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Nursing care of children with cleft lip and palate
PRÁŠKOVÁ, Kateřina
This bachelor thesis deals with the nursing care of children witch cleft lip defects and palate. The prevalence of cleft defects has decreased thanks to modern prenatal diagnosis, but cleft palate and cleft lip are still at the top of the ranking among the most common congenital developmental defects. The thesis is divided into two parts, a theoretical part and an empirical part. The theoretical part describes the anatomy and physiology of the oronasal region, prenatal care, classification of cleft lip and palate, history of treatment and current surgical treatment, nursing process and multidisciplinary care. In this bachelor thesis three objectives were set. The first objective was to determine the nutritional nursing care of children with cleft lip and palate defects. The second objective was to determine the nursing care after surgery for a child with cleft lip and palate defect. The third and final objective was to determine parental awareness of cleft lip and palate defect in their children. The research investigation of the bachelor thesis was conducted through qualitative research in the form of a case study. The case study includes a description of the situation, a description of the factors that caused the situation, a description of the procedures used and their impact on the resolution of the situation, and in particular an evaluation of the resolution of the situation and, where appropriate, suggestions for further action. The content structure became case studies: the characteristics of the client and his/her initial situation. To obtain this information, an analysis of medical records, nursing documentation, child observation and the nursing process was carried out to create a detailed nursing case history of children with the problem using the Nanda Taxonomy II. Based on the information obtained, we developer a nursing plan for two children with surgical correction of this defect. Categorization of the case study was done. According to the detailed analysis of the nursing case studies, we have created categories and subcategories, which are discussed and described in detail under each scheme. The research investigation was conducted in a specialized unit dedicated to the treatment of developmental defects of the lip and palate in pediatric patients. The research was conducted from February to mid-April 2023. Parents of children with cleft defects were interviewed to supplement the information. All of this information that was found is completely anonymous. The interview included a total of 23 pre-designed questions. Individual interviews were recorded on a mobile phone and then transcribed verbatim into Microsoft Word. Then, the parents´ interviews were analyzed and categorized using the pencil-paper method. Based on the research investigation, it was found that care is provided individually, according to the congenital defect in the lip and palate and the extent of its damage. This determines the timeliness of surgical treatment and associated nutrition. A detailed analysis of the nursing process and the creation of nursing diagnoses related to the specific patient with a congenital defect in the lip and palate region was performed. The research revealed that careful professional awareness of the parents was taken care of. Despite the fact that mothers reported sufficient awareness, some sought further information on the internet and/or in leaflets from the doctor. In terms of nursing care for children after surgery, these children are hospitalized as soon as possible after birth. These early surgeries are done for faster healing and from a psychological point of view. This bachelor thesis can be used in theoretical teaching in nursing process focused on surgical issues. In my opinion, this thesis could also be used to expand the awareness of cleft defects among health care professionals in practice.
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