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Use NIC, NOC classification of patients with a stoma.
JEDLIČKOVÁ, Eva
The thesis deals with the application of NIC, NOC classifications in patients with stoma. Every nurse uses a classification system of health care which describes activities or interventions done by nurses as a part of planning phase of nursing process in connection with creation of nursing care plan. These classifications also focus on developement of nursing care objectives and evaluating of the effect of nursing care results. Due to these classifications, the nursing care results are mesurable. In the theoretical part of the thesis, we focus on classification systems of nursing care, then on GIT diseases which lead to insertion of stoma, its care, care of patients with stoma and last but not least, on nursing documentation. Several objectives were set to meet the main target of the thesis. Firstly, to map nurses' opinion on nursing classifications; secondly, to find out which NOC indicators are usually judged by nurses in the care of patients with stoma; thirdly, to find out which activities are usually used by nurses in the care of patients with stoma; fourthly, to check up on application of NIC, NOC classification in the care of patients with stoma. The qualitative reserch was hold in two phases. In the first phase of the qualitative research, a nursing documentation was created on the basis of NIC and NOC classification related to care of the patients with stoma. In the second phase of the qualitative research, we interviewed ten nurses who had worked with the particular nursing documentation.
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The satisfaction of nurses with treatment process in practise in the Hospital České Budějovice a.s.
KŘESALOVÁ, Danuše
The research included quantitative as well as qualitative elements. The aim of the thesis was to find out the attitude of the nurses in internal medicine and surgical sections to a practical nursing process. The inquiry and questionnaire method was used for data collection. The second aim was to find out the possibilities of the improvements of nursing process in practical conditions in relation to the particular depatment. The qualitative research was held with head nurses and ward sisters in internal medicine and surgical depatments with the use of halfstrukture interview. The research file in a quantitive research was represented by nurses working in internal medicine and surgical departments in České Budějovice Hospital, PLC . In these departments 200 questionnaire forms were at nurses´ disposal, 180 of them being completed. 90 nurses work in departments connected with internal medicine and 90 nurses come from specialized surgical departments. The first two questions had the identification character, the other four questions were focused on the nurses´education and the rest of the questions concerned the satisfaction with carrying out the nursing anamnesis, with making a nursing diagnosis, with keeping administrative materials of nursing, with planning to put nursing care into practice. The questionnaire provided possibilities for expressing the nurses´views and opinions suggestions for improving the existing situation. The last seven questions were connected with the sphere of the nurses´motivation. For this quantitative research five kinds of hypotheses were outlined. H1 - The nurses in internal medicine departments are more satisfied with the practical nursing process than the nurses in surgical departments. H2 - The nurses with the university education background are more satisfied with the nursing process compared to nurses without university education background. H 3 - The nurses are not satisfied with recording the nursing diagnosis, as it is done in a practical way. H4 - The nurses in surgical departments would welcome fewer documentation materials compared to the nurses from internal medicine departments. H 5 - The nurses are more satisfied with the nursing process in a well-working section compared with the section with a longlasting dismal situation. The qualitative research file included 8 ward and head nurses working in České Budějovice Hospital, PLC. 4 leading nurses were from departments connected with internal medicine and 4 leading nurses were frodepartments connected with internal medicine and 4 leading nurses came from departments with surgical specialization. The interview took place in the particular departments and started with the research question about the ways of improving the nurses´ satisfaction with the nursing process in practical activities in České Budějovice Hospital,PLC. The aim of the thesis was to find out the attitude of the nurses from the departments connected with internal medicine and surgical treatment to the nursing process in practical activities. The results of the quantitative research show that the nurses express dissatisfaction with recording the nursing diagnosis, they require unified brief form, the completing of which would not take much time from their nursing duties. Another kind the nurses´dissatisfaction is related to the way of recording the nursing anamnesis.
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The Leiniger and the Giger-Davidhizar assessment model and their use in practice
HRÁZSKÁ, Kateřina
Medical staff and therefore also nurses may currently more and more often meet patients from foreign countries. It is beyond question that these clients have their own specific biological, psychological and social needs which the nurses should respect. Theoretical part of this assignment describes the issue of trans-cultural nursing, defines it and explains its importance and historical development. It also deals with some of the multi-cultural care models, i.e. the models by Leininger, Giger-Davidhizar, Campinhy-Bacote and Bloch's Ethnic Nursing Care. In general it also mentions conceptual nursing models, their definitions, origin and importance. The following goals were set for this dissertation: Goal 1: Map the issues related to the Leininger's and Giger-Davidhizar's models and their practical use in selected hospitals in the Czech Republic. Goal 2: Find out if nurses use aspects of multi-cultural nursing within their nursing care for foreign patients. Goal 3: Find out how the nurses benefit from using the trans-cultural nursing models for foreign patients within their nursing process. Goal 4: Formulate nursing documents suitable for application of nursing care for foreign patients. Based on the above goals, several research questions were defined: 1. What nursing models are used in selected hospitals in the Czech Republic? 2. How do nursing documents in selected hospitals in the Czech Republic respect nursing process specifics when foreign patients are concerned? 3. Are nurses aware (and in what scope) of the principles of the Leininger's and Giger-Davidhizar's models? 4. How do nurses use trans-cultural nursing models when caring for foreign patients? 5. How do nurses, in their opinion, satisfy foreign patients' biological, psychological and social needs with respect to their cultural differences? 6. How do nurses educate themselves in multi-cultural care? In practical part of the work, nursing documents or anamneses from selected hospitals in the Czech Republic were collected and their content was analysed with focus on multi-cultural aspects identification. Gathered results were then plot in charts. In the next phase of the investigation, semi-structured interviews were held with ten nurses working in standard wards of selected health-care facilities which provided nursing anamneses. Each of the nurses worked in different hospital. The outcome of my dissertation is a draft of nursing anamnesis based on the Leininger's model which is suitable for data collection from patients coming from different cultural backgrounds.
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Use a common nursing language
HLAVÁČOVÁ, Lucie
The common nursing language includes in particular classification, which include, inter alia, Nanda taxonomy. Nanda taxonomy (originally Nort American Nursing Diagnosis Association - North American Association for the nursing diagnosis) is a professional organization of nurses to standardize nursing terminology. Founded in 1982. Its task is to organize a nursing diagnosis according to certain principles. The aim is to create a uniform standard names. 2 Nanda taxonomy based on the functional patterns Marion Gordon. Contains 13 diagnostic domains, 47 classes and 172 diagnoses.
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Nurse and nursing documentation
VČELOVÁ, Stanislava
This bachelor thesis deals with the issue of using nursery documentation and working with this documentation. The nursery documentation forms fundamental material contributing to the correct operation of the patients? hospital care. These documents should be unconditionally maintained about each hospitalized patient as this fact also arises from the Czech legislation. The nurse?s work with the nursery documents is based on its correct, faultless and legible maintenance. The nurse records quality, actual, complete and essential information regarding the patient?s health condition in this documentation and works with these data which she uses in the nursing process. The most used form of the maintenance of the nursery documentation is a written form. Nowadays a nurse meets also with an electronic form of the nursery documents which is to help her to get more time for communication and care for the patient. The aim of this bachelor thesis was to discover the use of the nursery documentation in the selected hospital facility. The research investigation was executed by quantitative method. Case interpretations were processed based on interviews and the most important data were put in categorization tables. The research investigation was executed with ten randomly selected sisters who work in a neurosurgical and cardio-surgical department in the hospital Na Homolce. A wide spectre of problems occurred with the maintenance of the nursery documents.
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Application of the Kathryn Barnard nursing care model to the physically handicapped child
STRNADOVÁ, Eva
Physical disability/physical handicap is an affection that is manifested by either temporary or permanent problems in motor diathesis of children. Physically disabled children may suffer from physical disability either from their birth or may acquire physical disability in the course of their lives. These problems may act in a negative manner on children perception and feeling and the same holds good for their near relatives. Problems come into existence in parent-physically handicapped child interrelation. The nursing model of Ms. Kathryn Barnard focuses on mutual interaction between parents and their children. In her model Ms. Kathryn Barnard points out the importance of the aforementioned parent-physically handicapped child interrelationship. On the basis of evaluation of the parent-child interactions based on three main factors: a child, mother, environment, a general child development is determined. The parent-child interaction affects a child development, child{\crq}s health, growth and development of a child. The aim of nursing care is to assist in finding a proper way of parent- physically disabled child interaction so that the nursing care may act on general development of a child in a positive manner. In this diploma work the following goal has been set: to find out and identify the most important problems existing in the parent-physically disabled child relation, and to evaluate possibilities of nursing care in solving problems arising at the parent-physically disabled child interaction. For the purpose of meeting these goals the following research questions has been established: What are the most important problems in the parent-physically handicapped child interaction? How can nursing care help in the parent-physically handicapped child interaction? What is the proper procedure for the nursing care of a physically disabled child and his/her close relatives? After carrying out research examinations the answers to the above-specified questions are as follows: 1. The most important problems lying in the parent-physically disabled child interaction are as follows: parent to reconcile himself/herself with his/her child's diagnosis, more frequent occurrence of stress situations, excessive emotional ties of the physically handicapped child with his/her nursing personnel. 2. The nurse can help by means of nursing process in an active manner solve the above-specified problems in interrelation between parent-physically handicapped children. On the basis of information having been gained by the study of professional literature and pieces of information obtained from the answers of the parents of physically disabled children a nursing documentation has been made in accordance with the Kathryn Barnard interaction model as well as nursing care standard of physically handicapped children. By finishing it both the third and fourth aims have been accomplished. Nurses providing care for physically disabled children have used the nursing documentation and it has proved useful and nursing personnel declared it satisfactory. The nursing documentation and the standard should help nurses in providing quality nursing care of physically handicapped children.
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The effekt of accreditation on the quality of health care providet in selected medical facilites.
SOMROVÁ, Jana
The quality of nursing care is becoming an increasingly important concept in contemporary nursing. The most effective means of achieving quality of nursing care and the means of proof is the accreditation of medical facilities. It is a significant appreciation of professionalism, the work of health professionals and an important signal for the patients. Quality of care, security of supply and preventing potential risks for health care priority. The main aim of the thesis "The influence of accreditation on quality of care in selected health facilities" was to map the set of quality management and impact monitoring and evaluation of quality indicators in hospitals accredited by the Czech Republic. To determine whether accreditation has become an instrument to ensure comparable quality, and time has changed from an unpopular instrument into an instrument for continuous quality improvement. The survey took place from November 2010 to March 2011 in the form of quantitative data collection using an anonymous questionnaire survey in selected hospitals accredited by the Czech Republic. In the research study were asked managers of nursing care, main, upper station and sisters. The thesis has been established 6 goals. The first objective was to determine what indicators of quality nursing care in accredited hospitals pursue. Interested in us as quality indicators that were studied before accreditation, and quality indicators to setting up medical facilities in preparation for accreditation. The second objective was determine how frequently watched indicator of quality is monitored in hospital. The third objective was to determine whether there was in accredited hospitals to reduce adverse events - falls. The fourth objective was to determine whether there was in accredited hospitals to reduce the incidence of nosocomial infections in complying with barrier nursing regime. The fifth objective was to identify the biggest problems arose during the implementation of audits, completeness and comprehensiveness of nursing documentation management into practice. " The sixth objective was to determine whether there was during the preparation of an increase in hospital nursing staff. The thesis then was examined six hypotheses. First hypothesis Accredited hospitals monitor the quality of care provided by at least ten quality indicators - were confirmed. Hypothesis 2 The most frequently monitored indicator of the quality of nursing care, the prevalence of pressure ulcers - was confirmed. All respondents said they monitor the prevalence of pressure ulcers as an indicator of quality nursing care. Hypothesis 3 gaining accreditation to reduce the incidence of falls - was confirmed. Hypothesis 4 obtaining accreditation decreased nosocomial infections - was confirmed. Hypothesis 5 The biggest problem in implementing the audit, management complexity and completeness of nursing documentation in practice "has been an increase in paperwork for nursing staff - were confirmed. Hypothesis 6 During the preparation for accreditation has been an increase in nursing staff - has not been confirmed. Accreditation is perceived by respondents as beneficial for the hospital. Due to accreditation standards and developing quality indicators were identified risk areas in the provision of hospital care and detail can be paid to the prevention of adverse events, nosocomial infections and other risks. The results of work will be to provide medical facilities where the research was conducted investigation, the presentation of the research will be presented at a conference, the South Bohemian nursing days "and also gives the United Accreditation Commission of the Czech Republic as a presentation at the conference to be held early next year (spring ) 2012th Nursing standards were created.
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Evaluation Scales as a Part of the Nursing Documentation
HANDREJCHOVÁ, Ivana
The bachelors thesis deals "Evaluation Scales as a Part of Nursing Documentation". The bachelors thesis consists of two parts. The theory part dealt with nursery documentation and evaluation scales. The objective of the thesis was to present portions of nursery documentation that are based on legislation and the use of nursing documentation in the course of the nursing process. It described the areas of assessment of patient's medical condition by a nurse allowing the use of more evaluating scales. In the practical part of the thesis three objectives were set. The first objective was to map out evaluation scales used by nurses in selected health care facilities. The second objective involved mapping out understanding of nurses of and in using evaluation scales. The third objective was to establish whether nurses can actively participate in selecting of evaluation scales in their wards. Three assumptions were then set up. The first assumption was as follows: "The use of evaluation scales varies according to the type of the health care facility". The second assumption read: "Nurses are informed on the possibilities of using evaluation scales". The third assumption read: "Nurses can participate in active selection of evaluation scales". A quantitative method of anonymous questionnaire was employed to establish the factual state. A single questionnaire type was used for all nurses. The questionnaire involved 33 questions and 12 subquestions that were closed and semi-closed for addition of a short answer. Opening questions of the questionnaire were of identification nature. Subsequent questions dealt with different evaluation areas, the use of evaluation scales and perception of evaluation scales by nurses. The file of questioned persons consisted of nurses serving in the České Budějovice a.s. and the Nemocnice Písek a.s. hospitals. In total 168 questionnaires were distributed. 84 of them to nurses of the České Budějovice a.s. hospital and 84 questionnaires to nurses of the Nemocnice Písek a.s. hospital. Clearly set diagrams were processed based on nurses' answers. Discussion results were compared with specialized literature. The final part of the thesis contains summary results and assumptions of the thesis author are confirmed or rebutted herein. The first assumption: "The use of evaluation scales varies according to the type of the health care facility" has been confirmed. The second assumption: "Nurses are informed on the possibilities of using evaluation scales" has been confirmed. The third assumption: "Nurses can participate in active selection of evaluation scales" has been confirmed.
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The application of the King´s model in the care of client to the orthopedic department
KREMSOVÁ, Alžběta
My thesis deals with the possibility of applying King?s model to client care at an orthopaedic department. King?s model is focused on interaction between a nurse and a patient. Achievement of harmony in interaction between a nurse and a patient/client creates better conditions for attainment of the care goals and thus saturation of his/her needs. In combination with Gordon?s model better satisfaction of needs and thus improvement of the care at the orthopaedic department would be achieved.
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Problems of Nursing the Patients Self-intoxicated in Suicidal Intention.
DRÁBKOVÁ, Iveta
Suicide as an individual event as well as a social phenomenon attracts great interest and attention in various spheres, both in the immediate environment of the self-murderer and in broader public. The definition of suicide differs according to authors and changes in the course of historical development. Most definitions are identical in two essential aspects of suicidal behavior. These are a voluntary individual's intention to terminate his life and a purposeful behaviour leading to death. Suicide is the conscious and intentional killing of oneself. About 95% of suicidal attempts are just acute intoxications by any amount or kind of a poisonous substance. Acute intoxication belongs to a group of serious conditions threatening human health and life. Acute poisoning is one of the frequent admission diagnoses in the Departments of anesthesiology and resuscitation and Intensive care units. 80% of poisonings are caused by drugs. Damage to the organism by ingesting a poisonous substance is the more significant the longer is the interval between the exposure to noxae and the professional medical assistance provision. For the future fate of the patient the medical equipment and the competence of health professionals who provide intensive care for these patients is crucial. After stabilization of all physiological functions, balancing inner environment of the patient and after the time that may have led to late complications of intoxication, the following phase of treatment is provided by psychological and psychiatric interventions. Determination of suicidal risk among the most common challenge in urgent psychiatry is suicide risk assessment. The aim is to prevent further suicide attempts. The objective of the thesis was to determine, with regard to the competence of nurses, the predominant character of patients´ experience after intoxication, and also the reasons for aggressive behavior of intoxicated patients towards the nursing staff. The third objective was to establish a standard of nursing care of intoxicated patients. The research was designed as explorative with the goal to map the nursing process in intoxicated patients and to provide information for the establishment of the standard of nursing care, which should include both somatic and psychological aspects. Quantitative and qualitative methods were combined. The outcomes of the thesis should lead to detection of the most frequent problems in nursing care for patients with intentional intoxication with suicidal tendency and the establishment of nursing standards to help improve the care of these patients.
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