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Utilization of aids for handling of non-self-sufficient patients at departments of intensive medicine.
JANTAČOVÁ, Dana
Departments of intensive medicine often hospitalize patients with self-sufficiency disorders in routine daily activities. Nurses working in those departments have to handle such patients on daily basis, as a part of providing quality nursing care. To make their work easier there are more or less available aids, however, they are not always fully used. The reasons include complexity of the use, unavailability of the aids in hospitals or saving time for other duties. This thesis is divided into two parts. The first part considers the theoretical side of the issue. We have focused on patients at departments of intensive medicine, who are dependent on assistance provided by nurses. Nurses function primarily as attendants. The theoretical part also describes the most common aids used for handling of non-self-sufficient patients. The second part of the thesis focuses on research. We have conducted surveys in selected hospitals in the Czech Republic at departments of intensive medicine. The survey used anonymous questionnaires for nurses working at intensive medicine departments. The objectives of the thesis were as follows: To find out whether nurses at departments of intensive medicine use all aids for handling of non-self-sufficient patients; to find out which aids are used most frequently by nurses at departments of intensive medicine for handling of non-self-sufficient patients and to find out whether nurses at departments of intensive medicine are able to use correctly the available aids for handling of non-self-sufficient patients. To achieve the objectives, three hypotheses were established H1: Nurses at departments of intensive medicine do not use all aids for handling of non-self-sufficient patients. H2: The aid most frequently used by nurses at departments of intensive medicine is a positioning mat. H3: Nurses at departments of intensive medicine are able to use correctly the available aids for handling of non-self-sufficient patients. The objectives of the work have been met and three hypotheses were confirmed in the survey. This thesis may serve as an information material for nurses interested in nursing in intensive medicine. Further, it may serve for manufacturers of aids for handling of non-self-sufficient patients; it presents opportunities for improvement of the most frequently used aids and for simplification of work with aids used by the nurses less frequently.
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The care of skin in Anaestheziology - resuscitation department and Intensive care unit
MUŽÍKOVÁ, Eva
My Bachelor Paper, focused as indicated in the title, relied on questionnaires distributed among nurses to find out whether they could access with sufficient readiness the anti-decubitus aids and hygiene agents needed for proper care of the patients. Moreover, through inconspicuous observation I tried to make sure the patients had the aids readily available. The first hypothesis, proved warranted, predicted that the nurses took proper care of the patients' skin in conformity to the relevant nursing standards. This hypothesis could be confirmed because I had a chance of reading standards used to regulate practices at the health-care facility being investigated. The nurses had available an adequate range of aids required to adjust the patients' positions, keep the patients clean and take care of their skin. The second hypothesis predicted that the ARW and ICU patients had available the anti-decubitus aids. Now, with the questionnaires reviewed and the observation completed, I can conclude that this hypothesis has been confirmed as well. I believe, the care is also dependent on sufficient supply of bedclothes available the wards and units; judging from my observation and the questionnaires returned by some selected nurses, the bedclothes are in no short supply. The occurrence of decubitus ulcers in these patients is not extremely widespread, and their injuries heal mostly per primam. The nurses try to improve their relevant qualifications by reading vocational periodicals and attending thus oriented seminars - obviously, they pay proper attention to these issues. The Paper endeavored to map the care of skin provided by nurses at the AR Ward and the IC Unit. In my opinion this objective has been met. To get a better idea of my research results, please see the related charts.
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