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Evaluation of selected quality indicators of health care at the department of post-medical care
BALOGOVÁ, Renata
Evaluation of indicators of nursing care quality was the aim of the research. The indicators chosen for the research were satisfaction of patients with the care, evaluation of self sufficiency, state of nutrition and pain. Most of the respondents answered positively in the evaluation of satisfaction with nursing care. 64 % of all the respondents chose the answer satisfied, 36 % chose rather satisfied. None of the respondents chose the possibilities average satisfaction, rather dissatisfied or dissatisfied in the overall evaluation of the physician and nursing care. Hypothesis 1: Patients are satisfied with the care at the SCD was confirmed. Self sufficiency level evaluation ? in the total sum of all the fiends 32.1 % of respondents moved from the level moderately dependent on nursing care to the category slightly dependent on nursing care. The situation in the categories highly dependent and totally dependent on nursing care did not change. Hypothesis 2: The level of self sufficiency in SCD patients is improving during the monitored period was confirmed. The nutrition level improved in the monitored period. In the overall nutrition score sum 14.4 % more respondents were in the lowest category (0-3 scores) after a month of evaluation then at the admittance. Hypothesis 3: The state of nutrition is improving during the monitored period was confirmed. Evaluation of pain at the SCD ? 59.4 % of the respondents reported pain, 39.5 % of whom had the pain at 1 VAS, 34.2 % of the respondents had the pain at 2 VAS, 15.8 % reported the pain at 3 VAS, 5.25 % at 4 VAS and 5.25 % and of the respondents reported their pain at 5 VAS. After administration of pain killers the pain does not exceed 2 VAS. Upon all the above results Hypothesis 4: Pain in SCD patients does not exceed 3 on VAS was confirmed. A summary of selected quality indicators with the method of their evaluation will be the outcome of the bachelor thesis.
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The participation of the nurse in the management of pain therapy by patients with malignant disease
KUČEROVÁ, Miroslava
The topic of this diploma thesis is ?The Nurse?s Contribution to the Management of Pain Treatment of Patients with a Malignant Disease?. The first objective is to ascertain whether nurses know the specifics of care of patients suffering from a cancer pain. The second objective is to ascertain whether nurses use an analogue score to assess the cancer pain. The third objective is to ascertain whether nurses document the pain intensity. The fourth objective is to ascertain whether nurses use non-pharmacological techniques to relieve cancer pains. The fifth objective is to ascertain whether nurses know the strategy of the WHO?s pain relief ladder. The research was conducted in the form of questioning while using the technique of anonymous structured questionnaires completed by the research set consisting of nurses in selected clinical wards with a high probability of occurrence of patients with an oncologic diagnosis. The total of 360 questionnaires was distributed, of which 198 completed questionnaires were returned. 105 questionnaires (53 %) came from the regional hospital in České Budějovice, 51 (26 %) from the St. Anne?s University Hospital in Brno and 42 (21 %) from the district hospital in Tábor. The research took place in March 2012. The results were assessed under the criteria preset by the author of the thesis. Hypothesis 1: Nurses are able to provide specific nursing care to patients suffering from a cancer pain, was confirmed. Hypothesis 2: Nurses assess the pain under the available analogue scores, was confirmed. Hypothesis 3: Nurses document the pain intensity, was disconfirmed. Hypothesis 4: Nurses use non-pharmacological techniques, especially physical ones, was confirmed. Hypothesis 5: Nurses know the strategy of the WHO?s pain relief ladder, was confirmed. In connection with the addressed issue, an educational leaflet about pain monitoring was drawn up for non-medical healthcare workers. This material describes the most frequently used methods of pain assessment and will serve as an overview of individual procedures including their specifics and application possibilities. The diploma thesis may serve for extending the knowledge of nurses in the field of pain treatment management.
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