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The falls and the injuries under supervision so prevention contra quality
MÁŠKOVÁ, Jana
The problem of in-patients{\crq} falls and injuries, with the view to prevention and care quality at hospitalization units of Nemocnice Písek, a.s., is the theme of my bachelor thesis. The theoretical part of the thesis is focused on the problem of falls in its entirety. It describes causes of falls, effects of falls as well as prevention possibilities against falls. Three targets of the thesis were set down. Firstly, to find out the frequency of falls in hospitalization units of Nemocnice Písek, a.s. Secondly, to find out risk factors connected with falls of in-patients at hospitalization units of Nemocnice Písek, a.s. Thirdly, to find out if nurses know the fall prevention precautionary mechanisms. Six hypotheses were set down in the practical part of the thesis. The first hypothesis is: ``There are more falls in the internal unit of Písek Hospital than in the surgical unit of Písek Hospital.{\crq}q The second hypothesis is: ``The most frequent risk factor causing falls and injuries in Písek Hospital is the quick patients{\crq} getting up.{\crq}q The third hypothesis stems from the following premise: ``Nurses know the clients related fall prevention precautionary mechanisms{\crq}q. The fourth hypothesis predicates: ``The risk of fall and injury of senior patients is higher than the risk of fall and injury of junior patients{\crq}q. The fifth hypothesis says: ``Nurses in Písek Hospital follow rules which are related to falls and injuries.{\crq}q The last hypothesis predicates: ``The care quality audit which is focused on falls and injuries is carried out in Písek Hospital{\crq}q. A quantitative method, in the form of a general nurses{\crq} anonymous questionnaire, was used within the first part of my research work. For monitoring the falls of patients, which is a quality indicator of Nemocnice Písek, a.s., the qualitative method of data analysis was used within the second part of my research work. The documentation belonging to Nemocnice Písek, a.s. was the basic data source. The research results were processed into 29 graphs and two charts. Technical literature is confronted in the Discussion section of the thesis and author{\crq}s opinions are pronounced there. Confirmed and unconfirmed hypothesises, thesis summary and author{\crq}s suggestions regarding the client{\crq}s fall risk and care quality improvement are pointed out in the Conclusion of the thesis.
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The patient after the suicidal attempt in the psychiatric department
JÁCHYMOVÁ, Romana
Suicide, one of malfunctions of self-preservation, is the act of intentionally terminating one own´s life. Suicidal behaviour may be an extreme solution to a situation when a person has feelings of desperation and hopelessness. The persons with suicidal thoughts do not know any other ways out of unbearable emotional or physical suffering than to end their lives. Persons who have thoughts about suicide are often considered to be weak, inadequate dangerous, mentally ill. The best defense against this stigmatization is the full awareness both of the medical staff and the public of the character, the course and consequencies of such a behaviour. The role of a nurse is very important. When she has enough knowledge and is able to show empathy, then she can help effectively. The objective of my thesis was to find out how life of a person changes after a suicidal attempt, how he or she percieves and views that act afterwards. I also examine how the attitude to life has changed not only in persons who attempted suicide but also how their kins approach the problem. The aim was accomplished. Quantitative research was used and data obtained were evaluated. I analysed ten case studies and complex casuistics. Data were gained by the method of a structured interview. Respondents were adult patients in the psychiatric unit in the hospital České Budějovice, Inc.who were hospitalized due to their suicidal behaviour. My thesis may be mainly used to enhance awareness on the issue. The data will be handed over to other members of the medical staff and presented at medical workshops.
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Communication skills of a nurse from the patient´s point of view
HOLENDOVÁ, Jana
The research paper attempted to answer the question whether patients are satisfied with the nurses{\crq} communication skills. The target group of the paper were patients which, during the duration of the study, were hospitalized in department of internal medicine in hospitals in České Budějovice a.s. and Havlíčkův Brod and were at least 18 years or older. 110 informants participated in the questionnaire type survey. Hypotheses assumed satisfaction of patients with verbal communication, dissatisfaction with non-verbal communication and relationship between decreasing satisfaction of patients and their age. Only the firstly named hypothesis was confirmed during the study.
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A difficult patient in the care of a nurse
ZUZÁKOVÁ, Marie
The topic of the bachelor{\crq}s thesis is the ``Difficult Patient in a Nurse{\crq}s Work.{\crqq} The thesis is divided into 10 chapters. The theoretical findings are listed in the chapter ``Current Situation.{\crqq} The theoretical part addresses more general topics such as the specific features of work of nurses in selected wards, the roles of nurses and their professional characteristics. However, particular attention is paid to the specific situations based on which the patient may be deemed ``difficult.{\crqq} These chapters describe the personality of the person affecting his role as a patient, the patient{\crq}s reaction to disease, aggressiveness, causes of aggressive behaviour and other aspects. The conclusion is devoted to the psychic burden on nurses and burnout syndrome. The objective of the bachelor{\crq}s thesis is to determine what criteria nurses have when selecting and stipulating the order of difficult patient. Two hypotheses were chosen: patients are deemed ``difficult by nurses in different ways, according to the specific features of the ward. The demands placed on treatment care affect the identification of a patient as difficult. A survey was performed at selected wards: ARO, JIP, ONP, CHO (anaesthesiology-resuscitation ward, intensive care unit, subsequent treatment ward, surgical ward) at the České Budějivice Hospital a.s. 140 questionnaires were handed out, of which 97 were returned. The return rate was 69%. The questionnaire contained 22 questions, which were to provide answers to the assumed hypotheses. The objective of the work was fulfilled and it was found that the most common criteria affecting the evaluation and order of a ``difficult{\crqq} patient are non-cooperation, unease, and alcohol or drug intoxication. Nurses determine the order of a ``difficult{\crqq} patient almost identically. The most difficult patients according to nurses are those that are aggressive, then those that are uneasy or confused. The first hypothesis was not confirmed, because when identifying a ``difficult{\crqq} patient, nurses almost always agreed, regardless of the specific features of the ward. The second hypothesis was confirmed, because the survey proved that care for a ``difficult{\crqq} patients places demands on staffing of the shift and the nurses{\crq} education. According to the respondents{\crq} demands, a recommendation for the future would be the possibility of attending more seminars and courses aimed at the given topic.
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Informedness of nurses about possible methods of communication with the hearing handicapped patients
PRCHALOVÁ, Jitka
This thesis deals with the awareness of nurses how to communicate with patients who suffer from hearing impairments. In the theoretical part we give the classification of patients with hearing defects and impairments. We mention the principles of communication with them and we tackle the questions of interpreters. At the conclusion of this part we show data that might be of interest not only for medical staff and patients but also for the public. The conclusions of our thesis may be used as an educational aid at training courses for nurses and the public as well. Results of our research could be use for working up the courses of sign language in hospitals.
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Nursing inspections and their importance from view nurse and patient
BENISKOVÁ, Lucie
My thesis, Nursing Rounds and Their Importance from Nurses and Patients Points of View, is divided into a theoretical and practical part. The theoretical part consists of three main chapters. The first chapter describes nursing as a field of science; the second deals with the nursing process in connection to nursing rounds; and the third presents nursing rounds. Nursing rounds are very important to provide patients with high quality care. They enable patients to get more information about their illnesses, following examinations, nursing processes, rehabilitation, etc. There is a continuous contact between nurses and their patients that is why nursing rounds are important for both, patients and nurses. The practical part deals with nursing rounds. The aim of this work was to find out if nursing rounds are practised at standard wards in Písek Hospital, Inc.; investigate about their importance for nurses and clients; and see patients{\crq} opinions on these rounds. There were three hypotheses: Hypothesis no. 1: Nursing rounds are not usually practised at wards; Hypothesis no. 2: Nurses do not consider these rounds to be important; Hypothesis no. 3: Patients/ clients are not sufficiently informed about nursing rounds. The file for my questionnaire research was created by nurses and patients of standard wards (surgery, internal medicine, orthopaedic, gynaecology- obstetric, urologic, and neurological ward) in Písek Hospital, Inc. There were two different questionnaires; one of them contained 19 questions for nurses, and the other one 15 questions for patients. According to the results, hypotheses 1 (nursing rounds are not usually practised at standard wards in Písek Hospital, Inc.) and 3 (most of the patients do not know the term nursing round and have never heard about it) proved valid. Hypothesis 2 (nurses and patients do not consider these rounds to be important) did not prove valid.
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Providing the patient´s privacy on regular wards and intensive care units
ŠVAGROVÁ, Soňa
Providing the patient´s privacy on regular wards and intensive care units Abstract At present, dignity and intimacy of a patient has been increasingly put in the shade. The issue of security of intimacy differs at each ward. The objective of the bachelor thesis on the topic ``Security of intimacy of a patient at a standard ward, an anaesthesiology-resuscitation ward and an intensity care ward{\crqq} is to map out the knowledge of nurses in the field of intimacy and its observance at various sorts of wards. Conducting a number of activities, a nurse enters the intimate zone of a patient and disturbs their intimacy. Therefore we intended to ascertain whether nurses have sufficient knowledge in this field. In a number of cases, patients are not able to defend themselves so their protection is to be secured by the health workers who should behave in the manner respecting the patients in any situation and state. They must do anything not to disturb their intimacy at all or only to a minimal extent. For this reason we raised the questions: Do nurses observe intimacy of patients sufficiently? Do the nurses working at an anaesthesiology-resuscitation ward (ARO) and an intensity care ward (JIP) observe the intimacy principles more than the nurses at standard wards? The research group consisted of the nurses working at ARO, JIP and standard wards of surgical sections in Nemocnice České Budějovice a.s. and Nemocnice Český Krumlov a.s. The research method I used was a questionnaire. Hypothesis No. 1 that nurses have a sufficient knowledge in the field of intimacy was confirmed on the basis of the knowledge test results. Regrettably, hypothesis No. 2 that nurses observe patient intimacy insufficiently was confirmed. Hypothesis No. 3 that the nurses working at ARO and JIP wards observe the principles of intimacy security more than the nurses working at a standard ward was not confirmed. It follows from the results of the research that while nursing the patients, nurses observe the principles of intimacy security insufficiently at all the types of wards. On the basis of the undertaken research, the hospitals that have not internal regulations (guidelines) on this issue elaborated should do so e.g. in the form of ``Ten Rules of Patient Privacy{\crqq} and should pay attention to observance of principles of patient intimacy protection. It is necessary that the nurses serve as defenders of the patients{\crq} rights in this field.
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Principles utilization possibilities of the educational activities of the nurse in the primary care
DRAXLEROVÁ, Milena
The objective of this bachelor's work is to find the principles utilizing of the nurse educational activities in the primary care. The education seems to be the important caracteristic of the treatment practice and has gone hand in hand with the primary care since the treatment beginning. The education as a training, cultivation and tutoring is emphasized lately as the self-evident part of the professional nurse occupation. The educational nurse activity in the primary care has own particularities which are described in detail in the theoretical section of this bachelor´s work. The contemporary treatment conception talks up the important aspects of the nurse role {--} the educator and the coordinator of the patient care. The nurse education should correspond to this thus the nurses could perform their profession as the qualified medical officer. The primary care field is the inseparable piece of the theoretical part of this work. The community nursing as the first care line has been continuously developed recently and the role of the primary nurse is emphasized mainly in the support and maintenance of the people health. Their services are provided in the wild scale in the various environment and cover the whole life cycle since conception to lenitive care at the dying. The education in the primary care represents the great importance. Its purpose is to continuously raise the population health consciousness. In the practical part of the work the quantitative research was performed, the data collection questionnaire technique was used. The research set consisted of sixty-two primary care nurses. The research performed within this work at the nurses working in the primary care has demonstrated a quite good knowledge and also principles utilizing of the educational activities in the nursing practice. Unfortunately it has showed subsequently that nurses don´t have sufficient possibilities in the present system of the primary care and principally the time scope for the education performance. There is the left room for the next knowledge consolidation and perfection in this field even though the good education principles knowledge. The space for the potential further research in the prevention field regarding positive health support and maintenance has been opened consecutively.
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Satisfaction of patients with hospital routine, diet and staff approach
PAVLÁSKOVÁ, Ilona
This bachelor thisi´s explores how is the client´s satifaction with regime, diet and approach of staff in hospital. I hawe found out using the research that most of the client´s is satisfied with approach of hospital staff and that sex and age influence the client´s satisfaction with diet and regime. The clients satisfaction with regime, diet and approach of staff in hospital can significantly improve general treatment results.
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Mistakes and errors in giving of the nursing care
TOMANOVÁ, Dana
In this bachelor{\crq}s work are presented the problems including some mistakes and errors during providing nursing care. The target of investigation was to identificate the most common mistakes in nurses` establish errors in the frame of nursing care then to identificate whether the public have ever met these mistakes in medical care. For conversion necessary information was chosen quantity research by questionary. There were determinated two research complexes. The first one were nurses who study adult education at the Health Social College in České Budějovice and second one were respondent of the public from South Bohemia Region.
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