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Acute postoperative complications in surgical intensive care units
HLOBILKOVÁ, Magda
The master's thesis addresses the issue of acute postoperative complications in the conditions of surgical intensive care units from the perspective of a nurse. The thesis consists of theoretical and empirical sections. The theoretical section focuses on the issues of surgery, intensive care units, and acute postoperative complications. The empirical section includes the research's objectives, methodology, and results. Three objectives were set to elaborate on the master's thesis. First objective: To determine the relationship between the length of practice, the highest level of education attained, and nurses'orientation on the issue of acute postoperative complications. Second objective: To determine nurses' interest in education regarding acute postoperative complications. Third objective : To map the most common acute postoperative complications in surgical intensive care units. The research part of the master's thesis is addressed through a combined research approach involving nurses from surgical intensive care units with different lengths of practice and the highest levels of education attained. The research was conducted in four South Moravian and Zlín hospitals. The quantitative part of the research was carried out through non-standardized questionnaire surveys. The research sample consisted of 138 respondents. The qualitative part was conducted through semi-structured interviews with 10 nurses. Several conclusions can be drawn from the research that was conducted. A statistically significant relationship was observed between nurses' orientation on the issue of acute postoperative complications, length of practice, and the highest level of education attained. With increasing length of practice, nurses' orientation also increases, as does the level of highest education attained. Participating nurses show interest in education on the issue, which the employer does not sufficiently compensate. The most common acute postoperative complications in surgical intensive care units, from the nurses' perspective, are pain and acute bleeding. The output of the diploma thesis is a proposal for the content of a seminar to increase nurses'orientation in specific acute postoperative complications.
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Airconditioning of intensive care unit
Cakl, Dominik ; Blasinski, Petr (referee) ; Rubina, Aleš (advisor)
This bachelor´s thesis deals with design of air-conditioning and air-condition systems in the spaces of intensive care unit of infection department and employees department. Proposoal of the systems meets relevant standarts, hygiene and operating requirements. The computational part is focused on total object analysis, heat balance, air flow in relation to increased hygiene requirements and requirements for air heating. The computational part also involves distribution, adjustment of air and other proposals, which are integrated in correctly proposed equipment. The theoretical part is involving heat recovery with heat pump. The project is processed on the level of the project implementing.
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The rate of stress load on standard nursing wards and intensiv care units.
Brzicová, Věra ; Kulhavá, Miluše (advisor) ; Ptáček, Radek (referee)
This thesis deals with the stress, strain and stress level of stress. It examines what more burdens on JIPu sisters and what the standard department, what are the specifics of their work. Compares the work load and nursing department and the standard JIPu. It looks at how the situation affects of stress nurses. It outlines the causes and manifestations of stress effects on the human organism. He is also the burnout that often occurs among workers in the helping professions. The thesis is focused on the shift operation (especially on night shift), relationships at work (sister-sister, sister-doctor), the aggressive behavior of patients, or the lack of sufficient time for patient care. Research method is a questionnaire distributed to the nurses and the internal standard surgical wards and ICU. The evaluation questions of the questionnaire confirms or overthrows the hypothesis that I set at the beginning of research. The hypotheses were confirmed hypotheses 2 and 5 of the hypothesis was not confirmed. It was confirmed that the exchange operation and overload nurses, patient aggression, care of confused patients and bad interpersonal relations a high burden on medical personnel and contributes significantly to the stress load of nurses. In conclusion, I mention that a large role in preventing and...
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Pražáková, Zuzana (referee)
Introduction: The coronary heart disease is still an actual topic. The mortality has been in recent years declining, but prevalence in the population stagnates, so involve a large group of patients. The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of low cardiac output syndrome with the need of the extracorporeal membrane oxygenation. These patients require very specialized not only during the critical phase, but also during the long-term convalescence including rehabilitation, weaning from the artificial lung ventilation, self-sufficiency training and help with return to normal life. Literature search: The theoretical part is based on the research of National Medical Library (NLK) and Study and Scientific Library of the Pilsen Region (SVKPL). The PubMed, Scopus, Web of science and Science direct databases were used to search articles in professional publications, including the latest cohort studies. The periodicals Cor et Vasa, the European Heart Journal, Critical Care and the European Journal of Cardiovascular Nursing were used. An important source of information is the guidelines of the Czech Society of Cardiology (ČKS), European...
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Competency of nurses working in intensive care in The Czech republic and Gerat Britain
Baletková, Lenka ; Hocková, Jana (advisor) ; Jurásková, Dana (referee)
Summary: The diploma thesis compares competency of nurses working in intensive care in The Czech Republic and Great Britain. Theoretical part of the thesis gives compact look to regulation of nursing profession, education of nurses and nursing registration in both countries. In this part are highlighted main differences of the legislation which nursing competency is based on in each country. There is also mentioned the public opinion of the nursing as a profession and its prestige related to both countries. Practical part of the thesis focuses on the interpretation of analysis of the research regarding the above mentioned topic. For the research have been used the method of collecting data by structured questionnaires. There was a questionnaire for each country in its own language. The aim of the practical part is to compare divergence of knowledge, skills and competency of nurses working in intensive care in both countries. Alternatively to assess any reason for exceeding nursing competency and to find out the explanation for that Key Words: Competency, Nurse, Critical Care, Education, Qualification, Great Britain
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Jankovcová, Kateřina (referee) ; Hocková, Jana (referee)
The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of postcardiotomy cardiogenic shock with the urgency of the venoarterial extracorporeal membrane oxygenation (V-A ECMO). The quality of very specialized and complex care for these long-term hospitalized patients depends on understanding their needs and ways of saturation. The aim of this study is to present these needs from the perspective of the patient and their family. Research questions ain to identify the main aspect of recovery, the factors negatively affecting the mental state of patients, the ways to help them by healthcare professionals and family, how can healthcare professionals help the family and how this experience has affected both the family and the patient. The research is carried out using a qualitative method of semistructured interview with six respondents with this type of anamnesis, who were hospitalized between 2015 and 2021 in the ICU of cardiac surgery department, and three of their relatives. According to the study's findings the main aspect of recovery is the patient's mental well-being. The dependence on help of others, muscle weakness and loss of intimacy...
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The needs of the ICU patient after myocardial infarction requiring V-A ECMO support
Procházková, Tereza ; Konopásková, Marie (advisor) ; Pražáková, Zuzana (referee)
Introduction: The coronary heart disease is still an actual topic. The mortality has been in recent years declining, but prevalence in the population stagnates, so involve a large group of patients. The incidence of acute myocardial infarction is still high. One of the methods of reperfusion therapy is the cardiac surgery by coronary artery bypass graft, which may be postoperatively complicated by the development of low cardiac output syndrome with the need of the extracorporeal membrane oxygenation. These patients require very specialized not only during the critical phase, but also during the long-term convalescence including rehabilitation, weaning from the artificial lung ventilation, self-sufficiency training and help with return to normal life. Literature search: The theoretical part is based on the research of National Medical Library (NLK) and Study and Scientific Library of the Pilsen Region (SVKPL). The PubMed, Scopus, Web of science and Science direct databases were used to search articles in professional publications, including the latest cohort studies. The periodicals Cor et Vasa, the European Heart Journal, Critical Care and the European Journal of Cardiovascular Nursing were used. An important source of information is the guidelines of the Czech Society of Cardiology (ČKS), European...
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Airconditioning of intensive care unit
Cakl, Dominik ; Blasinski, Petr (referee) ; Rubina, Aleš (advisor)
This bachelor´s thesis deals with design of air-conditioning and air-condition systems in the spaces of intensive care unit of infection department and employees department. Proposoal of the systems meets relevant standarts, hygiene and operating requirements. The computational part is focused on total object analysis, heat balance, air flow in relation to increased hygiene requirements and requirements for air heating. The computational part also involves distribution, adjustment of air and other proposals, which are integrated in correctly proposed equipment. The theoretical part is involving heat recovery with heat pump. The project is processed on the level of the project implementing.
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Nursing documentation of anesthetist nurses
Prošková, Lenka ; Di Cara, Veronika (advisor) ; Chvojková, Kateřina (referee)
Nursing documentation of anesthetic nurses is not an common type of documentation in our country. In some workplaces, the medical record of anesthesia is supplemented with data needed to identify the nursing care provided. Therefore, nurses do not have their own nursing documentation at these workplaces, but they record the data in the documentation with the doctor, or continue the records on the decree sheet. Each medical facility in our country has its own system of health documentation, which makes a logical, continuous unit. The aim of my research was to find satisfaction of the nurses in the examined medical facility with the established system of medical documentation, more precisely anesthetic nursing documentation, which is related (not only) to surgical procedures. Describe how many documents are created in connection with the operation and which of them affect nursing care records. Whether they are clear, readily available, and capture the necessary data for all nurses involved in patient care in the operational fields. The choice for research was a quantitative survey using a questionnaire prepared in writing. Respondents were surgical nurses, ARO, ICU, adult room and anesthetist nurses. Part of the research was the study of existing papers, which fill anesthetist nurses and documents...
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Lifelong learning of nurses working in ICU
KÖHLEROVÁ, Andrea
In this thesis, we dealt with the lifelong learning of nurses working in the ICU. The aim was to find out the specifics of lifelong learning of nurses in ICU. The thesis is divided into two parts, theoretical and practical. In the theoretical part, we focused on the beginnings of nursing, but our primary focus was on nursing learning that nurses currently need for their work, and at the same time, we are focusing on further education opportunities, so that they can get the necessary specialization to work in ICU. For the empirical part we chose the methodology of quantitative survey, the technique of data collection was a questionnaire. For the research part we chose three basic hypotheses: nurses working in the ICU have a need for lifelong learning; nurses working in the ICU have a need for further learning; nurses working in the ICU have a motivation for further learning. Questionnaires were distributed to nurses working in the ICU in one hospital in the Hradec Králové and Pardubice regions. In total, 100 questionnaires were distributed, but only 66 completed questionnaires were returned. These questionnaires consisted of a research section. This research has shown that most nurses think lifelong learning is meaningful, nurses need to further educate themselves after the credit system is abolished, nurses have support from the employer, but nurses lack sufficient motivation for further education. Most nurses would be educated, for example, for better financial evaluation or career growth.
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